Table 3.
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.