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1 DSA allows investigators to manage large collections of
2 DSA developed within 4 weeks of all sensitizing grafts a
3 DSA MFI greater than 10 000 versus MFI 1000 to 10 000 at
4 DSA prior to treatment decisions is helpful for characte
5 DSA requires the control of interfacial properties on bo
6 included 95 patients with high peak or day 0 DSA levels (mean fluorescence intensity [MFI] > 3000) wi
7 r with increasing DSA (8.2% -DSA/-XM, 17.0% +DSA/-XM, 30.6% +DSA/low +XM, and 51.2% +DSA/high +XM, P
8 n (HR, 2.18; 95% CI, 1.38-3.43; P = 0.0008), DSA greater than 500 MFI at transplant (HR, 1.64; 95% CI
11 d treatment, DSA decreased, in 4 (36%) of 11 DSA were below 500 mean fluorescence intensity after tre
12 .0% +DSA/-XM, 30.6% +DSA/low +XM, and 51.2% +DSA/high +XM, P < 0.01), but similar in groups without b
13 biopsy was higher with increasing DSA (8.2% -DSA/-XM, 17.0% +DSA/-XM, 30.6% +DSA/low +XM, and 51.2% +
17 g DSA (8.2% -DSA/-XM, 17.0% +DSA/-XM, 30.6% +DSA/low +XM, and 51.2% +DSA/high +XM, P < 0.01), but sim
21 port distances that were more uniform across DSAs, saved about 20 additional lives, and reduced DSA-a
22 notype associated with complement-activating DSA was characterized by complement deposition and accum
23 rate in patients with complement-activating DSAs (56%; 95% confidence interval [95% CI], 38% to 74%
24 kidney recipients for complement-activating DSAs and used histopathology, immunostaining, and allogr
25 t not in those with noncomplement-activating DSAs (9%; 95% CI, 2% to 25% versus 13%; 95% CI, 2% to 40
27 patients with donor-specific alloantibodies (DSA) mean florescence intensity (MFI) greater than 10 00
29 e presence of donor-specific alloantibodies (DSAs) at the time of transplantation leads to acute and
33 ular capillaritis Banff score (P=0.002), and DSA mean fluorescence intensity (P<0.001) after treatmen
36 iated routine post-transplant BK viremia and DSA screening at our center; 785 kidney or kidney-pancre
37 +DSA/-XM, +DSA/low +XM, +DSA/high +XM, and -DSA/+XM and followed up for a mean of 4.1 +/- 1.9 years
39 t follow-up digital subtraction angiography (DSA) after initial DSA with results negative for aneurys
42 g (MRI) and digital subtraction angiography (DSA) revealed a dissection beginning at the cervical seg
44 ed early donor specific anti-HLA antibodies (DSA) after lung transplantation were preemptively treate
47 ning for donor-specific anti-HLA antibodies (DSA) using bead-based multiplex assays to determine tran
50 Development of donor-specific antibodies (DSA) after lung transplantation is associated with antib
51 tatus (P = 0.02), donor-specific antibodies (DSA) against HLA class II (P = 0.03), donor age (P = 0.0
53 accepted that HLA donor-specific antibodies (DSA) are associated with antibody-mediated rejection and
57 ansplant, de novo donor-specific antibodies (DSA), antibody-mediated rejection (AMR), acute cellular
60 rance of donor-specific anti-HLA antibodies (DSAs) did not accelerate the rate of islet graft attriti
61 tivating anti-HLA donor-specific antibodies (DSAs) are associated with impaired kidney transplant out
63 he development of donor-specific antibodies (DSAs) make it an interesting agent in hand transplantati
