Abstract
Pre-anastomosis wedge biopsies from 14 cadaveric donor kidneys were examined for the expression of class I (HLA-ABC) and class II (HLA-DR) antigens in renal tissue. Two monoclonal antibodies to class I antigens and four to class II antigens were used in an indirect immunoperoxidase technique. Consistent expression of both antigens was demonstrated on the surface of glomerular, peritubular capillary and venous endothelial cells. Renal arteries contained only class I antigens. Proximal tubules contained varying amounts of each antigen in their cytoplasm. Sixteen human lymphocytotoxic allo-antisera showed marked variation in their ability to detect HLA antigens on the kidney. The selection of donors for recipients of renal allografts involves the complement-dependent cytotoxicity test and the failure of some lymphocytotoxic antisera to bind to the kidney indicates that some suitable patients may be incorrectly excluded. The use of a binding assay using an immunoperoxidase technique should be included in cross-match techniques particularly for patients who have high levels of circulating cytotoxic antibodies.
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- Ahern A. T., Artruc S. B., DellaPelle P., Cosimi A. B., Russell P. S., Colvin R. B., Fuller T. C. Hyperacute rejection of HLA-AB-identical renal allografts associated with B lymphocyte and endothelial reactive antibodies. Transplantation. 1982 Jan;33(1):103–106. doi: 10.1097/00007890-198201000-00023. [DOI] [PubMed] [Google Scholar]
- Baldwin W. M., 3rd, Claas F. H., van Es L. A., van Rood J. J. Distribution of endothelial-monocyte and HLA antigens on renal vascular endothelium. Transplant Proc. 1981 Mar;13(1 Pt 1):103–107. [PubMed] [Google Scholar]
- Beckman I. G., Bradley J., Brooks D. A., Kupa A., McNamara P. J., Thomas M. E., Zola H. Human lymphocyte markers defined by antibodies derived from somatic cell hybrids. II. A hybridoma secreting antibody against an antigen expressed by human B and null lymphocytes. Clin Exp Immunol. 1980 Jun;40(3):593–601. [PMC free article] [PubMed] [Google Scholar]
- Brodsky F. M., Parham P., Barnstable C. J., Crumpton M. J., Bodmer W. F. Monoclonal antibodies for analysis of the HLA system. Immunol Rev. 1979;47:3–61. doi: 10.1111/j.1600-065x.1979.tb00288.x. [DOI] [PubMed] [Google Scholar]
- Brodsky F. M., Parham P., Bodmer W. F. Monoclonal antibodies to HLA--DRw determinants. Tissue Antigens. 1980 Jul;16(1):30–48. doi: 10.1111/j.1399-0039.1980.tb00285.x. [DOI] [PubMed] [Google Scholar]
- Fuggle S. V., Errasti P., Daar A. S., Fabre J. W., Ting A., Morris P. J. Localization of major histocompatibility complex (HLA-ABC and DR) antigens in 46 kidneys. Differences in HLA-DR staining of tubules among kidneys. Transplantation. 1983 Apr;35(4):385–390. doi: 10.1097/00007890-198304000-00024. [DOI] [PubMed] [Google Scholar]
- Hancock W. W., Kraft N., Atkins R. C. The immunohistochemical demonstration of major histocompatibility antigens in the human kidney using monoclonal antibodies. Pathology. 1982 Oct;14(4):409–414. doi: 10.3109/00313028209092120. [DOI] [PubMed] [Google Scholar]
- Kissmeyer-Nielsen F., Olsen S., Petersen V. P., Fjeldborg O. Hyperacute rejection of kidney allografts, associated with pre-existing humoral antibodies against donor cells. Lancet. 1966 Sep 24;2(7465):662–665. doi: 10.1016/s0140-6736(66)92829-7. [DOI] [PubMed] [Google Scholar]
- Morris P. J., Ting A. The crossmatch in renal transplantation. Tissue Antigens. 1981 Jan;17(1):75–82. doi: 10.1111/j.1399-0039.1981.tb00669.x. [DOI] [PubMed] [Google Scholar]
- Natali P. G., De Martino C., Marcellini M., Quaranta V., Ferrone S. Expression of Ia-like antigens on the vasculature of human kidney. Clin Immunol Immunopathol. 1981 Jul;20(1):11–20. doi: 10.1016/0090-1229(81)90157-4. [DOI] [PubMed] [Google Scholar]
- Sunderland C. A., Naiem M., Mason D. Y., Redman C. W., Stirrat G. M. The expression of major histocompatibility antigens by human chorionic villi. J Reprod Immunol. 1981 Dec;3(6):323–331. doi: 10.1016/0165-0378(81)90048-6. [DOI] [PubMed] [Google Scholar]
- Ting A., Morris P. J. Successful transplantation with a positive T and B cell crossmatch due to autoreactive antibodies. Tissue Antigens. 1983 Mar;21(3):219–226. doi: 10.1111/j.1399-0039.1983.tb00161.x. [DOI] [PubMed] [Google Scholar]
- Ting A. The lymphocytotoxic crossmatch test in clinical renal transplantation. Transplantation. 1983 May;35(5):403–407. doi: 10.1097/00007890-198305000-00001. [DOI] [PubMed] [Google Scholar]
- Trickett L. P., Evans P. R., MacIver A. G., Smith J. L., Slapak M. Variable localization of blood group antigen in group A kidneys. Br J Exp Pathol. 1983 Apr;64(2):137–143. [PMC free article] [PubMed] [Google Scholar]
- Wilson B. S., Indiveri F., Pellegrino M. A., Ferrone S. Production and characterization of DR xenoantisera: use for detection of serum DR antigens. J Immunol. 1979 May;122(5):1967–1971. [PubMed] [Google Scholar]
- d'Apice A. J., Tait B. D. Most positive B cell crossmatches are not caused by anti-HLA-DR antibodies. Transplantation. 1980 Nov;30(5):382–383. doi: 10.1097/00007890-198011000-00015. [DOI] [PubMed] [Google Scholar]