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Cited by 280

The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index.

Molecular Diagnosis of Antibody-Mediated Rejection in Human Kidney Transplants

Open access
Sellarés, J., Reeve, J., Loupy, A., Mengel, M., Sis, B., Skene, A., de Freitas, D.G., Kreepala, C., Hidalgo, L.G., Famulski, K.S., Halloran, P.F.·2013·American Journal of Transplantation

Abstract

Antibody-mediated rejection is the major cause of kidney transplant failure, but the histology-based diagnostic system misses most cases due to its requirement for C4d positivity. We hypothesized that gene expression data could be used to test biopsies for the presence of antibody-mediated rejection. To develop a molecular test, we prospectively assigned diagnoses, including C4d-negative antibody-mediated rejection, to 403 indication biopsies from 315 patients, based on histology (microcirculation lesions) and donor-specific HLA antibody. We then used microarray data to develop classifiers that assigned antibody-mediated rejection scores to each biopsy. The transcripts distinguishing antibody-mediated rejection from other conditions were mostly expressed in endothelial cells or NK cells, or were IFNG-inducible. The scores correlated with the presence of microcirculation lesions and donor-specific antibody. Of 45 biopsies with scores>0.5, 39 had been diagnosed as antibody-mediated rejection on the basis of histology and donor-specific antibody. High scores were also associated with unanimity among pathologists that antibody-mediated rejection was present. The molecular score also strongly predicted future graft loss in Cox regression analysis. We conclude that microarray assessment of gene expression can assign a probability of ABMR to transplant biopsies without knowledge of HLA antibody status, histology, or C4d staining, and predicts future failure.

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Metadata

Authors
Sellarés, J., Reeve, J., Loupy, A., Mengel, M., Sis, B., Skene, A., de Freitas, D. G., Kreepala, C., Hidalgo, L. G., Famulski, K. S., & Halloran, P. F.
Venue
American Journal of Transplantation
Publisher
Elsevier BV
Published
2013-04
Volume
13
Issue
4
Pages
971-983
ISSN
1600-6135 (ISSN-L)
OpenAlex
W1548929234
Cited by
280
References
49
FWCI
21.01
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Molecular Diagnosis of Antibody-Mediated Rejection in Human Kidney Transplants. https://app.cochat.ai/papers/10.1111/ajt.12150
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Sellarés, J., Reeve, J., Loupy, A., Mengel, M., Sis, B., Skene, A., de Freitas, D. G., Kreepala, C., Hidalgo, L. G., Famulski, K. S., & Halloran, P. F. (2013). Molecular Diagnosis of Antibody-Mediated Rejection in Human Kidney Transplants. American Journal of Transplantation. https://doi.org/10.1111/ajt.12150

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.