65 esized that de novo donor-specific antibody (DSA) causes complement-dependent endothelial cell injury
70 icle, we describe the Digital Slide Archive (DSA), an open-source web-based platform for digital path
71 tes varies greatly by donation service area (DSA) due to geographic differences in availability of or
72 borhood-a collection of donor service areas (DSA) surrounding the OPO that acts as the OPO's region i
80 urvival in patients who underwent IVIG-based DSA treatment (group A, n = 57) versus contemporary pati
81 transplanted with varied levels of baseline DSA detected by single antigen beads and B flow cytometr
84 type was associated with DSA and C1q-binding DSA, with odds ratios of 13 (P = 0.015) and 8.6 (P = 0.0
85 rmation set of 20 human transplant biopsies (DSA+) compared to 10 matched controls without evidence f
91 lt to assess damage inflicted exclusively by DSAs when alloreactive T cell and B cell responses coinc
92 howed significantly higher IgG, C1q, and C3d DSA MFI than nonrejecting or C4d-negative patients, resp
93 h isolated TG, TG suspicious for CAABMR (C4+/DSA- or C4d-/DSA+) and TG with definite CAABMR (C4d+/DSA
95 , TG suspicious for CAABMR (C4+/DSA- or C4d-/DSA+) and TG with definite CAABMR (C4d+/DSA+) were 63%,
96 eted a cross-sectional study to characterize DSA in long-term survivors of pediatric LTx and assess t
97 ogic parameters, histopathology, circulating DSA, and allograft gene expression for all patients with
98 96%; P=0.12), urinary protein concentration, DSA levels, or morphologic or molecular rejection phenot
99 lotransplantation model were used to confirm DSAs' specificity for allo-major histocompatibility comp
101 s transplanted with isolated preformed Cw/DP DSA (Cw/DP DSA group) with (i) 104 matched HLA-sensitize
102 itive flow cytometry crossmatch in the Cw/DP DSA group was more frequent than in the No DSA group and
103 ted with isolated preformed Cw/DP DSA (Cw/DP DSA group) with (i) 104 matched HLA-sensitized kidney tr
104 We analyzed the clinical impact of Cw/DP DSA through a retrospective study, comparing 48 patients
106 grams, preformed anti-HLA-Cw and anti-HLA-DP DSA are not considered in organ allocation policies beca
110 urvival was worse in the Cw/DP and A/B/DR/DQ DSA groups than in the No DSA group (65%, 84%, 93%, P =
111 val was lower in the Cw/DP and the A/B/DR/DQ DSA groups than in the No DSA group (87%, 89%, 95%, P =
113 ed with the development of HLA-DR and HLA-DQ DSA, but only EMS correlated with the risk of HLA-A and
115 e sum of mean fluorescence intensity of DSA (DSA MFI-Sum) of 6,000 or higher (OR, 18; 95% CI, 7.0-47;
119 A (group C, n = 180), as well as to evaluate DSA clearance in IVIG-treated patients versus historic p
123 nd 2010 who were systematically screened for DSA at transplant, 1 and 2 years post-transplant, and th
125 l cells were the only accessible targets for DSAs, which induced the development of typical microvasc
127 ntation from January 2000 to April 2009, had DSA (MFI >/=1000) in serum 10 to 14 months postliver tra
129 At transplant, 110 (12.9%) patients had DSAs; post-transplant screening identified 186 (21.9%) D
132 toantibodies and the interaction between HLA DSA and non-HLA autoantibodies remains uncharacterized.
133 s from 1 of 2000 to 4 of 2009 with known HLA DSA status for angiotensin II type-1 receptor and endoth
