Effect of Apheresis for ABO and HLA Desensitization on Anti-Measles Antibody Titers in Renal Transplantation
Joint Authors
Stangl, Manfred
Kauke, Teresa
Habicht, Antje
Fischereder, Michael
Jäger, Gundula
Guba, Markus
Wendler, Thorsten
Andrassy, Joachim
Schönermarck, Ulf
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-12-08
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Desensitization strategies for ABO-incompatible renal transplants with plasma exchange (PE) or specific immunoadsorption (IA) decrease immunoglobulin levels.
After recent measles outbreak and decreasing vaccination rates, we studied the impact of apheresis on anti-measles antibodies.
Anti-measles antibodies were measured before desensitization, before transplantation and during followup in 12 patients with ABO incompatibility (2x PE only, 8x IA only, and 2x IA and PE) and 3 patients with donor-specific HLA antibodies (all PE).
Patients received rituximab, IVIG, and standard immunosuppressive therapy.
All patients had detectable anti-measles antibodies before desensitization (mean 3238 mU/l, range 560–8100).
After 3–6 PE sessions, titers decreased significantly to 1710 mU/l (P<0.05), in one patient to nondetectable values, while IA only maintained protective titers.
After a median followup of 64 days, anti-measles antibodies returned to baseline in all patients.
Immunity against measles was temporarily reduced by apheresis but remained detectable in most patients at time of transplantation.
Desensitization maintains long-term protective immunity against measles.
American Psychological Association (APA)
Schönermarck, Ulf& Kauke, Teresa& Jäger, Gundula& Habicht, Antje& Wendler, Thorsten& Andrassy, Joachim…[et al.]. 2011. Effect of Apheresis for ABO and HLA Desensitization on Anti-Measles Antibody Titers in Renal Transplantation. Journal of Transplantation،Vol. 2011, no. 2011, pp.1-6.
https://search.emarefa.net/detail/BIM-504795
Modern Language Association (MLA)
Schönermarck, Ulf…[et al.]. Effect of Apheresis for ABO and HLA Desensitization on Anti-Measles Antibody Titers in Renal Transplantation. Journal of Transplantation No. 2011 (2011), pp.1-6.
https://search.emarefa.net/detail/BIM-504795
American Medical Association (AMA)
Schönermarck, Ulf& Kauke, Teresa& Jäger, Gundula& Habicht, Antje& Wendler, Thorsten& Andrassy, Joachim…[et al.]. Effect of Apheresis for ABO and HLA Desensitization on Anti-Measles Antibody Titers in Renal Transplantation. Journal of Transplantation. 2011. Vol. 2011, no. 2011, pp.1-6.
https://search.emarefa.net/detail/BIM-504795
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-504795