Dr. Koefoed-Nielsen presents data for a patient who had undergone two kidney transplantations, experienced allograft failure soon after receiving a third kidney transplant. With a negative crossmatch and no DSA detected, further investigation was required. Non-HLA autoantibodies can be associated with adverse transplantation outcomes1, so they screened the patient and eight others who experienced similar outcomes for autoantibodies using the One Lambda™ LABScreen™ Autoantibody Group 1 and Group 2 assays. All nine patients had high levels of REG3A, LMNB, PRKCH, GAPDH, HNRNPK, VM, and IFNG autoantibodies, which has been correlated with humoral rejection in kidney and heart transplant recipients.
Speaker:
Pernille Koefoed-Nielsen, MD, PhD
Tissue Typing Laboratory,
Department of Clinical Immunology
Aarhus Universitet Hospital, Denmark
Recorded:
Nov 24, 2021