Alpha-glutathione-S-transferase in acute rejection of liver transplant recipients.

Abstract:

BACKGROUND:Alpha-glutathione-S-transferase (alphaGST) has been suggested as a sensitive marker of acute cellular rejection in liver transplantation. This study evaluated the usefulness of alphaGST as a marker of acute rejection in comparison with standard liver function tests. METHODS:Daily measurements of liver function tests and alphaGST (enzyme immunometric assay, Biotrin) were prospectively recorded in 23 consecutive liver transplant recipients up to the time of discharge. Liver biopsies were performed as protocol biopsies or after clinical or biochemical deterioration in liver function, 38 of 56 showed acute rejection. RESULTS:AlphaGST peaked on the second day (median, 125 microg/L; interquartile [IQ] range, 75-321 microg/L) and preceded the alanine transaminase (ALT) peak by 1 day. AlphaGST levels then steadily declined, reaching baseline by day 6, plateauing until day 8. After the initial peak, alphaGST still correlated well with the ALT (median correlation coefficient, 0.6; IQ range, 0.45-0.77) and with bilirubin concentration (median correlation coefficient, 0.47; IQ range, 0.14-0.6). There was no significant difference in alphaGST levels between those with rejection compared with other causes of hepatic dysfunction. The sensitivity and specificity of alphaGST for diagnosing acute rejection was 63.1% and 38.8%, respectively, compared with 97.4% and 16.7% for ALT. In 14 of the 16 patients treated for moderate or severe rejection, the improvement in the histological score of rejection was not associated with a consistent change in the alphaGST. CONCLUSIONS:AlphaGST is not more useful than ALT in diagnosing rejection or determining response to treatment, but is a sensitive marker of liver injury.

journal_name

Transplantation

journal_title

Transplantation

authors

Nagral A,Butler P,Sabin CA,Rolles K,Burroughs AK

doi

10.1097/00007890-199802150-00019

subject

Has Abstract

pub_date

1998-02-15 00:00:00

pages

401-5

issue

3

eissn

0041-1337

issn

1534-6080

journal_volume

65

pub_type

杂志文章
  • Development and Validation of a Multiplex, Bead-based Assay to Detect Antibodies Directed Against SARS-CoV-2 Proteins.

    abstract:BACKGROUND:Transplant recipients who develop COVID-19 may be at increased risk for morbidity and mortality. Determining the status of antibodies against SARS-CoV-2 in both candidates and recipients will be important to understand the epidemiology and clinical course of COVID-19 in this population. While there are multi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003524

    authors: Bray RA,Lee JH,Brescia P,Kumar D,Nong T,Shih R,Woodle ES,Maltzman JS,Gebel HM

    更新日期:2021-01-01 00:00:00

  • Dog leukocyte antigen-haploidentical stem cell allografts after anti-CD44 therapy and nonmyeloablative conditioning in a preclinical canine model.

    abstract:BACKGROUND:We previously described a reduced-intensity hematopoietic cell transplantation (HCT) regimen in dog leukocyte antigen (DLA)-haploidentical littermate recipients consisting of 450 cGy total body irradiation (TBI) and anti-CD44 monoclonal antibody (mAb) S5 before and mycophenolate mofetil (MMF)/cyclosporine (C...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000228908.10775.b0

    authors: Fukuda T,Kerbauy FR,Gooley T,Santos EB,Storb R,Sandmaier BM

    更新日期:2006-08-15 00:00:00

  • Infections in De Novo Kidney Transplant Recipients Treated With the RANKL Inhibitor Denosumab.

    abstract:BACKGROUND:Infections are a major cause of morbidity and mortality in kidney allograft recipients. In this post hoc analysis of a randomized clinical trial which tested the effect of denosumab on bone mineral density, we assessed the impact of this drug on the incidence and severity of infections in the first year afte...

    journal_title:Transplantation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/TP.0000000000001547

    authors: Bonani M,Frey D,de Rougemont O,Mueller NJ,Mueller TF,Graf N,Wüthrich RP

    更新日期:2017-09-01 00:00:00

  • Differentiation of class I- and class II-directed donor-specific alloreactivity in bronchoalveolar lavage lymphocytes from lung transplant recipients.

