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Antibody Mediated Rejection in Heart Transplantation

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Assess<strong>in</strong>g Panel Reactive Antibodies:<br />

Identification by Fluorescent Bead Assays<br />

• Screen<strong>in</strong>g<br />

– Low = PRA < 10%<br />

– Moderate = PRA<br />

10-25%<br />

– High = PRA > 25%<br />

• Specification<br />

– Identification of<br />

anti-HLA Ab<br />

• Quantification<br />

– Are they cytotoxic?<br />

Laser<br />

Freq<br />

Fluorescence

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