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- [7] IgM De Novo Donor Specific HLA Antibodies (dnDSA) Claws Switch to IgG and DQ dnDSA Are Associated With C4d+Biopsies Conversion to C4d+/C3d+and Progression of Subclinical Antibody Mediated Rejection in Heart Transplant Recipients JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2015, 34 (04): : S105 - S105