    abstract::Previous studies have demonstrated that donor antigen-specific primed-lymphocyte-test (PLT) reactivity of bronchoalveolar lavage lymphocytes is strongly associated with acute pulmonary rejection and with obliterative bronchiolitis (OB); however, a systematic analysis of PLT reactivity as being class I-or II-directed h...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199201000-00036

    authors: Reinsmoen NL,Bolman RM,Savik K,Butters K,Hertz M

    更新日期:1992-01-01 00:00:00

  • Superparamagnetic iron oxide particles transactivator protein-fluorescein isothiocyanate particle labeling for in vivo magnetic resonance imaging detection of cell migration: uptake and durability.

    abstract::Conjugation of dextran-coated superparamagnetic iron oxide (SPIO) particles with transactivator protein (Tat)-peptide and fluorescein isothiocyanate (FITC) allows cells to readily uptake SPIO particles. This makes possible high-resolution, real-time imaging of these cells by magnetic resonance imaging (MRI). First, we...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000090164.42732.47

    authors: Kaufman CL,Williams M,Ryle LM,Smith TL,Tanner M,Ho C

    更新日期:2003-10-15 00:00:00

  • Ketorolac-based analgesia improves outcomes for living kidney donors.

    abstract:BACKGROUND:To reduce the morbidity of living kidney donors we introduced ketorolac-based analgesia for patients undergoing open donor nephrectomy in August 1999. There are no prior reports on the use of ketorolac for patients undergoing donor nephrectomy. METHODS:We conducted a retrospective review of all 198 consecut...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200203150-00014

    authors: Freedland SJ,Blanco-Yarosh M,Sun JC,Hale SJ,Elashoff DA,Litwin MS,Smith RB,Rajfer J,Gritsch HA

    更新日期:2002-03-15 00:00:00

  • Cytotoxic and agglutinating H-Y antibodies in multiparous female mice.

    abstract::Pregnancy in inbred mice is associated with long-term accceptance of H-Y-incompatible skin grafts (in some "rejector" strain females) and with the formation of cytotoxic and agglutinating H-Y antibodies (in females generally). Yet there is no evident correlation between the two phenomena; postpartum females of nonreje...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Krupen-Brown K,Wachtel SS

    更新日期:1979-06-01 00:00:00

  • Size reduction of small bowels from adult cadaveric donors to alleviate the scarcity of pediatric size-matched organs: an anatomical and feasibility study.

    abstract:BACKGROUND:Small bowel transplantation in children weighing less than 10 kg is hindered by the lack of size-matched donors. The ability to create reduced size small bowel grafts from adult cadaveric donors suitable for use in young children has been studied. METHODS:Volumetric assessment of computed tomography scans w...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200004150-00031

    authors: Delrivière L,Muiesan P,Marshall M,Davenport M,Dhawan A,Kane P,Karani J,Rela M,Heaton N

    更新日期:2000-04-15 00:00:00

  • Normalization of circadian blood pressure profiles after renal transplantation.

    abstract::Most patients with secondary hypertension due to renal disease or on maintenance hemodialysis have lost the physiologic fall of blood pressure during sleep. To test the notion that kidney transplantation normalizes the blood pressure profile, we monitored ambulatory blood pressure over 24 hr in 45 patients (29 males a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Gatzka CD,Schobel HP,Klingbeil AU,Neumayer HH,Schmieder RE

    更新日期:1995-05-15 00:00:00

  • Photodynamic therapy with motexafin lutetium (Lu-Tex) reduces experimental graft coronary artery disease.

    abstract:BACKGROUND:Motexafin lutetium (Lu-Tex) is a photodynamic therapy (PDT) agent that localizes in atheromatous plaque in which it can be activated by far-red light. Lu-Tex biolocalization was examined in graft coronary artery disease (GCAD) with a rodent allograft model. After photoactivation, the effect on intimal prolif...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200106150-00008

    authors: Yamaguchi A,Woodburn KW,Hayase M,Hoyt G,Robbins RC

    更新日期:2001-06-15 00:00:00

  • Mycobacterium haemophilum infections in bone marrow transplant recipients.

