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 | + + + | + + + | ||||||
HLA alleles mismatched in the donor for which the patient had DSA at the initial work-up
Intensity of donor specific anti-HLA antibodies at the initial work-up
Treatment with rituximab and plasma exchange prior to the first transplant
Strength of donor specific anti-HLA antibodies before the first transplant (after treatment with rituximab and plasma exchange)
Engraftment after the first transplant
Strength of donor specific anti-HLA antibodies after the first transplant and/or before the seconds transplant
Engraftment after the second transplant
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;