Evidence map›Paper›PMID 42416074›Full record

ArticleFrontiers in immunology2026

Intragraft donor-specific antibodies reflect histologic heterogeneity in kidney allografts with concurrent serum DSA.

Hyunjae Lee, Eun Youn Roh, Tae-Shin Kim, Yu Jung Choi, Inseong Oh, Hajeong Lee, Sang Il Min, Chang Wook Jeong, Hee Gyung Kang, Jongwon Ha and 2 more

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Article in Frontiers in immunology, 2026. 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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5 · Who and what money

Authors and funding

12 authors.

Hyunjae Lee *Department of Laboratory Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Eun Youn Roh *Department of Laboratory Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Tae-Shin KimDepartment of Laboratory Medicine, National Fire Hospital, Eumseong, Chungcheongbuk-do, Republic of Korea.
Yu Jung ChoiDepartment of Laboratory Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Inseong OhDepartment of Laboratory Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Hajeong LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Sang Il MinDepartment of Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
Chang Wook JeongDepartment of Urology, Seoul National University Hospital, Seoul, Republic of Korea.
Hee Gyung KangDepartment of Pediatrics, Seoul National University Hospital, Seoul, Republic of Korea.
Jongwon HaDepartment of Surgery, Seoul National University Hospital, Seoul, Republic of Korea.
Kyung Chul MoonDepartment of Pathology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Eun Young SongDepartment of Laboratory Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Circulating donor-specific antibodies (sDSA) are clinically important markers of alloimmune risk, but their presence or strength does not always correspond to concurrent antibody-mediated rejection (ABMR) in kidney transplantation. We investigated whether intragraft donor-specific antibodies (gDSA) detected in kidney biopsy eluates are associated with histologic findings in recipients with concurrent sDSA positivity. Methods: All available frozen kidney biopsies in recipients with concurrent weak to moderate sDSA at Seoul National University Hospital between January 2020 and June 2024 were included. Sixty biopsy eluates from 60 patients were tested using a Luminex single antigen bead assay and analyzed according to biopsy findings. Results: The prevalence of gDSA differed significantly across histologic diagnoses (overall Conclusions: In kidney transplant recipients with concurrent sDSA, the presence and intensity of gDSA varied according to biopsy-proven histologic findings, most prominently in aABMR and related lesions. These findings suggest that gDSA may provide additional tissue-level immunologic context for understanding histologic heterogeneity among kidney transplant recipients with circulating sDSA.

Indexed as

AllograftsGraft RejectionIsoantibodiesKidneyKidney TransplantationAdultBiopsyFemaleHLA AntigensHumansMaleMiddle AgedTissue DonorsHLA AntigensIsoantibodiesantibody-mediated rejectionBanff classificationbiopsy eluateHLA antibodiesintragraft donor-specific antibodieskidney transplantationLuminex single antigen bead assay

Identifiers

PMID42416074
PMCPMC13337509

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