The effects of antibodies in the transplant recipient and the screening technologies have drawn the clinicians’attention since the early days of kidney transplantation(the 1960s). At first, the preexisting circulating antibodies were found to be the leading cause of hyperacute rejection reactions. Therefore, lymphocytotoxicity cross matching tests were routinely used as a method for preoperative antibody screening.
Studies since the 1990s have shown that these circulating antibodies include IgG antibodies, IgM antibodies, IgA antibodies as well as autoantibodies, and it is only the IgG antibodies (mainly anti-HLA-Class I and Class II IgG antibodies) that affect transplant survival and rejection reactions.
Meanwhile, antibody screening and detecting technologies developed from the conventional complement-dependent cytotoxicity(CDC) assay to enzyme-linked immunosorbent assay(ELISA) and from screening circulating antibodies to detecting specific anti-HLA-IgG antibodies.
Anti-HLA antibody level indicator-PRA
PRA——Panel reactive antibody, the HLA antibody level in the transplant recipient.
Sensitization level: Unsensitized 0-10%
Low sensitization 11-50%
Moderate sensitization 51-80%
High sensitization >81%
Sensitization factors: Transfusion, pregnancy, transplantation, and other diseases, etc.
PRA detection clinical application
Choose transplant organ and time of operation according to the PRA level and specificity of the recipient.
HLA typing is necessary for highly sensitized recipients.
Cross matching is necessary for positive PRA before transplantation.
Post-transplant PRA monitoring helps to determine the immune state, guide the use of immunosuppressant and adjust the immunotherapy protocol.
PRA ELISA Assay Kit
Catalog#
Product description
Pack size
Status
LAT140
Lambda Class I antigen panel-1 test/tray
20 tests
CFDA certified
LAT140X2
Lambda Class I antigen panel (40 antibodies)-2 tests/tray
20 tests
CFDA certified
LAT240
Lambda Class II antigen panel -2 tests/tray
20 tests
CFDA certified
LAT1240
Lambda Class I II antigen panel-2 tests/tray
20 tests
CFDA certified
LAT124010
Lambda Class I II antigen panel-2 tests/tray
10 tests
CFDA certified
LAT1288
Lambda Class I II antigen panel-1 teststray
20 tests
CFDsA certified
LATM120
Lambda Mixed Class I antigen panel -20 tests/tray
5 tests
CFDA certified
LATM10×5
Lambda Mixed Class I II antigen panel-10 tests/tray
5 tests
CFDA certified
LATM20×5
Lambda Mixed Class I II antigen panel-20 tests/tray
5 tests
CFDA certified
LAT1HD
Lambda Class I single antigen panel
20 tests
CFDA certified
PRA luminex assay kit
Catalog#
Product description
Pack size
Status
LS1PRA
Luminex Class I PRA assay kit
50 Tests
CFDA certified
LS2PRA
Luminex Class II PRAassay kit
50 Tests
CFDA certified
LS12PRA
Luminex Mixed Class I II assay kit
50 Tests
CFDA certified
LSM12
Luminex Mixed Class I II MICA assay kit
200 Tests
CFDA certified
LSMICA001
MICA antibody
50 Tests
CFDA certified
LS1A04
Class I single antigen PRA assay kit
50 Tests
CFDA certified
LS2A01
Class II single antigen PRA assay kit
50 Tests
CFDA certified