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• W1890829544 abstract "Transplantation reliably evokes allo-specific B cell and T cell responses in mice. Yet, human recipients of kidney transplants with normal function usually exhibit little or no antibody specific for the transplant donor during the early weeks and months after transplantation. Indeed, the absence of antidonor antibodies is taken to reflect effective immunosuppressive therapy and to predict a favorable outcome. Whether the absence of donor-specific antibodies reflects absence of a B cell response to the donor, tolerance to the donor or immunity masked by binding of donor-specific antibodies to the graft is not known. To distinguish between these possibilities, we devised a novel ELISPOT, using cultured donor, recipient and third-party fibroblasts as targets. We enumerated donor-specific antibody-secreting cells in the blood of nine renal allograft recipients with normal kidney function before and after transplantation. Although none of the nine subjects had detectable donor-specific antibodies before or after transplantation, all exhibited increases in the frequency of donor-specific antibody-secreting cells eight weeks after transplantation. The responses were directed against the donor HLA-class I antigens. The increase in frequency of donor-specific antibody-secreting cells after renal transplantation indicates that B cells respond specifically to the transplant donor more often than previously thought." @default.
• W1890829544 created "2016-06-24" @default.
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• W1890829544 date "2013-07-01" @default.
• W1890829544 modified "2023-10-12" @default.
• W1890829544 title "Cryptic B Cell Response to Renal Transplantation" @default.
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• W1890829544 doi "https://doi.org/10.1111/ajt.12308" @default.
• W1890829544 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3764435" @default.
• W1890829544 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23750851" @default.
• W1890829544 hasPublicationYear "2013" @default.
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