Cardiac allograft rejection late after transplantation is a risk factor for graft coronary artery disease.

Abstract:

BACKGROUND:Graft coronary artery disease (CAD) is an increasingly important problem during long-term survival after heart transplantation, but the importance of cellular rejection, in particular late after transplantation, remains undetermined. METHODS AND RESULTS:We analyzed 492 coronary angiographies (967+/-705 days after transplantation; range, 49 days to 9.4 years) and 5201 endomyocardial biopsies (518+/-648 days after transplantation) from 156 patients (age, 47+/-11 years). Patients with angiographically detectable graft CAD had significantly more episodes of rejection requiring augmentation of immunosuppressive therapy (i.e., International Society of Heart and Lung Transplantation score > or = 3A) than those without graft CAD during the first (3.7+/-2.6 vs. 2.2+/-2.0, P<0.001) as well as subsequent years after transplantation (1.2+/-1.9 vs. 0.4+/-0.9, P<0.01). Multivariate logistic regression analysis including established risk factors for CAD, ischemic time, gender and age of donors and recipients, number of mismatches, cytomegalovirus infection, and drug therapy showed that the number of rejections during the first [odds ratio (OR)=1.39, P<0.005] as well as subsequent years (OR=1.49, P<0.05), previous cytomegalovirus infection (OR=3.21, P<0.05), donor age >40 years (OR=2.97, P<0.05), and current or former smoker status (OR=2.76, P<0.05) were independent predictors of graft CAD. In patients without angiographically detectable graft CAD 1 year after transplantation, the number of rejections after the first year was even more strongly related to graft coronary artery disease than in the total patient population, underlining the importance of late cellular rejection (OR=1.74, P<0.005). CONCLUSION:Rejection requiring augmentation of immunosuppression early and late after transplantation is an independent risk factor for the development of angiographically detectable graft CAD. Hence, the search for and treatment of moderate or severe rejection seems to be prudent even late after transplantation.

journal_name

Transplantation

journal_title

Transplantation

authors

Brunner-La Rocca HP,Schneider J,Künzli A,Turina M,Kiowski W

doi

10.1097/00007890-199802270-00015

subject

Has Abstract

pub_date

1998-02-27 00:00:00

pages

538-43

issue

4

eissn

0041-1337

issn

1534-6080

journal_volume

65

pub_type

杂志文章
  • IL-33 prolongs murine cardiac allograft survival through induction of TH2-type immune deviation.

    abstract:BACKGROUND:In Th (T helper) 1/Th2 balance in response to signals given during donor antigen presentation, induction of allograft prolongation is more often related to Th2-type than with Th1-type immunity. Here, we examined the effect of interleukin (IL)-33, a novel member of the IL-1 family, on cardiac allograft surviv...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181d720af

    authors: Yin H,Li XY,Jin XB,Zhang BB,Gong Q,Yang H,Zheng F,Gong FL,Zhu JY

    更新日期:2010-05-27 00:00:00

  • Long-term outcomes of kidney transplantation across a positive complement-dependent cytotoxicity crossmatch.

    abstract:BACKGROUND:More than 30% of potential kidney transplant recipients have pre-existing anti-human leukocyte antigen antibodies. This subgroup has significantly lower transplant rates and increased mortality. Desensitization has become an important tool to overcome this immunological barrier. However, limited data is avai...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000442782.98131.7c

    authors: Riella LV,Safa K,Yagan J,Lee B,Azzi J,Najafian N,Abdi R,Milford E,Mah H,Gabardi S,Malek S,Tullius SG,Magee C,Chandraker A

    更新日期:2014-06-27 00:00:00

  • Comparison of sirolimus-based calcineurin inhibitor-sparing and calcineurin inhibitor-free regimens in cadaveric renal transplantation.

