Table 1. Demographic characteristics of the study population according to the anti-AT1R results.
anti-AT1R (+) (N = 5) | anti-AT1R (-) (N = 48) | |
---|---|---|
Patient characteristics | ||
Men, N (%) | 3 (60 .0) | 20 (41.7) |
Recipients age (years, mean ± SD) | 37.2 ± 10.9 | 45.0 ± 9.7 |
Retransplantation, N (%) | 0 (0.0) | 9 (18.8) |
Cause of renal failure (N, %) | ||
Chronic glomerulonephritis | 1 (20.0) | 25 (52.1) |
Diabetic nephropathy | 1 (20.0) | 8 (16.7) |
Hypertensive nephropathy | 0 (0.0) | 5 (10.4) |
Polycystic kidney diseases | 0 (0.0) | 1 (2.1) |
Others | 3 (60.0) | 9 (18.8) |
Pre-transplant characteristics | ||
Crossmatches (+), N (%) | 2 (40.0) | 6 (12.5) |
N of HLA mismatches (mean ± SD) | 3.6 ± 2.2 | 3.9 ± 1.3 |
Desensitization, N (%) | 2 (40.0) | 12 (25.0) |
Donor characteristics | ||
Donor age (years, mean ± SD) | 3.62 ± 11.0 | 41 ± 14 |
Deceased donor, N (%) | 0 (0.0) | 17 (35.4) |
Men, N (%) | 4 (80.0) | 29 (60.4) |
At the time of biopsy (N, %) | ||
anti-HLA Abs | 4 (80.0) | 36 (75.0) |
anti-HLA class-I Abs | 4 (80.0) | 23 (47.9) |
anti-HLA class-II Abs | 2 (40.0) | 31 (64.6) |
DSA | 4 (80.0) | 22 (45.8) |
DSA-HLA class-I* | 4 (80.0) | 6 (12.5) |
MFI (mean ± SD) | 2,259 ± 1,572 | 3,748 ± 4,291 |
DSA-HLA class-II | 1 (20.0) | 18 (37.5) |
MFI (mean ± SD) | 6756 | 7,708 ± 7,161 |
Time to rejection (months, mean ± SD) | 45.9 ± 60.4 | 24.2 ± 38.7 |
graft failure | 1 (20.0) | 15 (31.3) |
Histological findings (N, %) | ||
AMR | 3 (60.0) | 19 (39.6) |
TCMR | 1 (20.0) | 28 (58.3) |
AMR and TCMR mixed rejection | 1 (20.0) | 1 (2.1) |
C4d deposition | 3 (60.0) | 20 (41.7) |
Severity of rejection (N, %) | ||
TCMR Type IA/IB | 1 (20.0) | 24 (50.0) |
TCMR Type IIA/IIB or AMR | 4 (80.0) | 24 (50.0) |
*Significant (P=0.003)
Abbreviations: Abs, antibodies; anti-AT1R, antibodies directed against AT1R; MFI, median fluorescence intensity; DSA, donor specific HLA antibodies; AMR, antibody-mediated rejection; TCMR, T-cell-mediated rejection.