Randomized trial to evaluate the clinical benefits of serum alpha-glutathione S-transferase concentration monitoring after liver transplantation.

Abstract:

BACKGROUND:An increase in serum alpha-glutathione S-transferase concentration (GST) has been shown to be a more sensitive and specific marker of hepatocellular damage than equivalent increases in transaminase activities. A randomized clinical trial of 60 liver transplants in 49 patients was carried out to assess the clinical benefits of GST monitoring as a supplementary test to routine liver function tests during the first 3 postoperative months after liver transplantation. METHODS:Mortality and morbidity were compared in graft recipients who had their GST reported daily to the ward (reporting group) and graft recipients who did not. RESULTS:The 3-month survival rate was significantly greater in the reporting group (P=0.033) and the risk of graft loss was halved (relative hazard ratio=0.50; P=0.29). The reporting group also had significantly more patients who spent less than 3 weeks in the hospital throughout the follow-up period (P=0.036). In addition, the reporting group experienced a lower frequency of biopsies per graft (P=0.038), less severe rejection (P=0.015), and a lower incidence of infection episodes per graft (P=0.03). GST increased by >50% above the upper limit of the reference range at a median of 1 day before the equivalent change in alanine transaminase in association with allograft rejection in the combined groups (95% confidence interval=1 to 2 days) but was lower on the day of diagnosis of rejection in the reporting group (P=0.02). This is compatible with the earlier diagnosis of rejection in the reporting group. CONCLUSIONS:We conclude that the monitoring of GST may improve patient care, reducing both mortality and morbidity.

journal_name

Transplantation

journal_title

Transplantation

authors

Hughes VF,Trull AK,Gimson A,Friend PJ,Jamieson N,Duncan A,Wight DG,Prevost AT,Alexander GJ

doi

10.1097/00007890-199711270-00013

subject

Has Abstract

pub_date

1997-11-27 00:00:00

pages

1446-52

issue

10

eissn

0041-1337

issn

1534-6080

journal_volume

64

pub_type

临床试验,杂志文章,随机对照试验
  • Genetic analysis of reactivities of allospecific monoclonal antibodies to rat histocompatibility antigens.

    abstract::The reactions of a number of LEW anti-ACI allospecific rat monoclonal antibodies were examined in a series of breeding studies. Analysis of (LEW X ACI) F2 progeny demonstrated concordance of the monoclonal class I and class II specificities with results of conventional alloantisera typing. In addition, a "gene dosage"...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Fuks A,Guttmann RD

    更新日期:1983-11-01 00:00:00

  • Incidence and risk factors of glucose metabolism disorders in kidney transplant recipients: role of systematic screening by oral glucose tolerance test.

    abstract:BACKGROUND:New-onset diabetes after transplantation (NODAT) increases infectious and cardiovascular complications and reduces patient and graft survival. We assessed the incidence and the risk factors for glucose metabolism abnormalities before and after kidney transplantation using an oral glucose tolerance test (OGTT...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31820f0877

    authors: Caillard S,Eprinchard L,Perrin P,Braun L,Heibel F,Moreau F,Kessler L,Moulin B

    更新日期:2011-04-15 00:00:00

  • Pretransplant immunologic risk assessment of kidney transplant recipients with donor-specific anti-human leukocyte antigen antibodies.

    abstract:BACKGROUND:Patients with pretransplantation strong donor-specific anti-human leukocyte antigen (HLA) antibodies (DSA) are at higher risk for rejection. We aimed to study the safety of kidney transplantation in patients with lower strength DSAs in a prospective cohort study. METHODS:Three hundred and seventy-three cons...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000191

    authors: Marfo K,Ajaimy M,Colovai A,Kayler L,Greenstein S,Lubetzky M,Gupta A,Kamal L,de Boccardo G,Masiakos P,Kinkhabwala M,Akalin E

    更新日期:2014-11-27 00:00:00

  • Cytokine gene polymorphism and heart transplant rejection.

    abstract:BACKGROUND:Allograft rejection is mediated by cytokines. As polymorphism in cytokine genes can result in interindividual differences in cytokine production, we hypothesize that some patients may have an increased risk of rejection. METHODS:We have related polymorphisms that influence cytokine production in the tumor n...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199709150-00021

    authors: Turner D,Grant SC,Yonan N,Sheldon S,Dyer PA,Sinnott PJ,Hutchinson IV

    更新日期:1997-09-15 00:00:00

  • The isolated perfused rat spleen. An original method for studying the function of hepatocytes transplanted into the spleen.

    abstract::The aim of this study was to assess directly the function of isolated hepatocytes 1 year after transplantation into the spleen, using an original model of isolated rat-spleen perfusion. Three specific liver functions, albumin synthesis, indocyanine-green clearance, and antipyrine oxidation, were studied. Five x 10(6) ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Panis Y,Puts JP,Ballet F,Penin E,Delelo R,Verthier N,Nordlinger B