    abstract:INTRODUCTION:This study examines the efficacy and toxicity of sirolimus used as primary immunosuppression in combination with reduced dose tacrolimus (calcineurin inhibitor [CI]-sparing regimen) or mycophenolate mofetil (CI-free regimen) in high-risk cadaveric renal transplantation. METHODS:Seventy subjects were treat...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.tp.0000121504.69676.5e

    authors: Lo A,Egidi MF,Gaber LW,Amiri HS,Vera S,Nezakatgoo N,Gaber AO

    更新日期:2004-04-27 00:00:00

  • Mechanisms of tolerance induced by PG490-88 in a bone marrow transplantation model.

    abstract:BACKGROUND:PG490-88, a semisynthetic derivative of a novel compound PG490 (triptolide) purified from a Chinese herb (Tripterygium wilfordii Hook F), is effective in prevention of murine graft-versus-host disease (GVHD). METHODS:PG490-88 was administrated into recipients in a model (B10.D2 [H2d, Mls-2b, Mls-3b]-->BALB/...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200201150-00022

    authors: Chen BJ,Chen Y,Cui X,Fidler JM,Chao NJ

    更新日期:2002-01-15 00:00:00

  • Transient pure red cell aplasia caused by antilymphoblast globulin after cadaveric renal transplantation.

    abstract::Transient pure red cell aplasia (PRCA) in three consecutive patients receiving ATG for management of kidney graft rejection prompted a systematic study of the effects on erythropoiesis of the ATG preparation used at our institution. We found that 90% of patients treated with rabbit anti-T lymphoblast globulin develope...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199105000-00017

    authors: Schaffner A,Thomann B,Zala GF,Rüegg R,Keusch G,Fehr J,Gmür J

    更新日期:1991-05-01 00:00:00

  • Tuberculosis in lung transplant recipients.

    abstract:BACKGROUND:Post-lung transplant infection is one of the leading causes of morbidity and mortality. The cause and incidence are similar in many series; however, infections such as Mycobacterium tuberculosis are influenced by the epidemiologic situation. The authors present a prospective and observational study to define...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000147784.53188.dc

    authors: Bravo C,Roldán J,Roman A,Degracia J,Majo J,Guerra J,Monforte V,Vidal R,Morell F

    更新日期:2005-01-15 00:00:00

  • Functional Behavior of NKp46-Positive Intrahepatic Natural Killer Cells Against Hepatitis C Virus Reinfection After Liver Transplantation.

    abstract:BACKGROUND:NKp46 expression in natural killer (NK) cells has recently been shown to affect the responsiveness to antiviral treatment in hepatitis C virus (HCV)-infected patients. However, the density of NKp46 on intrahepatic NK cells is remarkably higher than that on peripherally circulating NK cells, whereas the bioph...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001031

    authors: Tanimine N,Tanaka Y,Abe T,Piao J,Chayama K,Ohdan H

    更新日期:2016-02-01 00:00:00

  • High Intrapatient Variability of Tacrolimus Exposure in the Early Period After Liver Transplantation Is Associated With Poorer Outcomes.

    abstract:BACKGROUND:Tacrolimus (TAC) is the cornerstone of immunosuppressive regimen in liver transplantation (LT). Its pharmacokinetics is characterized by a high interpatient and intrapatient variability (IPV) leading to an unpredictable dose-response relationship. The aim of our study was to evaluate the impact of TAC IPV (I...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002052

    authors: Rayar M,Tron C,Jézéquel C,Beaurepaire JM,Petitcollin A,Houssel-Debry P,Camus C,Verdier MC,Dehlawi A,Lakéhal M,Desfourneaux V,Meunier B,Sulpice L,Bellissant E,Boudjema K,Lemaitre F

    更新日期:2018-03-01 00:00:00

  • Basic anatomical and physiological differences between species should be considered when choosing combinations for use in models of hepatic xenotransplantation: an investigation of the guinea pig-to-rat combination.

    abstract::Published data on the guinea pig-to-rat hepatic xenotransplant model describe problems concerning poor graft reperfusion. To further investigate this phenomenon, orthotopic liver xenotransplantation between weight-matched guinea pigs and rats were performed using Kamada's technique. On reperfusion, all cases had porta...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199807150-00017

    authors: Delriviere LD,Havaux X,Gibbs P,Gianello PR

    更新日期:1998-07-15 00:00:00

  • Heart rate after cardiac transplantation-lessons from the tortoise and the shrew.