134 A autoantibody combined with a preformed HLA DSA is associated with an increased mortality risk.
137 , circulating complement-activating anti-HLA DSAs are associated with a specific histomolecular kidne
138 of preformed non-HLA autoantibodies and HLA-DSA were associated with an increased risk for death (ha
139 entrations in the presence or absence of HLA-DSA (P = 0.007 and 0.03 for g scores; p = 0.005 and 0.03
140 subjects showed intermittent de novo class I DSA, 4 subjects showed persistent de novo class II DSA,
141 miRNA signature associated with HLA class I-DSA could improve our understanding of ABMR and be usefu
143 subjects showed persistent de novo class II DSA, and 5 subjects showed persistent preexisting class
145 dian MFI of the immunodominant class I or II DSA in the peak or day 0 serum was 9421 (interquartile r
149 d 2 downregulated (miR29b-3p, miR-885-5p) in DSA+ vs. CONTROLS: A random forest analysis based on glo
150 e estimate a 50% prevalence of silent AMR in DSA+ long-term recipients and conclude that assessment o
152 eath-censored long-term allograft failure in DSA+ patients regardless of MFI, and higher MFI at 1 yea
154 rveillance biopsy was higher with increasing DSA (8.2% -DSA/-XM, 17.0% +DSA/-XM, 30.6% +DSA/low +XM,
155 costimulation-deficient" cells should induce DSA synthesis but not naive cytotoxic T lymphocyte (CTL)
156 subtraction angiography (DSA) after initial DSA with results negative for aneurysms in subjects with
157 eurysmal subarachnoid hemorrhage and initial DSA negative for aneurysms, the yield of follow-up DSA f
160 mpared with DSA mean fluorescence intensity, DSA IgG3 positivity and C1q binding capacity adequately
164 to the following metrics: total mortalities, DSA-average model for end-stage liver disease (MELD) at
168 transplant recipients with No DSA at D0 (No DSA group) and (ii) 47 kidney transplant recipients with
170 w/DP and A/B/DR/DQ DSA groups than in the No DSA group (65%, 84%, 93%, P = 0.001 and P = 0.05, respec
171 and the A/B/DR/DQ DSA groups than in the No DSA group (87%, 89%, 95%, P = 0.02 and P = 0.1, respecti
172 P DSA group was more frequent than in the No DSA group and as frequent as in the A/B/DR/DQDSA group.
173 sitized kidney transplant recipients with No DSA at D0 (No DSA group) and (ii) 47 kidney transplant r
175 The incidence of weak de novo DSA or non-DSA at a mean fluorescence intensity of 500 or higher wa
176 e impact of circulating HLA and noncytotoxic DSA detected before transplant on development of Chronic
177 , neither the presence of HLA antibodies nor DSA translated to an increased risk of allograft dysfunc
178 1) and for patients with C1q-binding de novo DSA (P=0.002) than for patients without de novo DSA.
180 ior graft survival compared with the de novo DSA ABMR (63% versus 34% at 8 years after rejection, res
181 ristics and treatment, we identified de novo DSA ABMR (hazard ratio [HR], 1.82 compared with preexist
182 preexisting DSA ABMR, patients with de novo DSA ABMR displayed increased proteinuria, more transplan
185 between patients with C1q-nonbinding de novo DSA and those without de novo DSA, but was lower for pat
189 wer for patients with C1q-nonbinding de novo DSA detected at both 2 and 5 years (P<0.001) and for pat
191 tch is a significant risk factor for de novo DSA emergence, whereas the persistence of antibodies is
192 ly graft failure, whereas those with de novo DSA experienced accelerated graft loss once DSA was dete
197 the freedom from the development of de novo DSA was observed (HR, 2.26 for HLA antibodies and ETAR;
198 ower freedom from the development of de novo DSA was observed for recipients with antibodies detected
203 inding de novo DSA and those without de novo DSA, but was lower for patients with C1q-binding de novo
204 nd 5 years after transplantation for de novo DSA, which was followed when positive by a C1q Luminex a
215 y suggests that DSA MFI-Sum and HLA class of DSA are characteristics predictive of AMR and graft fail
