Antibody-mediated rejection in liver transplantation: current controversies and future directions

Liver Transpl. 2014 May;20(5):514-27. doi: 10.1002/lt.23826. Epub 2014 Feb 25.

Abstract

Interest in the role of donor-specific human leukocyte antibodies in liver transplantation has been rekindled recently. Emerging evidence suggests that these antibodies may cause injury to the liver allograft. Here we review the clinical literature, highlight controversial results, and propose a path forward for the definition and better understanding of antibody-mediated injury to the liver.

Publication types

  • Review

MeSH terms

  • Antibodies / immunology*
  • Complement C4b / immunology
  • Graft Rejection
  • HLA Antigens / immunology
  • Heart Transplantation / methods
  • Humans
  • Isoantibodies / immunology
  • Kidney Transplantation / methods
  • Liver Transplantation / methods*
  • Liver Transplantation / trends*
  • Peptide Fragments / immunology
  • Tissue Donors
  • Transplantation, Homologous

Substances

  • Antibodies
  • HLA Antigens
  • Isoantibodies
  • Peptide Fragments
  • Complement C4b
  • complement C4d