The Management of Antibodies in Transplantation

A special issue of Antibodies (ISSN 2073-4468).

Deadline for manuscript submissions: closed (30 May 2020) | Viewed by 14078

Special Issue Editors


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Guest Editor
Autoimmunity section, Immunology Department; Healthcare Research Institute, Immunology Department, Hospital 12 de Octubre, Madrid, Spain
Interests: therapeutic antibodies; autoimmunity; autoantibodies; immunotherapy; immunochemistry; chimerical molecules antiboiy-based

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Guest Editor
Histocompatibility Section, Immunology Department, Hospital 12 de Octubre, Madrid, Spain
Interests: anti-HLA antibodies; donor specific antibodies; transplantation; histocompatibility; helper innate lymphoid cells; complement-fixing antibodies

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Guest Editor
Histocompatibility section, Immunology Department, Hospital 12 de Octubre, Madrid, Spain
Interests: transplant; HLA; antibodies; aloantibodies, donor-specific antibodies

Special Issue Information

Dear Colleagues

This Special Issue aims to review the current knowledge about the importance of antibodies in transplantation. It is intended to address the current situation on how to handle antibodies in transplant patients in the aspects, diagnosis, therapy, and clinical follow-up. The Special Issue intends to cover all of the aspects of antibodies that provide clinical utility, so as to compile updated information that can help both the design of new applications or new predictive and evolutionary markers, and to implement the latest generation therapeutic tools.

In the diagnostic aspect, the presence of pre-transplant antibodies, such as antibodies associated with organ–receptor compatibility, antibodies associated with the disease that destroyed the function of the organ to be transplanted, or autoimmune markers associated with the appearance of diseases that will appear after transplantation. Also important are the autoantibodies that appear post-transplant, including specific donor antibodies associated with the risk of rejection and autoantibodies associated with other pathologies that complicate the evolution of the transplant or mediate the resurgence of the underlying disease.

The therapeutic use of antibodies for transplant control has been used for years in conditioning treatments of the organ receptor (thymoglobulin), but in recent years, it has been increased after the introduction of monoclonal antibody-based therapies to control infections, and especially for the modulation of immunity. The use of immunomodulatory antibodies, especially those that act on the checkpoints of the immune synapse, has allowed patients to be effectively prevented and treated, and their role is expected to be increasingly important.

This Special Issue of Antibodies is aimed at updating how the management of different types of antibodies can influence the greater efficiency of organ transplants. In this Issue, we review the current knowledge on the therapeutic antibodies in organ transplantation, but also on the use of antibodies useful in the diagnosis and monitoring of patients.

This Issue fits both the reviews and the new advances in the use of antibodies as a diagnostic and/or therapeutic tool to assess patients (prognosis and evolution of the transplant) and to control their evolution (modulating therapies). The design and clinical application of therapeutic antibodies requires an understanding of their function, their pharmacodynamics, and possible adverse reactions/loss of efficacy. Also of interest are the advances towards the generation of new antibodies with better pharmacodynamic properties, better targets for their action, or various isotypes (IgA, IgM, and IgE) with different half-lives and behaviors that help to better focus their activity and the duration of the same.

Prof. Dr. Antonio Serrano
Prof. Dr. Esther Mancebo
Prof. Dr. Maria José Castro
Guest Editors

Manuscript Submission Information

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Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • alloantibodies
  • donor specific antibodies
  • rejection
  • tolerance
  • immunomodulation
  • antibody immunosuppressive therapy
  • autoantibodies
  • immune checkpoints

Published Papers (3 papers)

