Research Article

De Novo Donor-Specific HLA Antibodies Developing Early or Late after Transplant Are Associated with the Same Risk of Graft Damage and Loss in Nonsensitized Kidney Recipients

Table 2

Antibody characteristics in 39 de novo donor specific HLA antibody (dnDSA) positive patients.

VariablesAll patients with dnDSAs
()
Patients with dnDSAs occurring within year 1
()
Patients with dnDSAs occurring beyond year 1
()
value

dnDSA specificities, 1.97 ± 1.291.87 ± 1.252.04 ± 1.330.68
dnDSAs35 (90%)13 (87%)22 (92%)0.63
HLA class I dnDSAs8 (21%)2 (13%)6 (25%)0.45
HLA class II dnDSAs18 (46%)8 (53%)10 (42%)0.52
HLA class I and II dnDSAs13 (33%)5 (33%)8 (33%)1.00
HLA-A dnDSAs16 (41%)5 (33%)11 (61%)0.51
HLA-B dnDSAs12 (31%)3 (20%)9 (37%)0.30
HLA-C dnDSAs7 (18%)3 (20%)4 (17%)1.00
HLA-DR dnDSAs6 (15%)3 (20%)3 (12%)0.66
HLA-DQ dnDSAs28 (72%)11 (73%)17 (71%)1.00
HLA-DP dnDSAs1 (3%)01 (4%)1.00
Immunodominant dnDSAs
9501 ± 719810483 ± 70208888 ± 73870.51
12043 ± 784212061 ± 668312031 ± 86260.99
C1q positivityof dnDSAs
 At dnDSA onset25 (64%)12 (80%)13 (54%)0.17
 At biopsy or MFI peak29 (74%)12 (80%)17 (71%)0.71
C3d positivityof dnDSAs
 At dnDSA onset9 (23%)3 (20%)6 (25%)1.00
 At biopsy or MFI peak16 (41%)6 (40%)10 (42%)1.00

Percentages are calculated on the total number of patients from each group indicated at the top of the respective columns.
All data are reported as absolute numbers, unless otherwise specified; data reported as mean ± sd.
DSA persistence was defined as positivity of the immunodominant DSA in all analyzed samples after first positivity.
MFI: mean fluorescence intensity.