Table 2.
Patient 1 | Before desensitization | After desensitization |
With wife donor | ||
DSA (MFI) | A24-4924, B58-9767, DR11-13112, DR17-13598, DQ7-13194, DQ2-14751 | A24-1000, B58-7055, DR11-4296, DR17-1925, DQ7-11838, DQ2-2410 |
AHG-CDC LCM (%) | 80 | 20 |
T FCM (MCS) | 212 | Negative |
B-FCM (MCS) | 504 | 328 |
With KPD donor | ||
DSA (MFI) | B8, 6830: DR 17, 14751: DQ2, 13112 | B8, 2400: DR 17, 1925: |
DQ2, 2410 | ||
AHG-CDC (%) | 20 | 17 |
T-FCM (MCS) | 88 | Negative |
B-FCM (MCS) | 335 | 190 |
The cost of immune monitoring and desensitization therapy (USD) | ||
AHG-CDC LCM | 20 | |
T and B FCM | 100 | |
DSA ( Luminexx, qualitative) | 40 | |
DSA ( Luminexx, quantitative) | 425 | |
HLA (class 1 and 2) | 200 | |
Plasmapheresis | 300 | |
Bortezomib (Baximib, Ranbaxy) 2 mg | 60 | |
IVIg (Plasmaglob, Plasmagen) 5 gm | 125 | |
Rabbit anti-human thymocyte immunoglobulin (Thymoglobulin, Genzyme-Sanofi) 25 mg | 200 | |
Valganciclovir (Cymgal, Biocon) 450 mg | 3 | |
Methyl prednisolone ( Solumedrol, Pfizer) 125 mg | 4 |
DSA: Donor specific antibody; AHG-CDC-LCM: An anti-human, globulin-enhanced, complement-dependent cytotoxicity lymphocytotoxicity cross matches; FCM: Flow cross match; MCS: Median channel shift; MFI: Mean fluorescent intensity; KPD: Kidney paired donation.