    abstract::The purpose of this study was to describe the clinical presentation, treatment, and outcome of Mycobacterium haemophilum infection in patients undergoing bone marrow transplantation at a cancer center. Bone marrow transplant recipients with M haemophilum infection were identified upon culture of the organism by implem...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: White MH,Papadopoulos EB,Small TN,Kiehn TE,Armstrong D

    更新日期:1995-11-15 00:00:00

  • Natural killer cell- and macrophage mediated discordant guinea pig-->rat xenograft rejection in the absence of complement, xenoantibody and T cell immunity.

    abstract:BACKGROUND:The role of natural killer (NK) cells and macrophages (Møs) in the absence of T cell immunity in discordant xenograft (xg) rejection was investigated. METHODS:Guinea pig hearts were transplanted into athymic nude rats receiving no treatment or antixenoantibody (xAb), anticomplement (C), antinatural killer (...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Xia G,Ji P,Rutgeerts O,Waer M

    更新日期:2000-07-15 00:00:00

  • Bioequivalence of enteric-coated mycophenolate sodium and mycophenolate mofetil: a meta-analysis of three studies in stable renal transplant recipients.

    abstract:BACKGROUND:Mycophenolic acid (MPA) is an inhibitor of lymphocyte proliferation and is well established as an immunosuppressive agent in solid organ transplantation. The initial formulation of the drug was a prodrug formulation, mycophenolate mofetil (MMF, Cellcept), which is well absorbed and rapidly converted to mycop...

    journal_title:Transplantation

    pub_type: 杂志文章,meta分析

    doi:10.1097/01.tp.0000242137.68863.89

    authors: Johnston A,He X,Holt DW

    更新日期:2006-12-15 00:00:00

  • What clinical alternatives to whole liver transplantation? Current status of artificial devices and hepatocyte transplantation.

    abstract::Shortage of organ donors limits the number of possible liver transplantations. Alternative therapies for treatment of liver failure are currently being developed: (i) extracorporeal artificial liver devices; (ii) bioartificial liver devices using hepatocytes; and (iii) hepatocyte transplantation. The objective of thes...

    journal_title:Transplantation

    pub_type: 社论,评审

    doi:10.1097/TP.0b013e3181963ad3

    authors: Sgroi A,Serre-Beinier V,Morel P,Bühler L

    更新日期:2009-02-27 00:00:00

  • Successful clinical islet isolation using a GMP-manufactured collagenase and neutral protease.

    abstract::In 2007, the islet community was notified that the collagenase product most commonly used for human islet isolations contained bovine neural tissue contaminants. To minimize this potential hazard, we adapted our human islet processing procedure to use a GMP-manufactured, bovine neural tissue-free collagenase blend. He...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0b013e3181b443ae

    authors: Szot GL,Lee MR,Tavakol MM,Lang J,Dekovic F,Kerlan RK,Stock PG,Posselt AM

    更新日期:2009-09-27 00:00:00

  • The vascular endothelial cell antigen system.

    abstract::Vascular endothelial cells (VEC) are clearly immunogenic and express antigens unique to vascular endothelial cells. The observation that peripheral blood monocytes also express this VEC antigen system made prospective testing feasible. Preformed antibody to the VEC/monocyte antigen system of the donor usually leads to...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198503000-00016

    authors: Cerilli J,Brasile L,Galouzis T,Lempert N,Clarke J

    更新日期:1985-03-01 00:00:00

  • Outcome of kidney transplant recipients with previous human herpesvirus-8 infection.

    abstract:BACKGROUND:The consequences of a prior human herpesvirus-8 (HHV-8) infection in kidney-transplant recipients are still partially unknown. The aim of this monocentric study was to determine the prevalence of HHV-8-seropositive patients at the time of transplantation and to identify the main clinical events of these HHV-...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200005150-00008

    authors: Francès C,Mouquet C,Marcelin AG,Barete S,Agher R,Charron D,Benalia H,Dupin N,Piette JC,Bitker MO,Calvez V

