Value of Prospective Tissue Typing in Kidney Transplantation Between HL-A Identical SiblingsBr Med J 1970; 4 doi: https://doi.org/10.1136/bmj.4.5737.709 (Published 19 December 1970) Cite this as: Br Med J 1970;4:709
- Ramon Patel,
- Steven Myrberg
The predictability of leucocyte typing in kidney transplantation was assessed by an analysis of 37 kidney transplants from sibling donors. Recipients who were identical for the HL-A antigens with their donors gave highly predictable results. In comparison with those siblings who were incompatible or compatible but not identical their grafts functioned earlier, they required less immunosuppression, and had never had any rejections. They also appeared to have less postoperative morbidity. These results indicate that less immunosuppression than is current in many transplant centres could well be used with benefit in HL-A identical sibling transplants. This could reduce the risk of infection and possibly minimize the adverse effects of steroids on wound healing in these patients.