Abstract
An important role for donor-specific antibodies (DSA) to mismatched human leukocyte antigens (HLA) in lung allograft rejection has been recognized since the late 1990s. Early studies identified the development of HLA antibodies as a risk factor for chronic rejection. Recently, antibody-mediated rejection (AMR) has been increasingly recognized as a form of lung allograft rejection, and the International Society for Heart and Lung Transplantation proposed a consensus definition. However, experience with AMR after lung transplantation remains limited, and outcomes are poor with many patients dying of AMR or developing progressive chronic rejection after the diagnosis.
Original language | English |
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Title of host publication | Encyclopedia of Respiratory Medicine, Second Edition |
Publisher | Elsevier |
Pages | 735-740 |
Number of pages | 6 |
Volume | 5 |
ISBN (Electronic) | 9780081027240 |
ISBN (Print) | 9780081027233 |
DOIs | |
State | Published - Jan 1 2021 |
Keywords
- Antibody-mediated rejection
- Bronchiolitis obliterans syndrome
- Chronic lung allograft dysfunction
- Donor-specific antibodies
- Human leukocyte antigens
- Immunosuppression
- Lung transplantation
- Outcomes
- Restrictive allograft syndrome
- Survival