    更新日期:2000-05-15 00:00:00

  • Predictors of survival following liver transplantation in infants: a single-center analysis of more than 200 cases.

    abstract:BACKGROUND:Infants (<12 months) who require liver transplantation (LTx) represent a particularly challenging and understudied group of patients. METHODS:This retrospective study aimed to describe a large single-center experience of infants who received isolated LTx, illustrate important differences in infants versus o...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181c5cdc1

    authors: Venick RS,Farmer DG,McDiarmid SV,Duffy JP,Gordon SA,Yersiz H,Hong JC,Vargas JH,Ament ME,Busuttil RW

    更新日期:2010-03-15 00:00:00

  • Posttransplant major histocompatibility complex class I chain-related gene A antibodies and long-term graft outcomes in a multicenter cohort of 779 kidney transplant recipients.

    abstract:BACKGROUND:The impact of major histocompatibility class I chain-related A (MICA) antibodies on renal graft outcomes is unclear. The goal of this work was to assess the impact of posttransplant MICA antibodies, assayed at 1 year, with two commercially available kits, on long-term renal graft outcomes. METHODS:We retros...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0b013e31824fd8f1

    authors: Lemy A,Andrien M,Lionet A,Labalette M,Noel C,Hiesse C,Delahousse M,Suberbielle-Boissel C,De Meyer M,Latinne D,Mourad M,Delsaut S,Racapé J,Wissing KM,Toungouz M,Abramowicz D

    更新日期:2012-06-27 00:00:00

  • Relationship between ABO blood group and levels of Gal alpha,3Galactose-reactive human immunoglobulin G.

    abstract:BACKGROUND:The terminal Gal alpha1,3Galactose (alphaGal) determinant is present on all porcine glycoproteins and glycolipids, but is not expressed by human cells. Consequently human sera contain anti-alphaGal natural antibodies. The human blood group B antigen [Gal alpha1,3(Fuc1,2)Galactose] is differentiated from the ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199708150-00032

    authors: McMorrow IM,Comrack CA,Nazarey PP,Sachs DH,DerSimonian H

    更新日期:1997-08-15 00:00:00

  • Survival benefit of cardiopulmonary bypass support in bilateral lung transplantation for emphysema patients.

    abstract:BACKGROUND:This study is designed to examine a possible association of cardiopulmonary bypass (CPB) support and outcome of lung transplantation in a well-balanced group of emphysema patients. METHODS:We performed a retrospective analysis of 62 consecutive primary bilateral lung transplantations for emphysema. Risk fac...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200205270-00017

    authors: de Boer WJ,Hepkema BG,Loef BG,van der Bij W,Verschuuren EA,de Vries HJ,Lems SP,Ebels T

    更新日期:2002-05-27 00:00:00

  • Neutrophil elastase enhances intercellular adhesion molecule-1 expression.

    abstract:BACKGROUND:Elastase released from activated neutrophils is an important mediator of inflammatory tissue damage. We investigated the effect of human neutrophil elastase (NE) inhibitor (ONO-5046) on reperfusion injury after pancreaticoduodenal transplantation in rats by measuring the expression of intercellular adhesion ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199806270-00014

    authors: Yamaguchi Y,Matsumura F,Wang FS,Akizuki E,Liang J,Matsuda T,Okabe K,Ohshiro H,Horiuchi T,Yamada S,Mori K,Ogawa M

    更新日期:1998-06-27 00:00:00

  • Conversion from cyclosporine A to tacrolimus in pediatric kidney transplant recipients with chronic rejection: changes in the immune responses.

    abstract:BACKGROUND:Tacrolimus (Tac) has immunosuppressant properties similar to those of cyclosporine A (CsA), but it is more potent. At present, however, its immunosuppressive activity in renal transplant recipients with ongoing chronic rejection has not been clarified. METHODS:We studied changes in kidney function, mixed ly...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.tp.0000112438.46472.38

    authors: Ferraris JR,Tambutti ML,Cardoni RL,Prigoshin N

    更新日期:2004-02-27 00:00:00

  • Human, nonhuman primate, and rat pancreatic islets express erythropoietin receptors.

