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The role of flow cytometry in the detection of anti hla antibodies in renal transplant recipients

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Clinical & Chemical Pathology

Advisors

El-Anssari, Mirvat, Shawqi, Sherin M.

Authors

Awadh, Husam-El-Din Abdel-Rahman

Accessioned

2017-03-30 06:22:35

Available

2017-03-30 06:22:35

type

M.Sc. Thesis

Abstract

Background. Screening for HLA-specific antibodies has been performed by complement-dependent lymphocytotoxicity for many years. In recent years, methods involving the use of flow cytometry have been developed. Methods. Panel-reactive antibody (PRA) testing was performed with 20 sera from 20 patients. The patient population consisted of individuals awaiting renal transplantation. PRA evaluations were performed using complement dependent lymphocytotoxicity (CDC) and flow cytometry. Results. The PRA activity in the 20 patients; by CDC, PRA of 7 patients (35%) was negative and PRA of 13 patients (65%) was positive. By flow cytometry, PRA of 5 patients (25%) was negative and PRA of 15 patients (75%) was positive. Results of the two methods were concordant for 12 patients (60%) and discordant results occurred with 8 patients (40%). There is a significant difference was found between the two methods (P > 0.05), this was principally due to the detection of both HLA class I and II antibodies by flow cytometry, whereas CDC detects only class I antibodies. Conclusions. Flow cytometry is the most sensitive technique for the detection of HLA antibodies.

Issued

1 Jan 2003

Details

Type

Thesis

Created At

05 Feb 2023