期刊
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
卷 20, 期 18, 页码 -出版社
MDPI
DOI: 10.3390/ijms20184544
关键词
major histocompatibility complex; organ transplantation; donor specific anti-HLA antibodies; immunocomplex capture fluorescence analysis
资金
- JSPS KAKENHI [17K10518]
- Japan Society for the Promotion of Science [17K10518/19K18066]
- Wakunaga Pharmaceutical Co., Ltd [29collaboration004]
- Grants-in-Aid for Scientific Research [17K10518] Funding Source: KAKEN
Organ transplantation has progressed with the comprehension of the major histocompatibility complex (MHC). It is true that the outcome of organ transplantation largely relies on how well rejection is managed. It is no exaggeration to say that to be well acquainted with MHC is a shortcut to control rejection. In human beings, MHC is generally recognized as human leukocyte antigens (HLA). Under the current circumstances, the number of alleles is still increasing, but the function is not completely understood. Their roles in organ transplantation are of vital importance, because mismatches of HLA alleles possibly evoke both cellular and antibody-mediated rejection. Even though the control of cellular rejection has improved by recent advances of immunosuppressants, there is no doubt that antibody-mediated rejection (AMR), which is strongly correlated with donor-specific anti-HLA antibodies (DSA), brings a poor outcome. Thus, to diagnose and treat AMR correctly is a clear proposition. In this review, we would like to focus on the detection of intra-graft DSA as a recent trend. Overall, here we will review the current knowledge regarding MHC, especially with intra-graft DSA, and future perspectives: HLA epitope matching; eplet risk stratification; predicted indirectly recognizable HLA epitopes etc. in the context of organ transplantation.
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