Table 5 Clinical courses of cases of donor against recipient one-way HLA mismatch.

From: The effect of donor against recipient one-way HLA mismatch on liver transplantation outcomes from a multicenter registry analysis

No. of D → R one way MM

Case no

Sex/Age

LT type (relationship)

HLA type

Reason for LT

MELD/PELD

GRWR (%)

Recurrence of liver disease

Surgical complication

Death (duration after LT)

Cause of death

A

B

DR

DQ

3

1

Recipient

M/61

LDLT

24, 33

44, 62

7, 12

 

HCC-B (TACE/RFA)

11

0.75

 

Bile duct stenosis & leakage/stone

Yes (10.7 months)

Graft failure d/t biliary complication

Donor

F/25

(Offspring)

33, –

44, –

7, –

2

Recipient

M/41

LDLT

31, 33

44, 46

8, 13

 

Alcoholic LC

18

1.71

 

Yes

Yes (1.9 months)

GVHD

Donor

F/20

(Offspring)

33, –

44, –

13, –

3

Recipient

M/65

LDLT

2, 33

44, 62

4, 13

 

HCC-C (TACE)

9

1.17

HCV

No

No

 

Donor

M/40

(Offspring)

33, –

44, –

13, –

4

Recipient

M/54

LDLT

31, 33

44, 60

4, 7

 

HCC-B

13

1.02

 

No

No

 

Donor

F/26

(Offspring)

33, –

44, –

7, –

5

Recipient

M/66

LDLT

24, 33

44, 46

7, 8

 

HCC (beyond Milan)

10

1.13

 

Bile leakage

Yes (1.0 months)

GVHD

Donor

F/38

(Offspring)

33, –

44, –

7, –

6

Recipient

M/53

LDLT

11, 33

44, 62

4, 7

 

HCC-B (TACE)

10

1.38

HCC-B

No

Yes (10.6 months)

Infection

Donor

M/28

(Offspring)

11, –

62, –

4, –

7

Recipient

M/66

LDLT

26, 33

44, 54

13, 14

 

Alcoholic LC, HCC (beyond Milan)

15

1.18

 

No

Unknown (2.9 months)

 

Donor

M/39

(Offspring)

33, –

44, –

13, –

8

Recipient

F/57

LDLT

24, 33

51, 58

13, 14

 

Alcoholic LC

6

1.34

 

No

No

 

Donor

F/33

(Offspring)

33, –

58, –

13, –

9

Recipient

M/64

LDLT

2, 31

51, 62

4, 15

 

Alcoholic LC, HCC (TACE)

11

1.79

 

No

Yes (1.0 months)

GVHD

Donor

M/34

(Offspring)

31, –

62, –

15, –

10

Recipient

F/10

LDLT

26, 33

37, 44

7, 10

 

Biliary atresia

1

1.32

 

No

No

 

Donor

F/43

(Parent)

33, –

44, –

7, –

11

Recipient

F/33

LDLT

24, 33

44, 59

4, 13

 

Alcoholic LC

14

1.33

 

No

No

 

Donor

F/32

(Relatives)

33, –

44, –

13, –

2

12

Recipient

F/1

LDLT

2, 24

7, 51

1, 15

 

Budd-Chiari syndrome

11

2.78

Hepatic vein stenosis/thrombosis (3 yr after LT)

No

No

 

Donor

F/34

(Parent)

2, 24

7, –

1, –

13

Recipient

F/67

LDLT

2, –

50, 61

7, 15

 

Drug toxicity

29

0.94

 

No

No

 

Donor

M/39

(Offspring)

2, –

61, –

15, –

1

14

Recipient

M/48

LDLT

2, –

60, 61

8, 14

5, 6

HCC-B (Liver resection/ TACE/CCRT)

15

1.01

 

No

Yes (3.1 months)

GVHD

Donor

M/17

(Offspring)

2, –

61, –

8, 14

5, 6

15

Recipient

F/49

LDLT

3, 33

44, –

13, –

 

Alcoholic LC

9

1.68

 

No

No

 

Donor

M/24

(Offspring)

33, –

44, –

13, –

16

Recipient

M/47

LDLT

2, 24

52, 62

14, 15

 

HCC-B (TACE/beyond Milan)

32

HCC-B

No

Yes (47.0 months)

Recurred HCC

Donor

F/17

(Offspring)

2, 24

62, –

14, 15

17

Recipient

F/51

LDLT

3, 33

44, 58

4, 13

 

Unknown

17

1.07

 

No

No

 

Donor

M/20

(Offspring)

3, 33

44, 58

13, –

18

Recipient

M/57

LDLT

24, 26

7, 54

1, 4

 

HCC-B (Liver resection/TACE)

9

0.82

 

Hepatic artery stenosis Post op bleeding

No

 

Donor

M/33

(Offspring)

24, –

7, 54

1, 4

  1. LDLT living donor liver transplantation, DDLT deceased donor liver transplantation, HCC hepatocellular carcinoma, LC liver cirrhosis, GRWR graft-to-recipient weight ratio, GVHD graft-versus-host disease, RFA radiofrequency ablation, TACE transcatheter arterial chemoembolization.