Table 2.
Moderate to severe rejection (n=4) | Mild or no rejection (n=5) | p value | |
---|---|---|---|
Recipient Age | 21.8 ± 21.5 | 30.6 ± 22.2 | ns |
Donor Age | 13.3± 23.2 | 17.4 ± 16.4 | ns |
Multivisceral Allograft | 1/4 | 3/5 | ns |
Pre-Tx PRA>0 (CDC) | 1/4 | 0/5 | ns |
Pre-Tx DSA (SPA) | 1/4 | 1/5 | ns |
Cumulative ATG induction dose (mg/kg) | 8.0 ± 1.5 | 9.9 ± 1.4 | ns |
Mean tacrolimus T0 levels [0–3 mo] (ng/mL) | 15.3 ± 2.1 | 16.8 ± 3.2 | ns |
De novo DSA (SPA) | 3/4 | 0/5 | p<0.05 |
GVHD | 0/4 | 1/5 | ns |
T-cell macrochimerism | 3/4 | 5/5 | ns |
B-cell macrochimerism | 1/4 | 3/5 | ns |
Myeloid macrochimerism | 0/4 | 3/5 | ns |
Median [range] duration of T-cell macrochimerism (days) | 28.5 [0–58] | 127 [21–378] | p=0.19 |
Median [range] peak of CD3 chim. (days × %) | 2.6 [0–3.3] | 16.3 [6.6–43.1] | p<0.02 |
Median [range] peak of CD4 chim. (days × %) | 4.8 [0–7.8] | 10.3 [8.3–29.4] | p<0.02 |
Median [range] peak of CD8 chim. (days × %) | 1.8 [0–3.7] | 21.4 [6.8–54.8] | p<0.02 |
Median [range] peak of CD19 chim. (days × %) | 0 [0–0] | 8.8 [0–61] | p=0.11 |
Median [range] peak of CD33 chim. (days × %) | 0 [0–0] | 0 [0–7.1] | ns |
Median [range] peak of CD11c chim. (days × %) | 0 [0–0] | 0 [0–12.6] | ns |
Median [range] peak of CD14 chim. (days × %) | 0 [0–0] | 0 [0–1.4] | ns |
Median [range] CD3 chim. AUC (days × %) | 34.5 [0–62] | 820 [101–9098] | p<0.02 |
Median [range] CD4 chim. AUC (days × %) | 69.5 [0–225] | 750 [142–7653] | p<0.05 |
Median [range] CD8 chim. AUC (days × %) | 24.7 [0–69] | 921 [105–8109] | p<0.02 |
Median [range] CD19 chim. AUC (days × %) | 0 [0–0] | 165 [0–9157] | ns |
Median [range] Myeloid chim. AUC (days × %) | 0 [0–0] | 202 [0–731] | ns |
Median follow-up (days [range]) | 415 [132–941] | 524 [343–991] | ns |
Death | 0/4 | 2/5 | ns |
Abbreviations: ATG, anti-thymoglobulin; AUC, Area Under the Curve; CDC, complement-dependent cytotoxicity; chim., chimerism; DSA, donor-specific antibody; GVHD, graft-vs-host disease; mo, months; PRA, panel reactive antibody; Pre-Tx, pre-transplantation; SPA, solid-phase assay; T0, trough levels