July 24, 2026 · Kidney international · DOI: 10.1016/j.kint.2026.06.031

Non-HLA antibodies worsen the histological phenotype and prognosis of antibody mediated rejection in kidney allografts

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The authors investigate the role of non-HLA antibodies in the severity and prognosis of antibody-mediated rejection (AMR) in kidney allografts, particularly in cases without donor-specific anti-HLA antibodies. They find that higher levels of non-HLA antibodies correlate with increased microvascular inflammation and worse graft outcomes, suggesting that their detection could enhance AMR classification and risk assessment in transplant patients.

Emilie Lebraud, Olivier Aubert, Laïla Aouni, Virginia Garcia, Lise Morin, Maëva Eloudzeri, Baptiste Lamarthée, Julien Zuber, Corentin Ramaugé Parra, Mélanie Try, Maarten Coemans, Dirk Kuypers, Karolien Wellekens, Tim Debyser, Priyanka Koshy Lehnert, Adel Abderrahmane, Jean-Luc Taupin, Chloé Jager, Quentin Holleville, Corinne Normand, Frank Bienaimé, Nicolas Garcelon, Fabiola Terzi, Maarten Naesens, Marion Rabant, Dany Anglicheau

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