Evidence map›Paper›PMID 40976953›Full record

ArticleHLA2025

Memory B-Cell Assay Uncovers Prior HLA Sensitisation in Transplant Candidates With Prior Exposure to Non-Self HLA.

Dania Altulea, Rosa G M Lammerts, Laura Bungener, Peter Heeringa, Stefan P Berger, Jan-Stephan Sanders

Abstract read
In one paragraph

Article in HLA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Reversing pregnancy-induced B cell sensitization to facilitate the induction of transplant tolerance in postpartum recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dania AltuleaDivision of Nephrology, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID 0000-0002-4221-5320
Rosa G M LammertsTransplantation Immunology, Department of Laboratory Medicine, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID 0000-0002-9970-9006
Laura BungenerTransplantation Immunology, Department of Laboratory Medicine, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Peter HeeringaDepartment of Pathology and Medical Biology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Stefan P BergerDivision of Nephrology, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Jan-Stephan SandersDivision of Nephrology, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Funding

Dutch Kidney Foundation CP1801
6 · The paper itself

Abstract

Memory B cells are critical in kidney transplantation for rapid anti-HLA antibody production upon re-exposure, yet pretransplant serum antibodies often remain undetectable despite prior sensitisation. Using R848 stimulation (a TLR7/8 agonist inducing polyclonal B-cell activation), we tested 45 kidney recipients with past sensitisation events but no circulating antibodies. The assay identified 56 memory B-cell-derived HLA antibodies (HLAm) in 8 patients, primarily from pregnancy or transfusion sensitisation, with a 17-year average latency between exposure and transplantation. This pilot demonstrates that latent memory B cells may reactivate post-transplant, driving antibody production and adverse outcomes. Our findings advocate integrating memory B-cell assays into pretransplant risk assessment to improve sensitivity in detecting subclinical HLA sensitisation, refining donor-recipient matching strategies.

Indexed as

HLA AntigensImmunologic MemoryIsoantibodiesKidney TransplantationMemory B CellsAdultFemaleHistocompatibility TestingHumansMaleMiddle AgedPilot ProjectsPregnancyHLA AntigensIsoantibodiesABMRB cellsDSAHLA antibodiesmemory B cells

Identifiers

PMID40976953
PMCPMC12451091

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.