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Interaction between HLA-B leader peptide variants and cytomegalovirus serostatus is associated with early T cell-mediated rejection in kidney transplantation

Title: Interaction between HLA-B leader peptide variants and cytomegalovirus serostatus is associated with early T cell-mediated rejection in kidney transplantation
Authors: Peereboom, Emma T. M.; Jonker,Jip; Geneugelijk, Kirsten; van Zuilen, Arjan D.; Bungener,Laura B.; Verduyn Lunel, Frans M.; Sanders,Jan Stephan F.; Bakker,Stephan J. L.; Spierings, Eric; Cancer; Infection & Immunity; CTI Spierings; CDL Cluster Speciële Diagnostiek; MS Nefrologie; Circulatory Health; MMB Medische Staf
Publication Year: 2026
Subject Terms: Journal Article
Description: Mismatches between mature recipient and donor HLA proteins can trigger alloreactivity upon transplantation. Recent studies suggest that also the leader peptide of HLA class I alleles may affect the transplantation outcome. In this retrospective study, we examined the association between the HLA-B leader -21 methionine (M)/threonine (T) dimorphism and T cell-mediated rejection (TCMR) early after kidney transplantation. In a hypothesis-generating cohort of 351 transplants, -21MM recipients experienced significantly increased odds of early TCMR within the first 90 days post-transplantation compared to -21TT recipients (odds ratio (OR) 4.57, 95% confidence interval (CI) 1.87-10.95, p
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
ISSN: 1664-3224
Relation: https://dspace.library.uu.nl/handle/1874/469475
Availability: https://dspace.library.uu.nl/handle/1874/469475
Rights: info:eu-repo/semantics/OpenAccess
Accession Number: edsbas.F3231CDC
Database: BASE