Not all HLA epitope mismatches are equal.

Heidt, Sebastiaan; Claas, Frans H J · Kidney Int · 2020

editorial · Level V

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Abstract

The future of HLA matching in solid organ transplantation lies in epitope matching. The article by Sapir-Pichhadze et al. provides indirect evidence that there is a difference in immunogenicity between antibody-verified versus non-verified eplets. However, this difference was less clear for HLA class II, showing the need for additional efforts to identify truly immunogenic HLA class II epitope mismatches.

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