    更新日期:1990-04-01 00:00:00

  • Safety of anti-hepatitis B core antibody-positive donors for living-donor liver transplantation.

    abstract::Serologic evidence of resolved hepatitis B virus (HBV) infection (HBV surface antigen negative, anti-HBV core antibody [HBc] positive) in a liver donor can be regarded as an occult infection with episomal HBV in the liver. The purpose of this study was to evaluate the safety of anti-HBc-positive living donors. Between...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000047030.38665.0D

    authors: Hwang S,Moon DB,Lee SG,Park KM,Kim KH,Ahn CS,Lee YJ,Chu CW,Yang HS,Cho SH,Oh KB,Ha TY,Min PC

    更新日期:2003-02-15 00:00:00

  • Lymphocytic bronchitis unrelated to acute graft-versus-host disease in canine marrow graft recipients.

    abstract::We reviewed coded autopsy material from 71 dogs, 46 receiving allogeneic and 25 receiving autologous bone marrow transplants, to evaluate the hypothesis that lymphocytic bronchitis is associated with severe acute graft-versus-host disease (GVHD). We found no significant correlation between the presence of lymphocytic ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198403000-00003

    authors: O'Brien KD,Hackman RC,Sale GE,Prentice R,Deeg J,Thomas ED,Storb R

    更新日期:1984-03-01 00:00:00

  • The roles of T helper type 17/regulatory T cells in acute rejection after liver transplantation in rats.

    abstract:BACKGROUND:Liver transplantation is a widely accepted treatment for end-stage liver disease. The aim of our study was to investigate the imbalance between T helper type 17 (Th17) and CD4(+) CD25(+) Foxp3(+) regulatory T (Treg) cells during hepatic allograft rejection in a rodent grafts model because their roles in live...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000666

    authors: Zhou Y,Yang X,Zhang H,Jiang J

    更新日期:2015-06-01 00:00:00

  • Improving the prediction of donor kidney quality: deceased donor score and resistive indices.

    abstract:BACKGROUND:The deceased donor score (DDS), expanded criteria donor (ECD) definition, and resistive index (RI) were developed for pretransplant evaluation of donors. DDS and ECD are determined by a calculation of risk from donor variables, while RI is determined from flow characteristics of kidneys during machine preser...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000173798.04043.af

    authors: Nyberg SL,Baskin-Bey ES,Kremers W,Prieto M,Henry ML,Stegall MD

    更新日期:2005-10-15 00:00:00

  • Guillain-Barre syndrome in organ and bone marrow transplant patients.

    abstract:BACKGROUND:Guillain-Barre Syndrome (GBS) is believed to be caused by autoimmune mechanisms that are predominantly T-cell mediated. We report GBS in organ transplant patients and bone marrow transplant patients, both of whom have iatrogenically suppressed T-cell function. METHODS:We reviewed the Duke University Medical...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200104270-00026

    authors: Bulsara KR,Baron PW,Tuttle-Newhall JE,Clavien PA,Morgenlander J

    更新日期:2001-04-27 00:00:00

  • The results of reduced-size liver transplantation, including split livers, in patients with end-stage liver disease.

    abstract::We initiated a policy of using RSLT in critically ill patients in June of 1988. Since that time we have performed 30 RSLTs in 29 patients, including 28 children and 1 adult. The mean age of the children was 27 months (range 1 month to 10 years) with 14 (52%) being 1 year of age or less. The mean weight was 11.3 kg (ra...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199202010-00023

    authors: Langnas AN,Marujo WC,Inagaki M,Stratta RJ,Wood RP,Shaw BW Jr

    更新日期:1992-02-01 00:00:00

  • ABO compatibility and acute graft-versus-host disease following allogeneic bone marrow transplantation.

    abstract::If ABO antigens/antibodies play any role in the pathogenesis of acute graft-versus-host disease (GVHD), one would expect the highest incidence of GVHD in recipients of minor ABO-mismatched grafts, followed by ABO-matched grafts, and the lowest incidence in major ABO-mismatched transplants. To test this hypothesis 174 ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198806000-00018

    authors: Bacigalupo A,Van Lint MT,Occhini D,Margiocco M,Ferrari G,Pittaluga PA,Frassoni F,Peralvo J,Lercari G,Carubia F

    更新日期:1988-06-01 00:00:00

  • Massive pseudolymphomatous pericardial effusion in the posttransplant setting mimicking posttransplant lymphoproliferative disease.