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10 pages, 1450 KiB  
Case Report
Clinical Case: Patient with Mixed Graft Rejection Four Days after Kidney Transplantation Developed Specific Antibodies against Donor Bw4 Specificities
by Claudia M. Muñoz-Herrera, Juan Francisco Gutiérrez-Bautista and Miguel Ángel López-Nevot
Antibodies 2021, 10(3), 28; https://0-doi-org.brum.beds.ac.uk/10.3390/antib10030028 - 21 Jul 2021
Viewed by 3402
Abstract
Kidney transplantation, like other transplants, has the risk of producing graft rejection due to genetic differences between donor and recipient. The three known types of renal rejection are listed in the Banff classification: T-cell-mediated rejection (TCMR), antibody-mediated rejection (ABMR), and mixed rejection. The [...] Read more.
Kidney transplantation, like other transplants, has the risk of producing graft rejection due to genetic differences between donor and recipient. The three known types of renal rejection are listed in the Banff classification: T-cell-mediated rejection (TCMR), antibody-mediated rejection (ABMR), and mixed rejection. The human leukocyte antigens (HLA) are highly polymorphic and may be the targets of donor-specific antibodies, resulting in ABMR. Therefore, prior to transplantation, it is necessary to analyze the HLA genotype of the donor and recipient, as well as the presence of DSA, in order to avoid hyperacute rejection. However, due to the shortage of kidneys, it is very difficult to find a donor and a recipient with completely matched HLA genotypes. This can trigger a future rejection of the kidney, as is reported in this work. We describe a patient who received a kidney transplant after a negative DSA test, who developed graft rejection with antibodies against the donor’s HLA-Bw4 public epitope and lymphocytic infiltrate four days after transplantation, whose differential diagnosis was mixed rejection. Full article
(This article belongs to the Special Issue The Management of Antibodies in Transplantation)
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5 pages, 470 KiB  
Case Report
Severe Intraoperative Anaphylaxis Related to Thymoglobulin during Living Donor Kidney Transplantation
by Muhammad I. Saeed, Ryan D. Nicklas, Vikas Kumar, Rajan Kapoor and Imran Y. Gani
Antibodies 2020, 9(3), 43; https://0-doi-org.brum.beds.ac.uk/10.3390/antib9030043 - 18 Aug 2020
Cited by 6 | Viewed by 4131
Abstract
Anaphylaxis secondary to thymoglobulin (anti-thymocyte globulin) is a rare condition that can be life threatening. Thymoglobulin is a rabbit-derived T-cell depleting polyclonal immunoglobulin. It is commonly used for induction immunosuppression and/or for treatment of acute rejection in renal transplantation. We report a case [...] Read more.
Anaphylaxis secondary to thymoglobulin (anti-thymocyte globulin) is a rare condition that can be life threatening. Thymoglobulin is a rabbit-derived T-cell depleting polyclonal immunoglobulin. It is commonly used for induction immunosuppression and/or for treatment of acute rejection in renal transplantation. We report a case of a living kidney transplant recipient who developed intraoperative anaphylactic shock secondary to thymoglobulin. The patient had a history of pet rabbit exposure. This case report highlights the importance of prompt identification and management of intraoperative anaphylaxis, which is key to a successful outcome. Induction immunosuppression selection based on patient characteristics is important. Communication between the anesthesia team and surgeons played a key role in stopping the donor surgery. Full article
(This article belongs to the Special Issue The Management of Antibodies in Transplantation)
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6 pages, 601 KiB  
Case Report
Solutions to Avoid False Positives for Rituximab in Pre-Transplant Crossmatches
by Argentina Colmenero Velazquez, Ignacio Iturrieta-Zuazo, Juan Luis Valdivieso Shephard, Marisa Di Natale, Claudia Rita, Rubén Ballester González, José Luis Castañer Alabau and Israel Nieto Gañán
Antibodies 2020, 9(3), 41; https://0-doi-org.brum.beds.ac.uk/10.3390/antib9030041 - 05 Aug 2020
Cited by 2 | Viewed by 5969
Abstract
Rituximab (anti-CD20) is commonly used as immunotherapy against B cells, in the context of pre-transplant crossmatches, where the presence of rituximab in the tested sera with donor cells can alter their results both by flow cytometry (FCXM) as complement-dependent cytotoxicity (CDCXM) giving rise [...] Read more.
Rituximab (anti-CD20) is commonly used as immunotherapy against B cells, in the context of pre-transplant crossmatches, where the presence of rituximab in the tested sera with donor cells can alter their results both by flow cytometry (FCXM) as complement-dependent cytotoxicity (CDCXM) giving rise to false positives. In the present study, we tested the use of an anti-rituximab monoclonal antibody (10C5, Abnova) as a method to avoid false positives in FCXM and CDCXM. We used the serum from ten patients who received therapy with rituximab, and the cells were incubated with sera treated or untreated with the 10C5 clone. In previous studies, attempts have been made to control these false positives through the use of pronase, although in these cases the alteration of Human Leukocyte Antigen (HLA) molecules has been found to be a limitation. As an alternative, we performed an assay to exclude false positives by a pre-incubation with anti-rituximab antibody (10C5) in 1:5 proportion avoiding the misinterpretation of crossmatches, particularly in patients with specific donor antibodies (DSA) without affecting the HLA molecules. Full article
(This article belongs to the Special Issue The Management of Antibodies in Transplantation)
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