Table 5.
Cumulative incidences of graft loss, rejection, and dnDSA.
Adverse outcomes | Anti-HLA ab (non-DSA) | No anti-HLA ab n = 509 | P-value | |
---|---|---|---|---|
Shared TE-positive | Shared TE-negative | |||
n = 40 | n = 29 | |||
Functional, n(%) | ||||
5y graft loss | 3 (7.5) | 0 (0) | 19 (3.7) | 0.27 |
5y death censored graft loss | 3 (7.5) | 0 (0) | 14 (2.8) | 0.15 |
Immunological, n (%) | ||||
5y antibody-mediated rejection | 0 (0) | 0 (0) | 8 (1.6) | 0.58 |
5y T cell-mediated rejection | 2 (5) | 1 (3.4) | 29 (5.7) | 0.87 |
5y dnDSA* | 8 (20) | 0 (0) | 42 (8.3) | 0.009 |
3y dnDSA* | 7 (17.5) | 0 (0) | 31 (6.0) | 0.007 |
2y dnDSA* | 7 (17.5) | 0 (0) | 17 (3.3) | <0.001 |
1y dnDSA* | 4 (10) | 0 (0) | 10 (2.0) | 0.004 |
*Accumulating number of dnDSA-detected patients during each observational period, which include both persisting and disappearing dnDSA.
Ab, antibody; non-DSA, non-donor-specific anti-HLA antibodies; TE, T cell epitope; 5/3/2/1y, 5/3/2/1-year; dnDSA, de novo donor-specific anti-HLA antibodies.