    abstract::We report an unusual case of massive pseudolymphomatous pericardial effusion in a cardiac transplant recipient. The near-coincidental development of the lymphocytic effusion and an EBV-associated tonsillar lymphoproliferative disorder suggested that the effusion was a manifestation of a posttransplant B cell lymphopro...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199606270-00020

    authors: Hudnall SD,Melez K,Galindo A,Bryson Y

    更新日期:1996-06-27 00:00:00

  • Suppressor T cells in rats with prolonged cardiac allograft survival after treatment with cyclosporine.

    abstract::DA rats treated with cyclosporine for 2 weeks after being grafted with an RT1-incompatible PVG heart graft did not reject the graft and developed a state of specific unresponsiveness to graft antigens. The cellular mechanisms maintaining this state of unresponsiveness were studied by testing the capacity of lymphocyte...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198406000-00014

    authors: Hall BM,Jelbart ME,Dorsch SE

    更新日期:1984-06-01 00:00:00

  • Long-term lung preservation with the PAF antagonist BN 52021.

    abstract::Platelet activating factor (PAF, 1-alkyl-2(R)-acetyl-glycero-3- phosphorylcholine) is a phospholipid that is released by a variety of cells. The similarity between the pathophysiological effects of PAF and posttransplant pulmonary dysfunction led to an evaluation of a PAF antagonist as an adjunct to lung preservation....

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199106000-00002

    authors: Conte JV Jr,Katz NM,Wallace RB,Foegh ML

    更新日期:1991-06-01 00:00:00

  • Urine cytologic profile in renal allograft recipients determined by monoclonal antibodies. Diagnosis of allograft rejection.

    abstract::Controversy exists as to the type of cells present in the urine during renal allograft rejection. In order to resolve this controversy as well as to evaluate the value of urine sediment examination as a means of detecting AR, we quantitated the different cells present in urine during AR using an immunoperoxidase techn...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198903000-00017

    authors: Segasothy M,Birch DF,Fairley KF,Kincaid-Smith P

    更新日期:1989-03-01 00:00:00

  • Race, Risk, and Willingness of End-Stage Renal Disease Patients Without Hepatitis C Virus to Accept an HCV-Infected Kidney Transplant.

    abstract:BACKGROUND:Despite effective antiviral treatment, hundreds of kidneys from deceased donors with hepatitis C virus (HCV) are discarded annually. Little is known about the determinants of willingness to accept HCV-infected kidneys among HCV-negative patients. METHODS:At 2 centers, 189 patients undergoing initial or reev...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002099

    authors: McCauley M,Mussell A,Goldberg D,Sawinski D,Molina RN,Tomlin R,Doshi SD,Abt P,Bloom R,Blumberg E,Kulkarni S,Esnaola G,Shults J,Thiessen C,Reese PP

    更新日期:2018-04-01 00:00:00

  • Islet filtration: a simple and rapid new purification procedure that avoids ficoll and improves islet mass and function.

    abstract::Islet isolation is a time-consuming process. Islet yields vary, and previous in vitro studies suggest that Ficoll may be an islet toxin. Here, we describe an alternative, Ficoll-free method to purify murine islets by filtration through a cell strainer. Collagenase digestion of pancreata was carried out using standard ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200209270-00023

    authors: Salvalaggio PR,Deng S,Ariyan CE,Millet I,Zawalich WS,Basadonna GP,Rothstein DM

    更新日期:2002-09-27 00:00:00

  • Living-donor liver transplantation: 12 years of experience in Asia.

    abstract::Living-donor liver transplantation has provided a solution to the severe lack of cadaveric grafts for the replacement of livers afflicted with end-stage cirrhosis, fulminant disease, or inborn errors of metabolism. The pioneering experience in Japan in the early 1990s helped open wide the avenues of a new branch of sc...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.TP.0000046533.93621.C7

    authors: Chen CL,Fan ST,Lee SG,Makuuchi M,Tanaka K

    更新日期:2003-02-15 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

  • Lymphoma in cardiac allotransplant recipients. Clinical and histological features and immunological phenotype.

    abstract::To characterize further lymphomas which arise in chronically immunosuppressed allotransplant patients, we studied the clinical and histological features of seven cases of nonHodgkin's lymphoma and determined the immunological phenotype in four cases, which developed in a series of 182 patients who underwent cardiac tr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198204000-00002

    authors: Weintraub J,Warnke RA

    更新日期:1982-04-01 00:00:00

  • Interstitial pneumonitis and lymphocytic bronchiolitis/bronchitis as a direct result of acute lethal graft-versus-host disease duplicate the histopathology of lung allograft rejection.

    abstract::Pulmonary complications are often lethal components of acute graft-vs.-host disease (GVHD). Although interstitial pneumonitis and lymphocytic bronchitis have been implicated as elements of acute GVHD, previous studies have not determined a correlation between the onset of these histopathologies or their contribution t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Workman DL,Clancy J Jr

