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Prevalence and risk factors of having antibodies to class I and II human leukocyte antigens in older haploidentical allograft candidates.

ABSTRACT: The effect of donor-specific anti-human leukocyte antigen (HLA) antibodies (DSAs) has been recognized as a factor in graft failure (GF) in patients who underwent umbilical cord blood transplantation (UBT), matched unrelated donor transplantation (MUDT), or haploidentical stem cell transplantation (haplo-SCT). Presently, we know little about the prevalence of and risk factors for having anti-HLA antibodies among older transplant candidates. Therefore, we analyzed 273 older patients with hematologic disease who were waiting for haplo-SCT. Among all patients, 73 (26.7%) patients had a positive panel-reactive antibody (PRA) result for class I, 38 (13.9%) for class II, and 32 (11.7%) for both. Multivariate analysis showed that females were at a higher risk for having a PRA result for class II (P?=?0.001) and for having antibodies against HLA-C and HLA-DQ. Prior pregnancy was a risk factor for having a PRA result for class I (P?

SUBMITTER: Cao LQ

PROVIDER: S-EPMC7012824 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Prevalence and risk factors of having antibodies to class I and II human leukocyte antigens in older haploidentical allograft candidates.

Cao Le-Qing LQ Lv Meng M Xu Lan-Ping LP Zhang Xiao-Hui XH Chen Huan H Chen Yu-Hong YH Wang Feng-Rong FR Han Wei W Sun Yu-Qian YQ Yan Chen-Hua CH Tang Fei-Fei FF Mo Xiao-Dong XD Liu Kai-Yan KY Huang Xiao-Jun XJ Chang Ying-Jun YJ

Scientific reports 20200211 1

The effect of donor-specific anti-human leukocyte antigen (HLA) antibodies (DSAs) has been recognized as a factor in graft failure (GF) in patients who underwent umbilical cord blood transplantation (UBT), matched unrelated donor transplantation (MUDT), or haploidentical stem cell transplantation (haplo-SCT). Presently, we know little about the prevalence of and risk factors for having anti-HLA antibodies among older transplant candidates. Therefore, we analyzed 273 older patients with hematolog ...[more]

PMID: 32047235

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Project description:BACKGROUND: Toxoplasma gondii is prevalent in most areas of the world and may cause abortions or neonatal complications in humans. As the only definitive host, cats play an important role in the epidemiology of the disease. Infection rates in cats, especially stray or free-living cats, are considered to be the best sentinels of the level of T. gondii in the environment. The T. gondii infection can be diagnosed in different ways with different methods depending on the target. However, little information on T. gondii infection in cats was available in Shanghai, China. Moreover reports on prevalence of circulating antigens, antibodies and DNA of T. gondii in the same study are rare. METHODS: In the present study, the presence of antibodies (Ab), circulating antigens (CA), and/or DNA of Toxoplasma gondii in samples from 145 stray or unwanted cats from 6 animal shelters in Shanghai (China) was determined in order to estimate the prevalence of T. gondii infection, by Ab-ELISA, CA-ELISA, and nested-PCR, respectively. RESULTS: The positive rates for the antibodies, circulating antigen and DNA of T. gondii were 11.7% (17 of 145), 5.5% (8 of 145) and 5.71% (2 of 35), respectively. No cat tested was positive by both the Ab-ELISA and the CA-ELISA, but the results of the PCR were consistent with the CA-ELISA assay. Therefore, the overall estimated prevalence of toxoplasmosis was 17.2% (25 of 145). According to our results, the positive rates of specific antibodies and circulating antigen of T. gondii were significantly different between adult cats (>1?year old) and juvenile cats (?1?year old); the former was 13.5% versus 3.9% by Ab-ELISA, while the latter was 1.7% versus 23.1% by CA-ELISA. From the results obtained with all three detection methods used in this study, the rate of infection was not significantly different between male and female cats (P ?0.05); and the overall rate was 17.9% for males versus 16.4% for females. CONCLUSIONS: The results suggest that detection of circulating antigens (CA) is necessary in surveys of T. gondii infection, especially for juvenile cats. Our investigation revealed that the prevalence of T. gondii infection in stray cats in Shanghai is high. Control programs are needed for stray cat populations in order to reduce the risk of zoonotic transmission of toxoplasmosis to other domestic animals and humans, especially females.

Dataset Information

Prevalence and risk factors of having antibodies to class I and II human leukocyte antigens in older haploidentical allograft candidates.

Publications

Prevalence and risk factors of having antibodies to class I and II human leukocyte antigens in older haploidentical allograft candidates.

Similar Datasets

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