Impact of HLA-C on acute rejection in liver transplantation

Transplant Proc. 2003 Aug;35(5):1892-3. doi: 10.1016/s0041-1345(03)00636-5.

Abstract

Although liver transplants show a special tolerogenic behaviour, rejection remains an important problem that involves several immunological mechanisms, some of which are unknown. Our study sought to analyze the influence of HLA-C polymorphism on short-term liver graft acceptance by HLA-C genotyping of 100 orthotopic liver transplant recipient-donor pairs. Recipients were statified according to the occurrence of acute rejection. HLA-Cw*06 allele appeared to be underrepresented among recipients without versus those with acute rejection or those in control groups. With regard to HLA-C allelic compatibility, the frequency of acute rejection or those in episodes decreased with fewer HLA-C mismatches. These findings suggest the participation of HLA-C molecules in liver graft alloresponses, involving HLA-C genotyping, as well as compatibility.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alleles
  • Drug Therapy, Combination
  • Genotype
  • Graft Rejection / epidemiology*
  • HLA-C Antigens / blood
  • HLA-C Antigens / genetics*
  • Histocompatibility Testing
  • Humans
  • Immune Tolerance
  • Immunosuppressive Agents / therapeutic use
  • Liver Transplantation / immunology*
  • Retrospective Studies

Substances

  • HLA-C Antigens
  • Immunosuppressive Agents