Zusammenfassung
Die Rolle der klinischen Histokompatibilitätsbestimmung liegt im wesentlichen darin, die Gewebeverträglichkeit der Spenderniere beim Transplantierten zu gewährleisten. Die Kompatibilität wird durch möglichst gute HLA-Übereinstimmung und durch Abwesenheit von präformierten HLA-Antikörpern gesichert (5, 6, 18). Die HLA-Antigene sind neben dem ABO-Blutgruppensystem die hauptsächlichsten Gewebeverträglichkeitsantigene und stellen die primären Angriffsstellen der Abstoßungsreaktion dar. HLA-Antigene verleihen biologische Individualität und erlauben dem Immunsystem, zwischen Eigen und Fremd zu unterscheiden. Sie funktionieren auch als Kontrollelemente bei der Immunerkennung und bei der Regulation der Immunreaktion (3).
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
Literatur
Albert ED, Baur MP, Mayr WR (eds) (1984) Histocompatibility Testing 1984. Report of the 9th International Histocompatibility Workshop and Conference. Springer, Berlin
Boyum A (1968) Separation of leukocytes from blood and bone marrow. Scand J Clin Lab Invest 21: S97
Braun WE (1986) Histocompatibility testing. In: Garovoy MR, Guttmann RD (eds). Renal transplantation, chap 2. Churchill-Livingstone, New York, pp 15–48
Brynger H, Rydberg L, Samuelsson B, Blohme I, Lindholm A, Sandberg L (1982) Renal transplantation across a blood group barrier - A2 kidneys into 0 recipients. Proc EDTA 19: 427
Cecka JM, Terasaki PI (1988) Tissue typing and histocompatibility. In: Toledo-Pereyra LH (ed) Kidney transplantation, chap 1. Davis, Philadelphia, pp 3–16
Chapman JR (1993) The sensitized patient. In: Thomson AW, Catto GRD (eds) Immunology of renal transplantation, chap 14. Edward Arnold, London, pp 235–254
Colombe BW, Garovoy MR (1989) Clinical histocompatibility testing. In: Milford EL, Brenner BM, Stein JH (eds) Renal transplantation. Contemporary issues in nephrology, vol 19, chap 2. Churchill-Livingstone, New York, pp 21–43
Garovoy MR, Franco V, Zschaeck D, Carpenter CB, Strom TB, Merrill JP (1973) Direct lymphocyte-mediated cytotoxicity as an assay of presensitisation. Lancet 1: 573
Grimm PC, Sinai-Trieman L, Sekiya NM, Robertson LS, Robinson BJ, Fine RN, Ettenger RB (1990) Effects of recombinant human erythropoietin on HLA sensitization and cell mediated immunity. Kindey Int 38: 12
Grumet FC, Fendly BM, Engleman EG (1981) Monoclonal anti-HLA-B27 antibody (B27M): Production and lack of detectable typing difference between patients with ankylosing spondylitis, Reiter’s syndrome, and normal controls. Lancet 2: 174
Hakim RM, Milford E, Himmelfarb J, Wingard R, Lazarus JM, Watt RM (1990) Extracorporeal removal of anti-HLA antibodies in transplant candidates. Am J Kidney Dis 16: 423
Iwaki Y et al. (1987) Flow cytometry crossmatching in human cadaver kidney transplantation. Transplant Proc 19 (1): 764
Kissmeyer-Nielsen F, Olsen S, Petersen VP, Fjeldborg O (1966) Hyperacute rejection of kidney allografts, associated with preexisting humoral antibodies against donor cells. Lancet 2: 662
Opelz G, Graver B, Mickey MR, Terasaki PI (1981) Lymphocytotoxic antibody responses to transfusions in potential kidney transplant recipients. Transplantation 32: 177
Patel R, Terasaki PI (1969) Significance of the positive crossmatch test in kidney transplantation. New Engl J Med 280: 735
Schwartz BD (1987) The human major histocompatibility HLA complex. In: Stites DP, Stobo JD, Wells JV (eds) Basic and clinical immunology, chap 6. Appleton and Lange, Norwalk CT, pp 50–64
Terasaki PI, Bernoco D, Park MS, Ozturk G, Iwaki Y (1978) Microdroplet testing for HLA-A, -B, -C and -D antigens. Am J Clin Pathol 69: 103
Terasaki PI, McClelland JD (1964) Microdroplet assay of human serum cytotoxins. Nature 204: 998
Ting A (1988) HLA matching and crossmatching in renal transplantation. In: Morris PJ (ed) Kidney transplantation, 3rd edn, chap 8. Saunders, Philadelphia, pp 183–213
Ting A (1989) The highly sensitized patient. In: Catto GRD (ed) Transplantation. New clinical applications in nephrology, chap 2. Kluwer Academic Publishers, Dordrecht, The Netherlands, pp 39–57
Williams GM, Hume DM, Hudson RP, Morris PJ, Kano K, Milgrom F (1968) Hyperacute renal homograft rejection in man. New Engl J Med 279: 611
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1995 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Wüthrich, R.P. (1995). Klinische Histokompatibilitätsbestimmung. In: Nierentransplantation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79314-1_5
Download citation
DOI: https://doi.org/10.1007/978-3-642-79314-1_5
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-79315-8
Online ISBN: 978-3-642-79314-1
eBook Packages: Springer Book Archive