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. Author manuscript; available in PMC: 2015 Feb 11.
Published in final edited form as: Transplantation. 2009 Oct 27;88(8):1019–1024. doi: 10.1097/TP.0b013e3181b9d710

Table 3.

Donor-specific HLA antibody (DSA) levels and engraftment in 5 patients treated with haploidentical transplantation. Changes in DSA levels after rituximab/plasma exchange and post-transplantation. Patients with moderate to high DSA levels against HLA A, B or DRB1 in the pre-transplant serum rejected their graft.

PT # AB type(a) Initial
titer(b)
R/PE(c) After R/PE /
Pre 1st SCT(d)
Engr
Y/N(e)
After 1st SCT
/Pre 2nd SCT(f)
Engr
Y/N(g)
After
2nd
SCT(h)

1 A*3201 NT* N/A ++++ N ++++ Y

2 A*0211 + + + Y + + N + + N NT
B*3913 + + + + + + + +
Cw*0702 + + + NT NT
DRB1*0404 + + +

3 DRB1*0701 + + Y Y N/A N/A N/A

4 DRB1*0701 + + Y + + + N Y N/A
DRB4*0101 + + + + + +
DQB1*0202 + + + + + +

5 DRB1*0401 + + Y +/− (borderline) Y N/A N/A N/A
DRB4*0103 + + +
DPB1*0401 + + + + + +
(a)

HLA alleles mismatched in the donor for which the patient had DSA at the initial work-up

(b)

Intensity of donor specific anti-HLA antibodies at the initial work-up

(c)

Treatment with rituximab and plasma exchange prior to the first transplant

(d)

Strength of donor specific anti-HLA antibodies before the first transplant (after treatment with rituximab and plasma exchange)

(e)

Engraftment after the first transplant

(f)

Strength of donor specific anti-HLA antibodies after the first transplant and/or before the seconds transplant

(g)

Engraftment after the second transplant

(h)

Strength of donor specific anti-HLA antibodies after the second transplant

Symbols and abbreviations: - < 500; + 500–1,500; + + 1,500–3,000; + + + 3,000–7,000; + + + + >7,000 fluorescence intensity; PT – patient; AB – antibody ; R – rituximab, PE – plasma exchange, SCT – stem cell transplant; Y – yes; N – no; N/A – not applicable; NT – not tested; NT* - not tested, considered positive for the analysis; Engr – engrafted;