Review Article

Incidence and Clinical Significance of De Novo Donor Specific Antibodies after Kidney Transplantation

Table 1

Studies searching the incidence of de novo anti-HLA DSA and their impact on graft survival.

Author
Publication year
Cohort size, Incidence of de novo anti-HLA DSADe novo anti-HLA abs, class, DSA frequencyFollowup (years)Incidence of AMR in pts. with de novo anti-HLA AbsIncidence of GF in totalIncidence of GF in pts. with de novo anti-HLA and anti-HLA DSA

Worthington et al. 2003 [6]7610.5%Class I, 7.9%
Class II, 6.6%
Class I and II, 1.3%
1023.7%91.7%
Hourmant et al. 2005 [23]12295.5%Class I, 0.1%
Class II, 5.4%
58%8.2%16.8%
4.8%
Terasaki and Cai 2005 [37]156428%16.7%
Zhang et al. 2005 [39]4922.4%Class I, 10.2%
Class II, 6.1%
Class I + II, 6.1%
226.7%
Mihaylova et al. 2006 [26]7216.7%Class I, 9.7%
Class II, 5.6%
Class I + II, 1.4%
1–58.3%18%56.25%
Mao et al. 2007 [40]5427.8%546.3%65.6%
40.6%
Lachmann et al. 2009 [9]10149.2%Class II, 6%5.53.6%
2.4%
20.9%14.7%
Ntokou et al. 2011 [8]59715.4%Class I, 3.2%
Class II, 11.4%
Class I + II, 0.8%
1.2–106%
3.7%
8%15.6%
9.7%
Wang et al. 2012 [29]6206.2%Class I, 1.5%
Class II, 3.9%
Class I + II 0.8%, DSA
518.4%60%
63.2%, DSA
Ginevri et al. 2012 [28]8223.1%Class I 2.4%, DSA
Class II 13.4%, DSA
Class I + II 7.3%, DSA
4.340%
36.7%, DSA
13.5%, DSA
Alberu et al. 2012 [41]5332%Class I 20.7%, DSA
Class II 7.5%, DSA
Class I + II 3.8%, DSA
25.7%, DSA9.4%23.5%, DSA
Wiebe et al. 2012 [27]31514.9%Class I 0.9%, DSA
Class II 10.2%, DSA
Class I + II 3.8%, DSA
2.9 ± 6.25.3%, DSA7%13.6%, DSA
Willicombe et al. 2012 [5]50518.2%Class I 5.5%530.6%, DSA14.4%, DSA

Abs: antibodies; DSA: donor specific antibody; HLA: human leucocyte antigen; AMR: antibody-mediated rejection; GF: graft failure.