Review Article

The Role of Humoral Alloreactivity in Liver Transplantation: Lessons Learned and New Perspectives

Table 2

Summary of reported cases of acute antibody-mediated rejection following ABO-compatible liver transplantation.

ReferenceAge/genderOnset of graft dysfunctionDSA detection methodType of DSADSA specificityAMR treatmentClinical outcome

Rostron et al. (2005) [22]23/FPOD 6Luminex SABPreformedBw6Steroids, MMF, PP, IVIGAlive with functioning graft

Wilson et al. (2006) [23]36/F4 yearsLuminex SABDe novoDR52Steroids, MMF, PP, IVIG, Rituximab, ATGAlive with functioning graft

Watson et al. (2006) [24]50/FPOD 5Flow cytometry SABPreformedB7Steroids, MMF, PP, IVIG, RituximabDeath

Kamar et al. (2009) [25]49/FPOD 10Luminex SABPreformedA2, DR7Steroids, MMF, PP, Rituximab, OKT3Death
39/FPOD 6Luminex SABPreformedA2, A24, B27, DR4Steroids, PP, RituximabAlive with functioning graft

Kozlowski et al. (2011) [26]N/APOD 5Flow cytometry or Luminex SABPreformed3 DSA (specificity not provided)Steroids, PP, IVIG, RituximabDeath
N/APOD 7PreformedA30, A74, B7, B45, DR15, DR51, DQ7Steroids, PP, IVIG, Rituximab, ATGDeath
N/APOD 7Preformed4 DSA (specificity not provided)Steroids, PP, IVIG, Rituximab, OKT3Retransplant, alive

Paterno et al. (2012) [27]62/FPOD 8Luminex SABDe novoDR13, DR15, DR51, DR52Steroids, OKT3, ATG, BortezomibAlive with functioning graft
28/FPOD 452Luminex SABDe novoDQ2, DQ6Steroids, PP, Rituximab, ATG, BortezomibAlive with functioning graft
53/FPOD 6Luminex SABPreformedB51, Cw2, DQ7Steroids, ATG, BortezomibAlive with functioning graft

Kheradmand et al. (2014) [28]43/FPOD 1Luminex SABPreformedB35, B51, DR4, DR53, DQ8Steroids, PP, IVIG, Rituximab, ATGAlive with functioning graft

Wozniak et al. (2016) [29]22 mo/MPOD 45Luminex SABDe novoB44, DQ2Steroids, MMF, IVIG, RituximabAlive with functioning graft
3/FPOD 13Luminex SABN/AA1, DQ5Steroids, MMF, IVIGAlive with functioning graft
19 mo/FPOD 8Luminex SABPreformed & de novoCw7, Cw17, DR4, DR53, DQ8Steroids, MMF, IVIG, RituximabAlive with functioning graft
11/MPOD 7Luminex SABDe novoDR53, DQ8Steroids, MMF, PP, IVIG, ATG, BortezomibAlive with functioning graft
6 mo/MPOD 38Luminex SABDe novoDQ7, DQ9Steroids, MMF, PP, IVIG, RituximabRetransplant, death
3/MPOD 7Luminex SABPreformedA1, B8, Cw7, DR17, DQ2, DP1Steroids, MMF, PP, IVIG, Rituximab, Bortezomib, EculizumabAlive with functioning graft

N/A, not available/information not provided; SAB, single antigen bead-based testing; PP, plasmapheresis; IVIG, intravenous immunoglobulin; ATG, antithymocyte globulin.