Table 1.
Class I DSA (no. patients) | Bead type |
||
---|---|---|---|
Regular SAB | iBeads | Denatured SAB | |
Pos | Pos/Neg | Pos/Neg | |
156 | 120/36 | 64/92 | |
Recipient sex (no. male) | 68 | 48/20 | 25/43 |
(no. female) | 88 | 72/16* | 39/49 |
Recipient age (years ± s.d.) | 46 ± 13 | 47 ± 14/45 ± 13 | 46 ± 14/47 ± 13 |
Donor sex (no. male) | 77 | 58/19 | 36/41 |
(no. female) | 79 | 62/17 | 28/51 |
Donor age (years ± s.d.) | 45 ± 15 | 45 ± 14/44 ± 16 | 46 ± 14/44 ± 15 |
Transplant type | |||
no. living | 31 | 23/8 | 13/18 |
no. deceased | 125 | 97/28 | 51/74 |
Transplant (no. = 1) | 130 | 97/33 | 55/75 |
(no. > 1) | 26 | 23/3 | 9/17 |
Cold ischaemia time (h ± s.d.) | 19 ± 12 | 19 ± 12/20 ± 12 | 20 ± 13/18 ± 12 |
HLA-A,-B-DR mismatches (no.) | |||
0 | 6 | 3/3 | 2/4 |
1–4 | 144 | 112/32 | 57/87 |
5–6 | 6 | 5/1 | 5/1 |
Induction therapy applied | 21 | 15/6 | 7/14 |
not applied | 135 | 105/30 | 57/78 |
hPRA < 5 | 74 | 50/24** | 29/45 |
≥ 5 | 82 | 70/12 | 35/47 |
Patients were defined as single antigen bead-donor-specific human leucocyte antigen (HLA) antibodies (SAB-DSA)-positive when mean fluorescence intensity (MFI)-values of HLA antibodies against kidney grafts were 1000 above background values. The sera from 156 patients with HLA class I DSA defined by regular SAB were analysed further using iBeads and beads with denatured HLA. Maintenance immunosuppression was applied as indicated in the Patients and methods section, with a change in 1997. Interleukin (IL)-2 blockade as induction therapy has been applied since 2005 in patients with an established high immunological risk (i.e. second or more kidney transplantation or panel reactive antigen > 40%). hPRA, highest historical pretransplant value of panel-reactive antibodies; s.d.: standard deviation. Asterisks indicate the following P-values
P = 0·07
P = 0·007.