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. Author manuscript; available in PMC: 2014 Apr 1.
Published in final edited form as: Biol Blood Marrow Transplant. 2013 Jan 22;19(4):647–652. doi: 10.1016/j.bbmt.2013.01.016

Table 3.

Extent of Sensitization among Nine Desensitized Patients

Patient No. Pre-PP CPRA*
DSA HLA Specificity Crossmatch Tests Additional Risk Factors Donors Evaluated
Class I Class II Related Unrelated
1 44 0 B7 CDC− child to mother 2 children 4
vFCXM+ 2 siblings
2 98 94 DP1 CDC− 1 sibling 1
vFCXM±
3 47 0 A2 CDC− child to mother 2 children 0
vFCXM+
4 0 96 DR13, DR52, DQ6 FCXM+ multiple DSA 2 children 5
2 siblings
5 63 99 DR16 FCXM+ 1 child 5
2 parents
3 half-siblings
2 cousins
6 0 99 DQ4 FCXM+ 2 children 6
3 siblings
7 55 92 A2 CDC+ DSA strength 2 siblings 0
Titer 8 2 parents
8 98 0 A3, B27 FCXM+ child to mother 3 children 1
3 half-siblings
9 0 51 DR4, DR53 FCXM+ repeat DR4, DR53 mismatches 2 siblings 0
2 parents
Mean 45.0 59.0
SD 38.9 46.6

PP indicates plasmapheresis; CPRA, calculated panel reactive antibody; CDC, complement-dependent cytotoxicity crossmatch; FCXM, flow cytometric crossmatch; vFCXM, virtual FCXM when actual crossmatch was not performed, but antibody levels were consistent with positive results.

*

The CPRA values were based on the frequencies for HLA antigens to which patients had antibodies at strengths consistent with positive complement dependent cytotoxicity and/or flow cytometric crossmatches. Accessed from: http://optn.transplant.hrsa.gov/resources/professionalResources.asp?index=78, CPRA Calculator.

Crossmatch results correlate with the following median fluorescence values (MFI) from the solid-phase immunoassays: FCXM+ on phenotype panels ≥5000; FCXM+ on single-antigen panels ≥10-15,000 MFI; positive complement-dependent cytotoxicity crossmatch (CDC+) ≥10,000 on a phenotype panel.