217 We performed a retrospective evaluation of DSA in sera from 43 children who had received transplant
219 The sum of mean fluorescence intensity of DSA (DSA MFI-Sum) of 6,000 or higher (OR, 18; 95% CI, 7.
220 nvestigated whether systematic monitoring of DSA with extensive characterization increases performanc
221 nce interval, 0.50-1.54) nor the presence of DSA (adjusted hazard ratio, 1.56; 95% confidence interva
222 % CI, 7.0-47; P < 0.001) and the presence of DSA against both HLA class I and II (OR, 39; 95% CI, 14-
227 A fourth patient had significant levels of DSAs at time of conversion and progressed to a severe ne
229 gh the selectivity for chlorine evolution on DSA is high, the fundamental reasons for this high selec
231 DSA experienced accelerated graft loss once DSA was detected, reaching a 28% failure rate within 2 y
234 function in patients with chronic persistent DSA based on our pilot a priori significance threshold.
237 quartile range]) at 3 months posttransplant (DSA negative: 613(300-1090); DSA positive 106(34-235) pm
241 Compared with patients with preexisting DSA ABMR, patients with de novo DSA ABMR displayed incre
243 d ratio [HR], 1.82 compared with preexisting DSA ABMR; 95% confidence interval [95% CI], 1.07 to 3.08
247 ted rejection in patients with pretransplant DSA, neither the presence of HLA antibodies nor DSA tran
248 e after transplant, 5.0 years; pretransplant DSA documented in 19 recipients), who were identified on
250 Outcomes are reported by transplant program, DSA, region, and the nation for comparison, and can be s
253 saved about 20 additional lives, and reduced DSA-average MELD standard deviation by an additional 17%
255 vitro; however, passive transfer of the same DSAs did not affect islet graft survival in murine model
258 ummary aneurysm detection rate at subsequent DSA was 1.6% (95% confidence interval: 0.7%, 3.8%; range
265 The MFI of the immunodominant DSA (iDSA, the DSA with the highest MFI level) was 6724+/-464, and 41.6
266 results showed that neighborhoods reduce the DSA-average MELD standard deviation by 29% and save abou
268 rvival was similar in all groups except the +DSA/high +XM group, which was lower at 79.1% versus 96.2
270 f reporting diffuse ptc, which may relate to DSA binding strength and potentially to chronic graft in
271 re and leukocytic composition in relation to DSA binding strength (mean fluorescence intensity [MFI]_
275 nd-stage liver disease (MELD) at transplant, DSA-average MELD standard deviation, and average organ t
276 4%) of 11 patients, who completed treatment, DSA decreased, in 4 (36%) of 11 DSA were below 500 mean
277 morrhage at computed tomography (CT) and two DSA examinations negative for aneurysm within 10 days we
282 f the procedure was confirmed on a follow-up DSA after 8.0+/-4.1 months from the initial treatment.
283 gative for aneurysms, the yield of follow-up DSA for detection of causative aneurysms is very low.
285 Three aneurysms were detected at follow-up DSA in three of six studies from the literature (one of
290 ced understanding of the mechanisms by which DSA causes allograft injury, and effective strategies ta
291 he nontolerant phenotype was associated with DSA and C1q-binding DSA, with odds ratios of 13 (P = 0.0
293 ing techniques, should not be evaluated with DSA due to the potential risk of severe complications, s
294 Combining the urinary CXCL10:Cr ratio with DSA monitoring significantly improves the noninvasive di
295 rticipants (five control, 10 treatment) with DSA and deteriorating renal function were enrolled.
296 on in 116 independent kidney recipients with DSAs at transplant receiving rejection prophylaxis with
297 between April 2013 and January 2015 without DSA (group C, n = 180), as well as to evaluate DSA clear
299 Patients were grouped as follows: -DSA/-XM, +DSA/-XM, +DSA/low +XM, +DSA/high +XM, and -DSA/+XM and f
300 ere grouped as follows: -DSA/-XM, +DSA/-XM, +DSA/low +XM, +DSA/high +XM, and -DSA/+XM and followed up
301 follows: -DSA/-XM, +DSA/-XM, +DSA/low +XM, +DSA/high +XM, and -DSA/+XM and followed up for a mean of
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