    abstract:BACKGROUND:Erythropoietin (EPO) promotes survival in a variety of cells by mediating antiapoptotic signals through the EPO receptor (R). The authors examined pancreatic islets for the presence of EPO-R to determine whether these cells are protected by EPO from cytokine-induced apoptosis. METHODS:Reverse-transcriptase ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000062862.88375.BD

    authors: Fenjves ES,Ochoa MS,Cabrera O,Mendez AJ,Kenyon NS,Inverardi L,Ricordi C

    更新日期:2003-04-27 00:00:00

  • Insulin-heparin infusions peritransplant substantially improve single-donor clinical islet transplant success.

    abstract:BACKGROUND:Successful islet transplantation can result in insulin independence in many patients with type 1 diabetes mellitus, but it often requires more than one islet infusion. The ability to achieve insulin independence with a single donor is an important goal in clinical islet transplantation due to the limited org...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181c478fd

    authors: Koh A,Senior P,Salam A,Kin T,Imes S,Dinyari P,Malcolm A,Toso C,Nilsson B,Korsgren O,Shapiro AM

    更新日期:2010-02-27 00:00:00

  • Possible involvement of the central nervous system in graft rejection.

    abstract::Electrolytic lesions were produced in the tuberal hypothalamus and amygdala of male Fischer and female BNLF1 rats, and in male Fischer and female BNLF1 rats that had received antecedent hypophysectomies. Skin grafts from Lewis rats survived less well on tuberal-lesioned male Fischer rats than similar grafts on sham-op...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197904000-00002

    authors: Dann JA,Wachtel SS,Rubin AL

    更新日期:1979-04-01 00:00:00

  • Ontogeny of immunoglobulins in bone marrow-transplanted individuals. An analysis of serum and salivary levels.

    abstract::Unstimulated whole saliva and serum samples were collected from ten allogeneic bone marrow transplant recipients before and after bone marrow transplantation, seven donors, and from twenty healthy individuals. Two patterns with regard to salivary IgA were found after transplantation. In five patients, a short-lasting ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198811000-00016

    authors: Norhagen-Engström G,Hammarström L,Lönnqvist B,Söder PO,Smith CI

    更新日期:1988-11-01 00:00:00

  • Urinary and pancreatic juice neopterin excretion after combined pancreas-kidney transplantation.

    abstract::The aim of this study was to investigate excretion of urinary and pancreatic juice neopterin in patients after combined pancreas-kidney transplantation and to relate it to the clinical course. The study design was a prospective observation study. Thirty consecutive patients with end-stage diabetic disease received a s...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199204000-00020

    authors: Tilg H,Königsrainer A,Krausler R,Aulitzky WE,Margreiter R,Reibnegger G,Wachter H,Huber C

    更新日期:1992-04-01 00:00:00

  • IgA class antibodies and flow cytometric cross-matching in renal transplantation.

    abstract:BACKGROUND:The established method of pretransplant cross-matching does not detect IgA antibodies, and IgA antibodies have thus been ignored when assessing patients for transplantation. The aim of this study was to detect IgA allo- and autoreactive antibodies using flow cytometry and to correlate the results with transp...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199901270-00022

    authors: Doran TJ,Süsal C,Opelz G,Geczy AF

    更新日期:1999-01-27 00:00:00

  • The extent and predictors of waiting time geographic disparity in kidney transplantation in the United States.

    abstract:BACKGROUND:Waiting time to deceased donor kidney transplant varies greatly across the United States. This variation violates the final rule, a federal mandate, which demands geographic equity in organ allocation for transplantation. METHODS:Retrospective analysis of the United States Renal Data System and United Netwo...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.tp.0000438623.89310.dc

    authors: Davis AE,Mehrotra S,McElroy LM,Friedewald JJ,Skaro AI,Lapin B,Kang R,Holl JL,Abecassis MM,Ladner DP

    更新日期:2014-05-27 00:00:00