Article
Missing Self-Induced Microvascular Rejection of Kidney Allografts: A Population-Based Study.
Journal of the American Society of Nephrology : JASN - 1 Aug 2021
Callemeyn Jasper, Senev Aleksandar, Coemans Maarten, Lerut Evelyne, Sprangers Ben, Kuypers Dirk, Koenig Alice, Thaunat Olivier, Emonds Marie-Paule, Naesens Maarten
Abstract excerpt
BACKGROUND: Circulating anti-HLA donor-specific antibodies (HLA-DSA) are often absent in kidney transplant recipients with microvascular inflammation (MVI). Missing self, the inability of donor endothelial cells to provide HLA I-mediated signals to inhibitory killer cell Ig-like receptors (KIRs) on recipient natural killer cells, can cause endothelial damage in vitro, and has been associated with HLA-DSA-negative...
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