    abstract::There is a striking consistency in the total number of heart beats accrued over a lifetime across a range of animal species despite vast differences in size. Moreover, an inverse relationship is observed between heart rate and lifespan, leading to speculation that elevated heart rate could significantly affect longevi...

    journal_title:Transplantation

    pub_type: 社论,评审

    doi:10.1097/TP.0b013e31826bc42a

    authors: Critchley WR,Yonan N,Shaw SM,Fildes JE

    更新日期:2013-01-27 00:00:00

  • Extensively drug-resistant Pseudomonas aeruginosa bacteremia in solid organ transplant recipients.

    abstract:BACKGROUND:We sought to determine the risk factors, molecular epidemiology, antibiotic therapy, and outcomes of bacteremia because of extensively drug-resistant (XDR) Pseudomonas aeruginosa in solid organ transplant (SOT) recipients. METHODS:All episodes of bacteremia occurring in SOT recipients were prospectively doc...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000366

    authors: Bodro M,Sabé N,Tubau F,Lladó L,Baliellas C,González-Costello J,Cruzado JM,Carratalà J

    更新日期:2015-03-01 00:00:00

  • Differential regulation of the nuclear factor-κB pathway by rabbit antithymocyte globulins in kidney transplantation.

    abstract:BACKGROUND:Induction therapy is associated with excellent short-term kidney graft outcome. The aim of this study was to evaluate differences in the intragraft transcriptome after successful induction therapy using two rabbit antithymocyte globulins. METHODS:The expression of 376 target genes involved in tolerance, inf...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31824491aa

    authors: Urbanova M,Brabcova I,Girmanova E,Zelezny F,Viklicky O

    更新日期:2012-03-27 00:00:00

  • Association of polymorphisms of interleukin-8, CXCR1, CXCR2, and selectin with allograft outcomes in kidney transplantation.

    abstract:BACKGROUND:Both chemokines and adhesion molecules mediate allograft rejection by recruiting leukocytes into the allograft. We investigated the association of six single nucleotide polymorphisms (SNPs) located in interleukin (IL)-8, CXCR1, CXCR2, and selectin with kidney allograft outcomes. METHODS:The promoter regions...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/tp.0b013e3181fd0195

    authors: Ro H,Hwang YH,Kim H,Jeong JC,Lee H,Doh YS,Park HC,Oh KH,Park MH,Ha J,Yang J,Ahn C

    更新日期:2011-01-15 00:00:00

  • Respiratory complications: a major concern after right hepatectomy in living liver donors.

    abstract:BACKGROUND:One of the main concerns after living donor liver transplantation is the risk of morbidity and/or mortality that it imposes on the donors. Respiratory postoperative complications in living liver donors have already been reported but their frequency seems to be underestimated. We designed a prospective study ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000191624.70135.35

    authors: Dondero F,Taillé C,Mal H,Sommacale D,Sauvanet A,Farges O,Francoz C,Durand F,Delefosse D,Denninger MH,Vilgrain V,Marrash-Chahla R,Fournier M,Belghiti J

    更新日期:2006-01-27 00:00:00

  • Evidence that macrophages are required for T-cell infiltration and rejection of fetal pig pancreas xenografts in nonobese diabetic mice.

    abstract:BACKGROUND:Host macrophages are abundant within fetal pig pancreas xenografts undergoing rejection, but their role is unknown. Therefore, we examined the effect of host macrophage depletion on xenograft rejection. METHODS:Nonobese diabetic (NOD) mice were given clodronate-loaded liposomes intravenously to deplete macr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199812150-00002

    authors: Fox A,Koulmanda M,Mandel TE,van Rooijen N,Harrison LC

    更新日期:1998-12-15 00:00:00

  • High prevalence of GB virus-C/hepatitis G virus infection in liver transplant recipients.

