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The presence of multiple donor‐specific antibodies (DSAs) targeting HLA antigens poses a challenge to transplantation. Various techniques, including the use of recombinant cell lines and crossmatch cells have been developed to isolate DSAs. To simplify the extraction of HLA‐specific DSAs from complex sera, we introduced magnetic beads with single HLA specificity (MagSort). Sera were treated with MagSort, allowing HLA‐specific antibodies to bind to the beads, and these specific antibodies were subsequently eluted. MagSort beads, coated with 59 different HLA variants, underwent testing through 1329 adsorption/elution processes, demonstrating their effectiveness and specificity in adsorbing and eluting HLA‐specific antibodies. The MagSort method proves comparable to the cell method, showing similar isolated antibody binding patterns. The isolated antibody binding patterns from MagSort reveal both known eplets and unknown patterns, suggesting its utility for eplet discovery. Additionally, MagSort proved effective in extracting signals for flow cytometry cross‐matching, offering a means to assess the binding capability of isolated antibodies against specific donor cells. [ABSTRACT FROM AUTHOR]

Highlights from the article: Simultaneous liver and kidney transplantation (SLKT) is the best therapeutic option for HLA sensitized patients with end stage liver disease and renal failure. Reduction of pDSA at post-liver/pre-kidney transplantations and its impact on renal allograft function during post-operative SLKT were reviewed.