Clinical Study

De Novo Donor-Specific HLA Antibody Development and Peripheral C D 4 + C D 2 5 h i g h Cells in Kidney Transplant Recipients: A Place for Interaction?

Table 1

Patient characteristics.

All
š‘ = 5 3 (%)
DSA negative
š‘ = 3 6 (%)
DSA positive
š‘ = 1 7 (%)
š‘ƒ

Recipient female30 (56.6)20 (55.6)10 (58.8)1.000
Donor female30 (56.6)21 (58.3)9 (52.9)0.942
Recipient age, mean Ā± SD 3 2 . 3 Ā± 1 2 . 4 3 1 . 1 Ā± 1 2 . 2 3 4 . 8 Ā± 1 2 . 7 0.317
Donor age, mean Ā± SD 3 8 . 5 Ā± 1 0 . 9 3 7 . 9 Ā± 1 0 . 3 3 9 . 8 Ā± 1 2 . 1 0.558
ESRD etiology
ā€ƒDiabetes6 (11.3)4 (11.1)2 (11.8)0.693
ā€ƒLupus3 (5.7)3 (8.3)0 (0)0.556
ā€ƒGlomerulonephritis3 (5.7)3 (8.3)0 (0)0.556
ā€ƒHypertension2 (3.7)2 (5.6)0 (0)0.827
ā€ƒOther3 (5.7)1 (2.8)2 (11.8)0.494
ā€ƒUnknown36 (67.9)23 (63.9)13 (76.4)0.548
Sensitizing events
ā€ƒBlood transfusions35 (66.0)23 (63.9)12 (70.6)0.865
ā€ƒPregnancies ( š‘ = 3 0 )11 (36.7)5 (25.0)6 (60.0)0.108
Donor type
ā€ƒLiving donor44 (83)29 (80.6)15 (88.2) 0.701
ā€ƒDeceased donor9 (17)7 (19.4)2 (11.8)
HLA mismatches0.040*
ā€ƒ06 (11.3)6 (16.7)0 (0)0.186
ā€ƒ15 (9.5)4 (11.1)1 (5.9)0.917
ā€ƒ26 (11.3)5 (13.9)1 (5.9)0.693
ā€ƒ315 (28.3)9 (25)6 (35.3)0.652
ā€ƒ42 (3.8)2 (5.6)0 (0)0.827
ā€ƒ513 (24.5)6 (16.7)7 (41.1)0.111
ā€ƒ66 (11.3)4 (11.1)2 (11.8)0.693
Immunosuppression
ā€ƒDaclizumab42 (79.2)26 (72.2)16 (94.1)0.082
ā€ƒCsA+Aza+Pdn9 (17.0)6 (16.7)3 (17.6)0.762
ā€ƒCsA+MMF+Pdn3 (5.7)3 (8.3)0 (0)0.556
ā€ƒTac+Aza+Pdn18 (34.0)13 (36.1)5 (29.4)0.865
ā€ƒTac+MMF+Pdn22 (41.5)14 (38.9)8 (47.1)0.791
ā€ƒOther1 (1.8)0 (0)1 (5.9)0.698

All the patients had a PRA < 10% at transplantation and absence of donor-specific antibodies (DSAs). āˆ— š‘ƒ value by Chi square for trend.