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肾脏移植受者HLA体液免疫的研究

THE STUDY ON HLA HUMORAL IMMUNITY IN RENAL TRANSPLANT RECIPENTS
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摘要 通过对2478例等待肾脏移植受者的HLA体液致敏状态的观察,进行移植受者群体反应性抗体(PRA)的研究及其与肾脏移植的关联。结果显示,PRA是移植前受者是否致敏的指标,与淋巴细胞毒(CDC)的不相合呈正相关,PRA≥30.00%的受者接受CDC阴性移植肾仍然全部发生超急排斥,而PRA阴性受者仅为12.46%。因此,PRA分析对辨别HLA基因的免疫状态和预测超急排斥反应以及改善肾脏移植的效果具有普遍意义。 Studied panel active antibody(PRA) in renal transplant recipients and the correlation between PRA and renal transplantation by observating HLA humoral sensitization in 2 478 recipients awaiting for renal transplantation. The results suggested that PRA was an indicator of presensitization in recipients before transplantation, and PRA correlates positively with CDC incompatibility. It was also showed that 10000% recipients with PRA≥3000% experienced hyperacute allograft rejection, although these recipients were given renal allograft with negative CDC. By comparison, only 12.46% recipients with negative PRA developed hyperacute rejection of renal allograft. Therefore, an analysis of PRA played an important role in differentiating the immunity of HLA genes, predicting hyperacute allograft rejection, as well as in increasing success of renal transplantation.
出处 《中国免疫学杂志》 CAS CSCD 北大核心 1998年第2期137-139,共3页 Chinese Journal of Immunology
基金 国家卫生部科研基金
关键词 HLA 肾移植 排斥反应 体液免疫 HLA PRA Sensitization Rejection
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