- MeSH
- Anemia, Hemolytic, Autoimmune * diagnosis drug therapy blood pathology MeSH
- Coombs Test MeSH
- Hematologic Tests MeSH
- Hemoglobins analysis drug effects MeSH
- Complement C3d analysis MeSH
- Humans MeSH
- Rituximab administration & dosage MeSH
- Aged MeSH
- Waldenstrom Macroglobulinemia diagnosis complications MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
The aim of our study was to evaluate the relevance of complement-binding donor-specific antibodies (DSA) for prediction of antibody-mediated rejection (AMR) after liver transplantation. Sera from 123 liver transplant recipients were retrospectively defined for HLA specificity and complement-fixing activity using the single antigen beads, C1q and C3d techniques. Liver-recipients' sera were tested before transplantation, 3, 6 months and 1 year after transplantation. Patients were followed up for graft survival and rejection incidence for 1 year after transplantation. All patients with pretransplant complement-binding DSA developed severe AMR after transplantation, while three recipients out of four, who produced de novo complement-fixing DSA, developed AMR. Definition of DSA with respect to complement-fixing activity may provide clinically relevant information about the risk of AMR after liver transplantation.
- MeSH
- Tissue Donors MeSH
- Child MeSH
- Adult MeSH
- Transplantation, Homologous MeSH
- Isoantibodies blood MeSH
- Complement C1q metabolism MeSH
- Complement C3d metabolism MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Follow-Up Studies MeSH
- Graft Survival * MeSH
- Prognosis MeSH
- Graft Rejection blood diagnosis immunology pathology MeSH
- Retrospective Studies MeSH
- Aged MeSH
- Histocompatibility Testing methods MeSH
- Liver Transplantation * MeSH
- Check Tag
- Child MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
Dialyser bioincompatibility is an important factor contributing to complications of hemodialysis with well known systemic consequences. Here we studied the local processes that occur on dialysis membranes by eluting proteins adsorbed to the polysulfone dialyser membranes of 5 patients after 3 consecutive routine maintenance hemodialysis sessions. At the end of each procedure, a plasma sample was also collected. These eluates and their accompanying plasma samples were separated by 2-dimensional gel electrophoresis; all proteins that were present in all patients were analyzed by tandem mass spectrometry; and a ratio of the relative spot intensity of the eluate to plasma was calculated. Of 153 proteins detected, 84 were found in all patients, 57 of which were successfully identified by mass spectrometry as 38 components of 23 unique proteins. In 10 spots the relative eluate intensity differed significantly from that in the plasma, implying preferential adsorption. These proteins included ficolin-2, clusterin, complement C3c fragment, and apolipoprotein A1. Our finding of a selective binding of ficolin-2 to polysulfone membranes suggests a possible role of the lectin complement pathway in blood-dialyser interactions.
- MeSH
- Adsorption MeSH
- Apolipoprotein A-I MeSH
- Renal Dialysis instrumentation adverse effects MeSH
- Mass Spectrometry MeSH
- Clusterin MeSH
- Complement C3c MeSH
- Complement System Proteins analysis metabolism MeSH
- Lectins MeSH
- Middle Aged MeSH
- Humans MeSH
- Membranes, Artificial MeSH
- Polymers adverse effects MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Sulfones adverse effects MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
- MeSH
- Immunity genetics MeSH
- Immunoglobulin A MeSH
- Infections MeSH
- Complement C3c MeSH
- Lymphocytes MeSH
- Lung MeSH
- Proteins MeSH
- Publication type
- Review MeSH
- MeSH
- Hypersensitivity diagnosis etiology immunology MeSH
- Ambulatory Care MeSH
- Child MeSH
- Immunoglobulin A blood MeSH
- Immunoglobulin G blood MeSH
- Immunoglobulin M blood MeSH
- Complement C4 blood MeSH
- Complement C3c blood MeSH
- Humans MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Publication type
- Review MeSH
- Comparative Study MeSH
- MeSH
- Erythema Multiforme diagnosis immunology MeSH
- Immunoglobulin A MeSH
- Immunoglobulin G MeSH
- Immunoglobulin M MeSH
- Immunohistochemistry MeSH
- Complement C3c MeSH
- Humans MeSH
- Adolescent MeSH
- Blister immunology MeSH
- Check Tag
- Humans MeSH
- Adolescent MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- Congress MeSH
- MeSH
- Fibrin isolation & purification MeSH
- Immunoglobulin G MeSH
- Immunoglobulin M MeSH
- Complement C3c MeSH
- Vasculitis, Leukocytoclastic, Cutaneous MeSH
- Humans MeSH
- Vasculitis diagnosis etiology MeSH
- Check Tag
- Humans MeSH
- Publication type
- Case Reports MeSH
- Congress MeSH
- MeSH
- Dermatitis, Atopic immunology complications MeSH
- Adult MeSH
- Immunoglobulin A blood MeSH
- Immunoglobulin E blood MeSH
- Complement C3c blood MeSH
- Blood Sedimentation MeSH
- Humans MeSH
- Adolescent MeSH
- Psoriasis immunology complications MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Female MeSH
- MeSH
- Alopecia Areata immunology MeSH
- Autoimmune Diseases MeSH
- Immunity, Cellular MeSH
- Child MeSH
- Adult MeSH
- Fluorescent Antibody Technique MeSH
- Immunoglobulins blood MeSH
- Antigen-Antibody Complex MeSH
- Complement C3c blood MeSH
- Humans MeSH
- Check Tag
- Child MeSH
- Adult MeSH
- Humans MeSH
- Male MeSH
- Female MeSH