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Posttransplant human leukocyte antigen (HLA) and major histocompatibility complex class I chain-related antigens A (MICA) donor-specific antibodies (DSA) increases the probability of transplant coronary artery disease (TCAD). TCAD-free survival at 2 years posttransplant was significantly lower in the 26 patients with anti-donor HLA and MICA antibodies compared with 46 patients without DSA (P<0.02).
