Comparison of antibody titers using conventional tube technique versus column agglutination technique in ABO blood group incompatible renal transplant

Introduction: Measurement of alloantibody titer to a red cell antigen (ABO titers) is an integral part of management of ABO incompatible kidney transplants (ABOiKT). Material and Methods: There are different methods of titer estimation. Alloantibody detection by tube titration and Gel agglutination...

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Main Authors: Amit Bhangale, Amardeep Pathak, Smita Pawar, Tarun Jeloka
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Asian Journal of Transfusion Science
Subjects:
Online Access:http://www.ajts.org/article.asp?issn=0973-6247;year=2017;volume=11;issue=2;spage=131;epage=134;aulast=Bhangale
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author Amit Bhangale
Amardeep Pathak
Smita Pawar
Tarun Jeloka
author_facet Amit Bhangale
Amardeep Pathak
Smita Pawar
Tarun Jeloka
author_sort Amit Bhangale
collection DOAJ
description Introduction: Measurement of alloantibody titer to a red cell antigen (ABO titers) is an integral part of management of ABO incompatible kidney transplants (ABOiKT). Material and Methods: There are different methods of titer estimation. Alloantibody detection by tube titration and Gel agglutination columns are accepted methodologies. It is essential to find the difference in titers between the two methods so as to set the 'cut-off' titer accordingly, depending upon the method used. Results: We did a prospective observational study to compare and correlate the ABO titers using these two different techniques – conventional tube technique (CTT) and the newer column agglutination technique (CAT). A total of 67 samples were processed in parallel for anti-A/B antibodies by both tube dilution and column agglutination methods. The mean titer by conventional tube method was 38.5 + 96.6 and by the column agglutination test was 96.4 + 225. The samples correlated well with Spearman rho correlation coefficient of 0.94 (P = 0.01). Conclusion: The column agglutination method for anti A/B titer estimation in an ABO incompatible kidney transplant is more sensitive, with the column agglutination results being approximately two and half fold higher (one more dilution) than that of tube method.
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spelling doaj.art-4667b8b30fc9457e803cf86cb2055df92022-12-21T20:36:22ZengWolters Kluwer Medknow PublicationsAsian Journal of Transfusion Science0973-62471998-35652017-01-0111213113410.4103/0973-6247.214343Comparison of antibody titers using conventional tube technique versus column agglutination technique in ABO blood group incompatible renal transplantAmit BhangaleAmardeep PathakSmita PawarTarun JelokaIntroduction: Measurement of alloantibody titer to a red cell antigen (ABO titers) is an integral part of management of ABO incompatible kidney transplants (ABOiKT). Material and Methods: There are different methods of titer estimation. Alloantibody detection by tube titration and Gel agglutination columns are accepted methodologies. It is essential to find the difference in titers between the two methods so as to set the 'cut-off' titer accordingly, depending upon the method used. Results: We did a prospective observational study to compare and correlate the ABO titers using these two different techniques – conventional tube technique (CTT) and the newer column agglutination technique (CAT). A total of 67 samples were processed in parallel for anti-A/B antibodies by both tube dilution and column agglutination methods. The mean titer by conventional tube method was 38.5 + 96.6 and by the column agglutination test was 96.4 + 225. The samples correlated well with Spearman rho correlation coefficient of 0.94 (P = 0.01). Conclusion: The column agglutination method for anti A/B titer estimation in an ABO incompatible kidney transplant is more sensitive, with the column agglutination results being approximately two and half fold higher (one more dilution) than that of tube method.http://www.ajts.org/article.asp?issn=0973-6247;year=2017;volume=11;issue=2;spage=131;epage=134;aulast=BhangaleABO incompatible kidney transplantscolumn agglutination techniqueconventional tube technique
spellingShingle Amit Bhangale
Amardeep Pathak
Smita Pawar
Tarun Jeloka
Comparison of antibody titers using conventional tube technique versus column agglutination technique in ABO blood group incompatible renal transplant
Asian Journal of Transfusion Science
ABO incompatible kidney transplants
column agglutination technique
conventional tube technique
title Comparison of antibody titers using conventional tube technique versus column agglutination technique in ABO blood group incompatible renal transplant
title_full Comparison of antibody titers using conventional tube technique versus column agglutination technique in ABO blood group incompatible renal transplant
title_fullStr Comparison of antibody titers using conventional tube technique versus column agglutination technique in ABO blood group incompatible renal transplant
title_full_unstemmed Comparison of antibody titers using conventional tube technique versus column agglutination technique in ABO blood group incompatible renal transplant
title_short Comparison of antibody titers using conventional tube technique versus column agglutination technique in ABO blood group incompatible renal transplant
title_sort comparison of antibody titers using conventional tube technique versus column agglutination technique in abo blood group incompatible renal transplant
topic ABO incompatible kidney transplants
column agglutination technique
conventional tube technique
url http://www.ajts.org/article.asp?issn=0973-6247;year=2017;volume=11;issue=2;spage=131;epage=134;aulast=Bhangale
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AT amardeeppathak comparisonofantibodytitersusingconventionaltubetechniqueversuscolumnagglutinationtechniqueinabobloodgroupincompatiblerenaltransplant
AT smitapawar comparisonofantibodytitersusingconventionaltubetechniqueversuscolumnagglutinationtechniqueinabobloodgroupincompatiblerenaltransplant
AT tarunjeloka comparisonofantibodytitersusingconventionaltubetechniqueversuscolumnagglutinationtechniqueinabobloodgroupincompatiblerenaltransplant