Beta
279537

Human Leucocyte Antigen A Alleles in The Prediction of Post-Kidney Transplant Lymphoproliferative Disorders, A Single-Center Study

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

-

Abstract

Background: Post-transplant lymphoproliferative disorders (PTLPD) are frequently encountered after kidney transplantation. Human leucocyte antigen (HLA)A alleles were shown to be a predictor of development of these disorders. Objective: Study of prediction of human leucocyte antigen HLA-A alleles in the development of PTLPD. Methods: This study included 50 Egyptian kidney transplant (KT) recipients who underwent live-donor kidney transplantation, between 2010 to 2022. HLA-A alleles phenotyping was characterized by sequence specific oligonucleotide probes (SSOP).  Nondestructive form of PTLPD was diagnosed by presence of lymphocytosis followed by assessment of, (CD45 and CD 19) mature B lymphocytes and blast cells (CD5 and CD10) with ratio of kappa/lambda by flow cytometry. The association between the development of this form and different HLA-A alleles was studied. Results: Out of fifty recipients, five patients developed a non-destructive form of PTLPD in the median duration of 30 months (ranged, 15-50 months) post transplantation. A significant association was found between the expression of HLA-A01 (P=0.002, OR=1.020), CI (0.996-1.045) and HLA-A02 (P=0.042, OR=1.019), CI (1.001-1.037) and the development of PTLPD. Furthermore, HLA-A02 alleles were found to be a significant corelate with onset of development PTLPD. Conclusion: Among Egyptian kidney transplant recipients, HLA-A01 and A02 alleles are good predictors of development of early non distractive form of PTLPD.

DOI

10.21608/ejhm.2023.279537

Authors

First Name

Raghda W.

Last Name

Magar

MiddleName

-

Affiliation

)Urology and Nephrology Center

Email

-

City

-

Orcid

-

First Name

Manal I.

Last Name

Fouda

MiddleName

-

Affiliation

Clinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Osama

Last Name

Salama

MiddleName

-

Affiliation

Clinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Sabry

MiddleName

-

Affiliation

Clinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Ayman F.

Last Name

Refaie

MiddleName

-

Affiliation

Urology and Nephrology Center

Email

-

City

-

Orcid

-

Volume

90

Article Issue

1

Related Issue

38787

Issue Date

2023-01-01

Receive Date

2023-01-10

Publish Date

2023-01-01

Page Start

262

Page End

267

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_279537.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=279537

Order

39

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Human Leucocyte Antigen A Alleles in The Prediction of Post-Kidney Transplant Lymphoproliferative Disorders, A Single-Center Study

Details

Type

Article

Created At

22 Jan 2023