    更新日期:1994-07-27 00:00:00

  • Prospective assessment of bone turnover and clinical bone diseases after allogeneic hematopoietic stem-cell transplantation.

    abstract:BACKGROUND:Bone complications after hematopoietic stem-cell transplantation (HSCT) are relatively frequent. Evaluation of biomarkers of bone turnover and dual energy x-ray absorptiometry (DEXA) are not known in this context. METHODS:We prospectively evaluated bone mineral density, biomarkers of bone turnover, and the ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181d84c8e

    authors: Petropoulou AD,Porcher R,Herr AL,Devergie A,Brentano TF,Ribaud P,Pinto FO,Rocha V,Peffault de Latour R,Orcel P,Socié G,Robin M

    更新日期:2010-06-15 00:00:00

  • Anti-CD20 monoclonal antibody (rituximab) therapy for acute cardiac humoral rejection: a case report.

    abstract::Humoral or antibody-mediated rejection in cardiac transplant recipients is mediated by donor-specific cytotoxic antibodies and is histologically defined by linear deposits of immunoglobulin and complement in the myocardial capillaries. Antibody-mediated rejection often is accompanied by hemodynamic compromise and is a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200203270-00013

    authors: Aranda JM Jr,Scornik JC,Normann SJ,Lottenberg R,Schofield RS,Pauly DF,Miles M,Hill JA,Sleasman JW,Skoda-Smith S

    更新日期:2002-03-27 00:00:00

  • Blood pressure and renal function after kidney donation from hypertensive living donors.

    abstract:BACKGROUND:Rising numbers of patients reaching end-stage kidney disease intensify the demand for expansion of the living-kidney-donor pool. On the basis of low risk in white donors with essential hypertension, our transplant center undertook a structured program of accepting hypertensive donors if kidney function and u...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000128168.97735.b3

    authors: Textor SC,Taler SJ,Driscoll N,Larson TS,Gloor J,Griffin M,Cosio F,Schwab T,Prieto M,Nyberg S,Ishitani M,Stegall M

    更新日期:2004-07-27 00:00:00

  • Antilymphocytic antibodies and bone marrow transplantation. XI. Evidence that reduced Thy-1 expression in Thy-1.1 mice prevents suppression of graft-versus-host disease with anti-Thy-1 monoclonal antibodies.

    abstract::Considerable variations in the suppression of graft-versus-host disease with monoclonal anti-Thy-1 antibodies were found to relate to substantial differences noted in the expression of mouse Thy-1 marker on lymph node and spleen cells of Thy-1.1 (AKR/J, C57BL/6.Thy-1.1) and Thy 1.2 (AKR/Cu, C57BL/6) mice. Thy-1.1 mice...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Mysliwietz J,Thierfelder S,Hoffmann-Fezer G,Kummer U

    更新日期:1990-04-01 00:00:00

  • Humanization of Immunodeficient Animals for the Modeling of Transplantation, Graft Versus Host Disease, and Regenerative Medicine.

    abstract::The humanization of animals is a powerful tool for the exploration of human disease pathogenesis in biomedical research, as well as for the development of therapeutic interventions with enhanced translational potential. Humanized models enable us to overcome biologic differences that exist between humans and other spe...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003177

    authors: Adigbli G,Ménoret S,Cross AR,Hester J,Issa F,Anegon I

    更新日期:2020-11-01 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

  • Serial transplantation resulting in tolerance to an unrelated cord blood graft.

    abstract::Unrelated cord blood (UCB) hematopoietic stem cells were serially transplanted into two human leukocyte antigen (HLA)-identical siblings with T cell, B cell, natural killer cell severe combined immunodeficiency. Brother A received a 4/6-matched, HLA DRbeta1-identical but class I-disparate UCB graft after myeloablative...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000209659.59606.f2

    authors: Goebel WS,Nelson RP Jr,Brahmi Z,Gowan DJ,Towell PJ,Robertson KA,Haut PR

    更新日期:2006-06-15 00:00:00

  • Characterization of human xenoreactive antibodies in liver failure patients exposed to pig hepatocytes after bioartificial liver treatment: an ex vivo model of pig to human xenotransplantation.

    abstract:BACKGROUND:There are limited experimental data on the nature of the humoral response elicited in humans against pig antigens. In this study, we have examined the xenoantibody (XAb) response in eight patients with acute liver failure exposed to pig hepatocytes after treatment with the bioartificial liver (BAL). METHODS...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199901150-00003

    authors: Baquerizo A,Mhoyan A,Kearns-Jonker M,Arnaout WS,Shackleton C,Busuttil RW,Demetriou AA,Cramer DV

    更新日期:1999-01-15 00:00:00