{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:16:41Z","timestamp":1760955401400},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,3,31]],"date-time":"2013-03-31T00:00:00Z","timestamp":1364688000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>There is limited evidence regarding the utility of circulating <jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content> in surveillance for <jats:styled-content style=\"fixed-case\">AMR<\/jats:styled-content> of pediatric heart recipients. Our hypothesis is that quantitation of <jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content> improves their power for predicting a <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>4d+, an integral component in the current diagnostic criteria of <jats:styled-content style=\"fixed-case\">AMR<\/jats:styled-content>. All pediatric recipients transplanted between 10\/2005 and 1\/2011 were retrospectively reviewed for <jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content> determined within 48\u00a0h of <jats:styled-content style=\"fixed-case\">EMB<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>4d+ was defined as &gt;25% endothelial cell staining by immunohistochemical methods. A total of 183 paired <jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content>\u2013<jats:styled-content style=\"fixed-case\">EMB<\/jats:styled-content> determinations were identified in 60 patients, a median of three paired studies per patient (range: 1\u20139). <jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content> were detected in 60 of these determinations. A receiver\u2010operating characteristic plot identified a threshold single\u2010antibody <jats:styled-content style=\"fixed-case\">MFI<\/jats:styled-content> of &gt;6000 that strongly correlated with <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>4d+ (p\u00a0&lt;\u00a00.0001) with a high negative predictive value (0.97) and specificity (0.95). The sensitivity and positive predictive values were 0.71 and 0.60, respectively. The predictive power of single\u2010antigen <jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content> for <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>4d deposition was improved in pediatric heart recipients using an institution\u2010specific <jats:styled-content style=\"fixed-case\">MFI<\/jats:styled-content> threshold value. In post\u2010transplant care, quantitative <jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content> should be an essential component in the surveillance for <jats:styled-content style=\"fixed-case\">AMR<\/jats:styled-content>.<\/jats:p>","DOI":"10.1111\/petr.12075","type":"journal-article","created":{"date-parts":[[2013,4,1]],"date-time":"2013-04-01T03:14:46Z","timestamp":1364786086000},"page":"429-435","source":"Crossref","is-referenced-by-count":15,"title":["Donor\u2010specific antibodies: Can they predict C4d deposition in pediatric heart recipients?"],"prefix":"10.1111","volume":"17","author":[{"given":"David M.","family":"Peng","sequence":"first","affiliation":[{"name":"University of Washington\/Seattle Children's Hospital Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuk M.","family":"Law","sequence":"additional","affiliation":[{"name":"University of Washington\/Seattle Children's Hospital Seattle WA 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