In a new study, Porcheray et al. provide evidence that a single antibody generated by alloimmunization can recognize multiple antigens in a paradigm-changing fashion. Although these results require confirmation, the presence of polyreactive antibody may offer an explanation as to why some patients with a single sensitizing event develop a wide breadth of panel-reactive antibody.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Halloran, P. F. et al. An integrated view of molecular changes, histopathology and outcomes in kidney transplants. Am. J. Transplant. 10, 2223–2230 (2010).
Cai, J. et al. Development of nondonor-specific HLA-DR antibodies in allograft recipients is associated with shared epitopes with mismatched donor DR antigens. Am. J. Transplant. 6, 2947–2954 (2006).
Porcheray, F. et al. Expansion of polyreactive B cells cross-reactive to HLA and self in the blood of a patient with kidney graft rejection. Am. J. Transplant. http://dx.doi.org/10.1111/j.1600-61432012.04053.x.
Porcheray, F. et al. Chronic humoral rejection of human kidney allografts associates with broad autoantibody responses. Transplantation 89, 1239–1246 (2010).
Park, M. S., Terasaki, P. I. & Bernoco, D. Autoantibody against B lymphocytes. Lancet 2, 465–467 (1977).
Locke, J. E. et al. Proinflammatory events are associated with significant increases in breadth and strength of HLA-specific antibody. Am. J. Transplant. 9, 2136–2139 (2009).
Michael, J. G., Whitby, J. L. & Landy, M. Studies on natural antibodies to gram-negative bacteria. J. Exp. Med. 115, 131–146 (1962).
El-Awar, N. et al. Epitopes of human leukocyte antigen class I antibodies found in sera of normal healthy males and cord blood. Hum. Immunol. 70, 844–853 (2009).
Zachary, A. A. Report on the Antibody Testing Project of the 16th International Histocompatibility and Immunogenetics Workshop. Presented at the 16th International Histocompatibility and Immunogenetics Workshop (2012).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Rights and permissions
About this article
Cite this article
Montgomery, R., Zachary, A. All for one and one for all—alloimmunization and polyreactivity. Nat Rev Nephrol 8, 442–443 (2012). https://doi.org/10.1038/nrneph.2012.140
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrneph.2012.140