Lack of correlation between results of ABO-incompatible living kidney transplantation and anti-ABO blood type antibody titers under our current immunosuppression

Transplantation. 2005 Oct 15;80(7):985-8. doi: 10.1097/01.tp.0000173647.43616.78.

Abstract

In this study, we examined the impact of preoperative anti-A/B antibody titers on the results of ABO-incompatible living kidney transplantation (LKT). In all, 167 recipients underwent ABO-incompatible LKT at our institution between 1989 and 2002. These patients were subdivided into those transplanted under cyclosporine with azathioprine or mizoribine (Group 1, n=78) and those transplanted under tacrolimus or mycophenolate mofetil (Group 2, n=89). Overall patient survival at 5 and 10 years was 93.8% and 88.0%, respectively. Overall graft survival at 5 and 10 years was 76.9% and 55.9%, respectively. Graft survival in the patients with anti-A/B IgG titers over 1:128 was significantly lower in group 1, whereas no significant correlation between the anti-A/B IgG titers and graft survival was found in group 2. In conclusion, no correlation between anti-A/B antibody titers and the results of ABO-incompatible LKT was seen after tacrolimus or mycophenolate mofetil application.

MeSH terms

  • ABO Blood-Group System / immunology*
  • Adolescent
  • Adult
  • Aged
  • Antibodies / blood
  • Blood Group Incompatibility / immunology*
  • Child
  • Child, Preschool
  • Female
  • Graft Survival / immunology
  • Histocompatibility / immunology*
  • Humans
  • Immunoglobulin G / blood
  • Immunosuppression Therapy / methods*
  • Kidney Transplantation*
  • Living Donors
  • Male
  • Middle Aged

Substances

  • ABO Blood-Group System
  • Antibodies
  • Immunoglobulin G