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Clin Transpl. 2015;31:285-292.

C1q Assay Results in Complement-Dependent Cytotoxicity Crossmatch Negative Renal Transplant Candidates with Donor-Specific Antibodies: High Specificity But Low Sensitivity When Predicting Flow Crossmatch.

Clinical transplants

José M Arreola-Guerra, Luis E Morales-Buenrostro, Natalia Castelán, Adrián de Santiago, Adriana Arvizu, Norma Gonzalez-Tableros, Mayra López, Mario Vilatobá, Julio Granados, Josefina Alberú

Affiliations

  1. Department of Transplantation, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City, Mexico.
  2. Department of Nephrology-Mineral Metabolism, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City, Mexico.
  3. Histocompatibility Laboratory, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City, Mexico.

PMID: 28514590

Abstract

In complement dependent cytotoxicity crossmatch negative renal transplant candidates with human leukocyte antigen donor-specific antibodies (DSA), both the presence of DSA C1q+ and the dominant DSA fluorescence were significantly associated with a positive flow cytometry crossmatch (FXM+). The C1q+ assay was highly specific, but had low sensitivity when predicting FXM+, so the clinical significance of a FXM+ in the absence of DSA C1q+ remains to be clarified in future studies.

Copyright© 2016 by the Terasaki Foundation Laboratory.

Keywords: C1q; donor-specific antibodies; kidney; transplantation

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