ArticleFrontiers in immunology2025
Impact of preformed donor-specific anti-human leukocyte antigen antibodies on the clinical outcomes in pediatric liver transplantation patients: a retrospective cohort study.
Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: The impact of donor-specific anti-human leukocyte antigen (HLA) antibodies (DSAs) in pediatric liver transplantation (LT) have been widely studied. The effect of preformed DSAs in pediatric LT is still controversial. This study aimed to evaluate the prevalence of preformed DSAs and their impact on clinical outcomes in pediatric LT recipients. Methods: This single-center retrospective cohort study included 243 pediatric patients who underwent LT between January 2019 and December 2022. The patients were divided into two groups according to the result of the pretransplant HLA antibody determined by Luminex™ Single Antigen Bead assay. The clinical outcomes, rejection, graft loss, patient survival, and the evolution of preformed DSAs were analyzed. Results: Thirty-one (12.7%) of the 243 patients had preformed DSAs, with most identified as class II DSAs. Among the patients with preformed DSAs, four had persistent preformed DSA, two had Conclusion: This study showed that preformed DSAs were not associated with histologic or clinical outcomes in pediatric LT patients. Further studies with a larger sample size to obtain more reliable results are required to verify the risk associated with preformed DSAs in pediatric LT patients.
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