Article: Antibody Therapeutics as Interfering Agents in Flow Cytometry Crossmatch for Organ Transplantation.
Journal of personalized medicine
2023 Volume 13, Issue 6
Abstract: Donor-recipient matching is a highly individualized and complex component of solid organ transplantation. Flowcytometry crossmatching (FC-XM) is an integral step in the matching process that is used to detect pre-formed deleterious anti-donor ... ...
Abstract | Donor-recipient matching is a highly individualized and complex component of solid organ transplantation. Flowcytometry crossmatching (FC-XM) is an integral step in the matching process that is used to detect pre-formed deleterious anti-donor immunoglobulin. Despite high sensitivity in detecting cell-bound immunoglobulin, FC-XM is not able to determine the source or function of immunoglobulins detected. Monoclonal antibody therapeutic agents used in a clinic can interfere with the interpretation of FC-XM. We combined data from the prospectively maintained Antibody Society database and Human Protein Atlas with a comprehensive literature review of PubMed to summarize known FC-XM-interfering antibody therapeutics and identify potential interferers. We identified eight unique FC-XM-interfering antibody therapeutics. Rituximab (anti-CD20) was the most-cited agent. Daratumuab (anti-CD38) was the newest reported agent. We identified 43 unreported antibody therapeutics that may interfere with FC-XM. As antibody therapeutic agents become more common, identifying and mitigating FC-XM interference will likely become an increased focus for transplant centers. |
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Language | English |
Publishing date | 2023-06-16 |
Publishing country | Switzerland |
Document type | Journal Article |
ZDB-ID | 2662248-8 |
ISSN | 2075-4426 |
ISSN | 2075-4426 |
DOI | 10.3390/jpm13061005 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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