Vol. 3 (08) pp. 846-855

Effect of Human Leukocyte Antigen Compatibility on Renal Transplant Rejection in Kuwaiti patients

  • Clinical Pathology Department, Mansoura Faculty of Medicine, Mansoura University, Egypt.
  • Zoology Department, Faculty of Science, Tanta University, Egypt.
  • Immunology and Organ Transplantation Departments, Hamad Al-Essa Organ Transplantation Center, Kuwait.
  • Microbiology Department, Faculty of Medicine, Kuwait University, Kuwait.
  • Immunology Department, Ministry of Health, Kuwait.
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Abstract

Objective: The aim was to evaluate the possible effect of HLA-A, B and DR compatibility between patients and their donors on the development of rejection after renal transplantation in Kuwaiti population. Patients and Methods: HLA-A, -B, and –DR typing was performed by complement-dependent cytotoxicity method for 181 renal transplant patients and 181 donors. Results: No statistical significant differences were found between patients with rejection and those without for the frequencies of HLA antigens except for HLA-DR17 (OR=2.6, Pc=0.045). HLA incompatibility between patients and their donors was more associated with renal rejection when compared to HLA compatibility (P= 0.003). Also, gender mismatch was more frequent in patients suffering from rejection than patients without rejection (P=0.005) especially if a female patient received kidney from a male donor (P=0.008). Conclusion: HLA-DR17 antigen, HLA incompatibility between patients and their donors may be risk factors for the development of graft rejection after renal transplantation in Kuwaiti population.

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How to Cite This Article

Youssef M. Mosaad, Merveet Mansour, Ibrahim Al-Muzairai, Turky Al-Otabi, Mohamed Abdul-Moneam, Rajaa Al-Attyiah, Manal Shahin (2015); Effect of Human Leukocyte Antigen Compatibility on Renal Transplant Rejection in Kuwaiti patients , Int. J. of Adv. Res., 3 (08), 846-855, ISSN 2320-5407.

Corresponding Author

Youssef Mohamed Mosaad