Changes of circulating anti-A/B-antibody titers during the preparation period and after AB0-incompatible living donor kidney transplantation

Autor: A. I. Sushkov, Ya. G. Moisyuk
Jazyk: English<br />Russian
Rok vydání: 2018
Předmět:
Zdroj: Трансплантология (Москва), Vol 0, Iss 2-3, Pp 48-53 (2018)
Druh dokumentu: article
ISSN: 2074-0506
2542-0909
DOI: 10.23873/2074-0506-2011-0-2-3-48-53
Popis: Several protocols have been developed to overcome the blood group barrier in renal transplantation. In the evolution of these protocols, one of the latest steps was the combination of anti-CD20 treatment with antigen-specific immunoadsorption (IA) and intravenous immunoglobulin (IvIg). This protocol has been widespread used for AB0-incompatible transplantation in Europe. We report our first experience of five successful AB0-incompatible kidney transplantation using anti-CD20 + IA + IvIg pretransplant conditioning protocol and tacrolimus + MMF + steroids as maintenance immunosuppression. Initial anti-A/B-antidody titers were 1:16 to 1:1024. The transplantation could be performed in all cases and the grafts showed primary function.
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