De novo HLA sensitization and antibody mediated rejection following pregnancy in a heart transplant recipient

Am J Transplant. 2010 Jan;10(1):180-3. doi: 10.1111/j.1600-6143.2009.02875.x. Epub 2009 Nov 24.

Abstract

Here we report a case wherein both donor-specific and third-party, paternal, HLA class II specific antibodies developed following a spontaneous miscarriage resulting in antibody-mediated rejection in a patient who had undergone an orthotopic cardiac transplant six years earlier.

Publication types

  • Case Reports

MeSH terms

  • Abortion, Spontaneous / etiology
  • Abortion, Spontaneous / immunology
  • Acute Disease
  • Adult
  • Fatal Outcome
  • Female
  • Graft Rejection / etiology*
  • Graft Rejection / immunology*
  • Graft Rejection / pathology
  • HLA Antigens / immunology*
  • HLA-D Antigens / immunology
  • Heart Failure / etiology
  • Heart Transplantation / adverse effects*
  • Heart Transplantation / immunology*
  • Heart Transplantation / pathology
  • Histocompatibility Testing
  • Humans
  • Isoantigens / immunology
  • Male
  • Pregnancy
  • Pregnancy Complications / immunology*
  • Spouses

Substances

  • HLA Antigens
  • HLA-D Antigens
  • Isoantigens