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. 2016 Nov 6;5(6):531–537. doi: 10.5527/wjn.v5.i6.531

Table 2.

Desensitisation protocol and outcome

Patient 1 Patient 2 Patient 3
Before desensitization with original donor
LCM/DTT/AHG (%) 80/80/90 5/5/7 5/0/5
T/B FCM (MCS) 260/298 Neg/236 80/159
DSA class 1 A1 = 8000, B57 = 6200 No DSA B44 = 4188, A31 1100
DSA class 2 DQ7 = 1600, DQ9 = 2200 DQ2 = 9000 No DSA
DP 8TPE + 8Bort/MP/IVIG + TAC/MMF 9TPE + 6Bort/MP/IVIG + R + TAC/MMF 4TPE + 4Bort/MP/IVIG + TAC/MMF
After desensitization with original donor
LCM 80/80/90 17/15/20 5/0/7
FCM 254/333 Neg/504 Neg/129
DSA class 1 A1 = 2000, B57 = 5500 No DSA B44 = 4622, A31 = 1400
DSA class 2 DQ7 = 2000, DQ9 = 2000 DQ2 = 12000 No DSA
Side effects Tuberculosis Graft nephrectomy Tuberculosis

TPE: Plasmapheresis; Bort: Bortezomib; MP: Methyl prednisolone; IVIG: Immunoglobulin; R: Rituximab; TAC: Tacrolimus; MMF: Mycophenolate mofetyl; DP: Desensitization protocol; LCM: Lymphocyte cross match; FCM: Flow cross match; DSA: Donor specific antibody; Neg: Negative; MCS: Median channel shift; DTT: Dithiothreitol; AHG: Antihuman globulin test.