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J Thorac Cardiovasc Surg 1996;112:1260-1267
© 1996 Mosby, Inc.
SURGERY FOR ACQUIRED HEART DISEASE |
Supported by The Prince Charles Hospital Foundation.
Received for publication May 6, 1996 Revisions requested June 11, 1996; revisions received July 1, 1996 Accepted for publication July 1, 1996. Address for reprints: M. O'Brien, MD, Department of Cardiac Surgery, The Prince Charles Hospital, Rode Road, Chermside 4032. Brisbane, Australia.
Abstract
Objective: The nature and magnitude of the immunologic response to implantation of human cryopreserved aortic valve allografts was investigated. Methods: Twenty aortic valve allograft recipients were investigated for donor-specific antibody and T-cell–mediated responses with serial flow cytometric and microlymphocytotoxic crossmatch assays and one-way mixed lymphocyte cultures. Results: Donor-specific immunoglobulin G antibodies to class I and II human leukocyte antigens were first detected in the serum of all aortic valve allograft recipients at 30 days after implantation and persisted in substantial amounts in all but one of the recipients at day 365. Recipient T-cell alloreactivity toward donor lymphocytes was significantly increased at day 30 compared with levels before and 10 days after operation. Conclusions: Cryopreserved aortic valve allografts elicit a substantial allogeneic response in recipients. This alloreactivity may contribute to the observed morphologic changes in aortic valve allografts and eventual long-term deterioration of allograft function. (J THORAC CARDIOVASC SURG 1996;112:1260-7)
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