De novo donor-specific HLA antibodies are associated with early and high-grade bronchiolitis obliterans syndrome and death after lung transplantation

MR Morrell, JM Pilewski, CJ Gries, MR Pipeling… - The Journal of Heart and …, 2014 - Elsevier
Background The development of human leukocyte antigen (HLA) antibody responses has
been associated with worse clinical outcomes, such as bronchiolitis obliterans syndrome
(BOS) and death, in lung transplant recipients (LTRs). However, the role of donor-specific
HLA antibody (DSA) responses as a risk factor for poor outcomes remains controversial.
Methods We prospectively screened 445 LTRs for DSA at our institution at the time of
surveillance bronchoscopies for the first 2 years after transplantation between 2003 and …