Liver Transplant
Conditions
Keywords
DSA
Brief summary
The study is a prospective observational mono center study Primary objective : Study the anti-HLA antibodies frequency preformed before liver transplantation and the kinetic of appearance of DSA and de novo complement-binding anti-HLA antibodies after liver transplantation. Secondary objective : * Risk factor of de novo DSA appearance (Immunosuppressive therapy, liver aetiology) * Impact of DSA on: * Graft and patients survivals * Onset of allograft rejection (acute, late-onset, chronic) * Unexplained liver graft dysfunction * Unexplained liver enzymes abnormalities * Liver fibrosis development (liver stiffness study using fibroscan©)
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Liver transplanted patients older than 18, transplanted in Lille University Hospital. * Written consent by the patient or his/her legal representative (especially patient with hepatic encephalopathy). * Patients with health insurance
Exclusion criteria
* Minor patients. * Pregnant women or during lactation. * Patient under curatorship.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence DSA positivity (or anti-HLA). | At baseline | The positivity is defined as a fluorescence ≥ 1000. |
Secondary
| Measure | Time frame |
|---|---|
| Fluorescence quantification | at 3 months, 1 year and 2 years after transplantation |
| Presence of C1q binding-complement anti-HLA antibodies | at 3 months, 1 year and 2 years after transplantation |
Countries
France