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  • Title: Effect of anti-HLA and anti-idiotypic antibodies on the long-term survival of heart and kidney allografts.
    Author: Reed E, Cohen DJ, Barr ML, Ho E, Marboe CC, Rose EA, Hardy M, Suciu-Foca N.
    Journal: Transplant Proc; 1992 Dec; 24(6):2494-5. PubMed ID: 1465842.
    Abstract:
    Long-term survival of heart and kidney allografts is threatened by the development of chronic rejection. Analysis of the relationship between reversible acute rejection episodes and actuarial survival at 5 years showed an inverse correlation suggesting that early cellular events may trigger antibody-mediated chronic rejection. In both heart and kidney allograft recipients producing anti-HLA antibodies we found a significant decrease in the 5-year graft survival rate. However, there was heterogeneity among anti-HLA antibody producers with respect to the development of anti-idiotypic antibodies. The actuarial 5-year graft survival was significantly higher in patients with Ab2 compared to patients without.
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