Figure 2. Antibody response during the first few weeks after HLA antibody incompatible renal transplant in patients with an acute rise in donor specific HLA antibody.
This shows the changes in A) the donor kidney specific antibody (DSA) for HLA class I and II, B) third party class I and II, C) blood group antibodies and D) viral antibody levels in patients with significantly higher post-transplant peak DSA levels compared to pre-transplant levels over the first couple of months. Over a longer observation period there was no significant change in third party HLA antibody, IgG, IgM or IgA blood group antibody, cytomegalovirus (CMV) IgG, varicella zoster virus (VZV) IgG and Hepatitis B surface antigen (HBsAg) IgG antibody observed. Only patients with measurable viral antibody levels pre-transplant were included. Box plot shows the statistical significant changes in the groups €- p<0.05 pre-transplant vs. post-transplant; £ - p<0.05 post-transplant vs. late; $ - p<0.05 pre-transplant vs. late and ¥ - p<0.05 overall trend.