Prevalence and risk factors of antibodies towards HLA Class I and Class II in Malaysian renal transplant candidates

Autor: Norfarhana Khairul-Fahmy, Jamiila Ismail, Bee Tee Koay, Muhammad Zhafri Md-Zakariah, Salawati Mansor, Nordalila Zulkifli, Siti Fatimah Mat-Ali, Rozinah Mohamed, Norhazlin Mustafa, Masita Arip
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Nephrology, Vol 24, Iss 1, Pp 1-6 (2023)
Druh dokumentu: article
ISSN: 1471-2369
DOI: 10.1186/s12882-023-03085-6
Popis: Abstract Antibody-mediated rejection (AMR) still persists as the major hurdle towards successful renal allograft survival. This paper aims to report on the HLA antibody landscape of renal transplant candidates in Malaysia. A total of 2,219 adult samples from 2016 to 2019 were analysed for anti-HLA antibodies using solid-phase assay. Our findings highlight the prevalence and risk factors for antibodies against HLA antigens in renal transplant settings, which could be beneficial for selecting compatible recipients from deceased organ donors. To the best of our knowledge, this study is the first to demonstrate that ethnic Malay and Chinese showed significantly higher prevalence of anti-HLA antibodies. Based on our multivariate analysis: (i) female gender was associated with higher risk for panel reactive antibodies (PRAs) against Class I, Class II, and Class I and II (p
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