    abstract:BACKGROUND:To determine the prevalence of GB virus-C/hepatitis G virus (GBV-C/HGV) infection in liver transplant recipients transplanted for non-hepatitis C virus indications, 44 patients transplanted for cryptogenic, autoimmune, hepatitis B, or cholestatic liver disease and 91 non-liver transplantation (LT) patients w...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199706150-00028

    authors: Dickson RC,Qian KP,Lau JY

    更新日期:1997-06-15 00:00:00

  • Ethnically diverse populations and their participation in living kidney donation programs.

    abstract:BACKGROUND:The number of living donor kidney transplantations increases steeply in Europeans, whereas the non-Europeans are dependent on deceased donor transplantations. We wondered whether a low attendance or a high decline of potential non-European donors could explain this difference. METHODS:This retrospective stu...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181d84ca7

    authors: Roodnat JI,van de Wetering J,Zuidema W,van Noord MA,Kal-van Gestel JA,Ijzermans JN,Weimar W

    更新日期:2010-05-27 00:00:00

  • Advances in small-intestine transplantation.

    abstract::Intestinal transplantation has become the treatment of choice for patients who are experiencing life-threatening complications of intestinal failure. Early attempts with intestinal transplantation were unsuccessful as a consequence of both technical and immunologic failures. The introduction of tacrolimus provided the...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.tp.0000126931.23349.15

    authors: Langnas AN

    更新日期:2004-05-15 00:00:00

  • Graft-versus-host reactions within the thyroid gland may evoke pari passu autoimmune thyroiditis.

    abstract::Unilateral, intraorganal injection of parental lymph node cells into thyroid lobes of F1 hybrid rats elicited an intense, local graft-versus-host reaction within the injected lobes containing massive numbers of lymphocytes. Surprisingly, significant mononuclear cell infiltration was also seen within the contralateral ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197805000-00003

    authors: Konetzki WS,Streilein JW

    更新日期:1978-05-01 00:00:00

  • Liver transplantation using an organ donor with HELLP syndrome.

    abstract:BACKGROUND:The shortage of organs for liver transplantation has forced transplant centers to expand the donor pool by using donors traditionally labeled as marginal. One such example is liver transplantation using a donor with HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets), a disorder of late pre...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000101510.01404.F0

    authors: Briceno PJ,Ortiz JA,Manzarbeitia C,Jeon H,Munoz SJ,Rothstein KD,Araya V,Gala I,Reich DJ

    更新日期:2004-01-15 00:00:00

  • Role of polymorphic Fc receptor Fc gammaRIIa in cytokine release and adverse effects of murine IgG1 anti-CD3/T cell receptor antibody (WT31).

    abstract::Anti-CD3 monoclonal antibody (mAb) OKT3 is immunosuppressive, but causes severe adverse effects during the first administration ("first-dose reaction"). These adverse effects are presumably caused by cytokine release that results from T-cell activation. In vitro, T-cell activation by anti-CD3 mAb requires interaction ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199701150-00020

    authors: Tax WJ,Tamboer WP,Jacobs CW,Frenken LA,Koene RA

    更新日期:1997-01-15 00:00:00

  • Evidence for the involvement of host-derived OKT8-positive T cells in the rejection of T-depleted, HLA-identical bone marrow grafts.

    abstract::The recent introduction of a variety of techniques for removing T cells from bone marrow grafts has reduced the incidence of graft-versus-host disease (GVHD)-associated morbidity and mortality. Whether this advance will be translated into improved patient survival is unclear at present, mainly because these procedures...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198704000-00009

    authors: Bunjes D,Heit W,Arnold R,Schmeiser T,Wiesneth M,Carbonell F,Porzsolt F,Raghavachar A,Heimpel H

    更新日期:1987-04-01 00:00:00

  • Effects of steroid hormones on phytohemagglutinin-stimulated human peripheral blood lymphocytes.

