DR beta-RFLP analysis of serologically DRw6 compatible kidney donor/recipient pairs

Haematologia (Budap). 1993;25(2):143-8.

Abstract

HLA-DR beta-RFLP analysis of serologically 1 or 2 DR-antigen compatible renal allograft donors and recipients (D/R), selected for DRw6 antigen (study group), or for other DR antigens (control group) and its correlation with the graft outcome revealed that: 1. In the study group where donors and recipients were selected for matching in DRw6 antigen, 8 out of ten D/R pairs turned out to be incorrectly classified due to a number of mismatches in the HLA-DR locus RFLP analysis. In the control group, only 2 out of ten patients matched poorly by means of RFLP. The difference between the two groups was significant. 2. A significantly higher incidence of rejection episodes was seen in the study group (2.7 +/- 1.5) than in the controls (1.4 +/- 0.5). 3. The total dose of methylprednisolone necessary for suppressing the rejection episodes was higher in the study group (6.0 +/- 2.9 g) than in the control one (4.07 +/- 2.77 g), but the difference was not significant. 4. The graft survival 2 years after transplantation was 30% in the study group and 70% in the control group.

Publication types

  • Comparative Study

MeSH terms

  • Graft Rejection / genetics
  • Graft Rejection / immunology
  • Graft Rejection / prevention & control
  • HLA-DR Antigens / genetics*
  • HLA-DR6 Antigen / genetics*
  • Histocompatibility
  • Humans
  • Kidney Transplantation / immunology*
  • Methylprednisolone / administration & dosage
  • Polymorphism, Restriction Fragment Length
  • Tissue Donors*
  • Treatment Outcome

Substances

  • HLA-DR Antigens
  • HLA-DR6 Antigen
  • Methylprednisolone