    abstract::The interactions of steroid hormones and human peripheral blood lymphocytes (PBLs) have been investigated following glass-wool column separation of PBLs and incubation in a serum-free medium in the presence of phytohemagglutinin (PHA). Addition of hydrocortisone or progesterone above physiological concentrations resul...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197905000-00004

    authors: Neifeld JP,Tormey DC

    更新日期:1979-05-01 00:00:00

  • Prevention of graft-versus-host disease following small bowel transplantation with polyclonal and monoclonal antilymphocyte serum. The effect of timing and route of administration.

    abstract::Graft-versus-host disease is a potential problem following small bowel transplantation. We have previously shown that a two-day intraperitoneal course of polyclonal antilymphocyte serum completely prevents GVHD without impairing allograft function in a unidirectional rat small bowel transplant model. In the present st...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199112000-00002

    authors: Shaffer D,Ubhi CS,Simpson MA,Gottschalk R,Milford EL,Maki T,Monaco AP

    更新日期:1991-12-01 00:00:00

  • The enhancing and sensitizing effects of donor blood components, including dendritic cells, in a rat renal allograft model.

    abstract::In the DA-to-Lewis renal allograft model, donor whole blood enhanced renal allograft survival (14.5 +/- 7.6 days versus 6.9 +/- 0.6 days in controls [P less than 0.01]). The effect of individual cell components given in numbers equivalent to those present in the enhancing volumes of donor whole blood was studied. Immu...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198409000-00003

    authors: El-Malik F,Malik ST,Varghese Z,Sweny P,Moorhead JF

    更新日期:1984-09-01 00:00:00

  • Impact of simultaneous pancreas and kidney transplantation on cardiovascular risk factors in patients with type 1 diabetes mellitus.

    abstract::We retrospectively investigated the impact of pancreas transplantation on cardiovascular disease risk factors in patients with type 1 diabetic end-stage renal disease (ESRD). Two cohorts of patients, 44 simultaneous pancreas and kidney transplant patients (SPK) and 30 kidney transplant-alone patients (KTA), were inclu...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000270617.43811.af

    authors: Luan FL,Miles CD,Cibrik DM,Ojo AO

    更新日期:2007-08-27 00:00:00

  • Postirradiation recovery of lymphoid cells in the rat.

    abstract::Whole-body irradiation has been extensively used to ablate immune responsiveness in rodent recipients in adoptive allograft assays. This study was undertaken to determine the relative radioresistance and the tempo of regeneration, following whole-body irradiation, of cells involved in the allograft response. Six disti...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198809000-00018

    authors: Farnsworth A,Wotherspoon JS,Dorsch SE

    更新日期:1988-09-01 00:00:00

  • The effect of cyclosporine on agonist-stimulated glomerular and mesangial cell vasodilatory prostaglandin production.

    abstract::Cyclosporine A administration produces an increase in renal vascular resistance and a decrease in glomerular filtration rate in both human and animal models. CsA usage in humans has also been shown to alter the ability of the kidney to adapt to alterations in renal hemodynamics. CsA alters the production of prostaglan...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199110000-00025

    authors: Bunke M,Wilder L,Martin A

    更新日期:1991-10-01 00:00:00

  • Investigation of the potential use of immunosuppressive agent gliotoxin in organ transplantation.

    abstract::Gliotoxin is an immunosuppressive secondary metabolite produced by several pathogenic fungi. It has previously been shown to prevent graft-versus-host disease in transplantation of allogeneic mouse bone marrow and to reduce the immunogenicity of human fetal pancreas. We here report on the effect of gliotoxin on the pr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Sutton P,Moreland A,Hutchinson IV,Müllbacher A

    更新日期:1995-11-15 00:00:00

  • Analysis of peripheral blood lymphocyte populations and immune function from children exposed to cyclosporine or to azathioprine in utero.

    abstract::We have analyzed PBL from 7 children exposed to CsA in utero and 4 children exposed to AZA in utero. Expression of CD3, CD4, CD8, and CD20 were normal for both groups of children; however, significant differences were detected in the expression of CD45RA, CD45R0, and CD29. While CsA-exposed children had higher density...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199401000-00021

    authors: Pilarski LM,Yacyshyn BR,Lazarovits AI

    更新日期:1994-01-01 00:00:00