Evolving aspects of liver transplantation for nonalcoholic steatohepatitis.

Abstract:

PURPOSE OF REVIEW:Nonalcoholic steatohepatitis (NASH), obesity, and the metabolic syndrome are highly prevalent. NASH, a rare indication for liver transplantation in the early 1990s, is now the third most common indication. This review considers key aspects of the liver transplantation for NASH. RECENT FINDINGS:NASH is one consequence of obesity, almost always occurring in the context of metabolic syndrome and oxidative stress. Recurrence of NASH can be severe. The components of metabolic syndrome are often exacerbated following liver transplantation by factors such as immunosuppression, and are important predictors of patient morbidity and mortality. Many aspects of the metabolic syndrome are modifiable. The roles bariatric surgery, nutritional and pharmacotherapy of NASH, and the impact of established and new immunosuppressive agents have recently evolved. SUMMARY:A nuanced approach is needed in management of obesity, metabolic syndrome, and immunosuppression in liver transplant recipients.

authors

Charlton M

doi

10.1097/MOT.0b013e3283615d30

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

251-8

issue

3

eissn

1087-2418

issn

1531-7013

journal_volume

18

pub_type

杂志文章,评审
  • The need for a living donor wellness program.

    abstract:PURPOSE OF REVIEW:Living donation has a tremendous impact in bridging the gap between the shortage of organs and the growing list of transplant candidates but remains underutilized as a percentage of total transplants performed. This review focuses on obesity and social determinants of health as potential barriers to t...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000779

    authors: Kim J,Kim S,Genyk Y,Maw TT

    更新日期:2020-08-01 00:00:00

  • Beyond ABO and human histocompatibility antigen: other histocompatibility antigens with a role in transplantation.

    abstract:PURPOSE OF REVIEW:In the past few years, there has been an increasing interest in nonhuman histocompatibility antigens as targets of injury in organ-transplant recipients. This increased interest has been spurred by the fact that human-histocompatibility-antigen-identical kidney transplants also undergo immunological r...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e328307ebd7

    authors: Sumitran-Holgersson S

    更新日期:2008-08-01 00:00:00

  • High infectious risk donors: what are the risks and when are they too high?

    abstract:PURPOSE OF REVIEW:High infectious risk donors (HRDs) fall into a behavioral category thought to increase risk of infectious transmission through transplantation; despite controversy surrounding their use, they comprise almost 9% of donors in which at least one organ is recovered. This review seeks to describe national ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e3283449dd3

    authors: Kucirka LM,Singer AL,Segev DL

    更新日期:2011-04-01 00:00:00

  • Renal function in the long term after pediatric liver transplantation: is there a need for protocol kidney biopsies?

    abstract:PURPOSE OF REVIEW:With improving survival rates following solid organ transplantation, assessment of its success has broadened with a focus on long-term outcomes, including nongraft-related medical outcomes and family and patient perceptions of quality of life. Posttransplant renal dysfunction contributes to long-term ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32833da439

    authors: Campbell KM,Bucuvalas JC

    更新日期:2010-10-01 00:00:00

  • Travel and transplantation: travel-related diseases in transplant recipients.

    abstract:PURPOSE OF REVIEW:Travel-related diseases may be seen in transplant recipients after travel, after transplant tourism, and via transmission from blood and organ donors, augmented by recent increases in travel, migration, and globalization. Such infections include tuberculosis, Plasmodium (malaria), Babesia, Trypanosoma...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e328359266b

    authors: Kotton CN

    更新日期:2012-12-01 00:00:00

  • Belatacept in kidney transplantation.

    abstract:PURPOSE OF REVIEW:In June 2011 the US Food and Drug Administration approved belatacept (Nulojix; Bristol-Myers Squibb, Princeton, New Jersey, USA) for the prophylaxis of organ rejection in adult kidney transplant recipients. This review will discuss the use of belatacept for the prevention of acute rejection as part of...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32835a4c0d

    authors: Wojciechowski D,Vincenti F

    更新日期:2012-12-01 00:00:00

  • Stimulatory and inhibitory receptor interactions in xenotransplantation.

    abstract:PURPOSE OF REVIEW:Cellular human antipig immune responses are increasingly recognized as an important barrier to successful clinical xenotransplantation. This review addresses the role of monocytes/macrophages, natural killer (NK) cells, and T cells in xenograft rejection. We focus on the receptor-ligand interactions t...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e328336b8e5

    authors: Plege A,Schwinzer R

    更新日期:2010-04-01 00:00:00

  • Tolerance to noninherited maternal antigens in mice and humans.

    abstract:PURPOSE OF REVIEW:Exposure to noninherited maternal antigens (NIMAs) in fetal and neonatal life has life-long immunological consequences. Although there is a plethora of evidence of effects of mother on the immune responses of her offspring, there is very little knowledge available on how exposure to NIMA can result in...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32832d6683

    authors: Dutta P,Burlingham WJ

    更新日期:2009-08-01 00:00:00

  • Prevention and treatment of coronary artery vasculopathy.

    abstract:PURPOSE OF REVIEW:Cardiac allograft vasculopathy (CAV) is still one of the major causes of death following heart transplantation. Here, we review the recent advances in its prevention and treatment. RECENT FINDINGS:Preventive measures comprise control of classical risk factors, prophylaxis against cytomegalovirus, avo...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e3283577fd9

    authors: Crespo-Leiro MG,Marzoa-Rivas R,Barge-Caballero E,Paniagua-Martín MJ

    更新日期:2012-10-01 00:00:00

  • Trends in immunosuppression after pancreas transplantation: what is in the pipeline?

    abstract:PURPOSE OF REVIEW:To provide an overview of currently available immunosuppressive strategies and novel therapeutic developments in pancreas transplantation. RECENT FINDINGS:From 1966 through 2012 more than 30 000 pancreas transplantations have been performed around the world with excellent patient and graft survival. ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32835c6eda

    authors: Kimelman M,Brandacher G

    更新日期:2013-02-01 00:00:00

  • Total pancreatectomy with islet autotransplantation: recent updates and outcomes.

    abstract:PURPOSE OF REVIEW:Total pancreatectomy with islet autotransplantation (TPIAT) is a reliable therapy to retain endocrine function, to alleviate pain and improve quality of life in adult and pediatric patients suffering from refractory chronic pancreatitis and recurrent acute pancreatitis. Recently, an expansion of indic...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000451

    authors: Shindo Y,Kanak MA

    更新日期:2017-10-01 00:00:00

  • Antibody-mediated rejection of the cardiac allograft: where do we stand in 2012?

    abstract:PURPOSE OF REVIEW:The review will discuss the current pathological criteria for the diagnosis and classification of antibody-mediated rejection (AMR) in the cardiac allograft. RECENT FINDINGS:Until recently, the diagnosis of AMR required clinical dysfunction, presence of donor specific antibodies and pathological alte...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e328353660f

    authors: Berry GJ

    更新日期:2012-06-01 00:00:00

  • Microchimerism: tolerance vs. sensitization.

    abstract:PURPOSE OF REVIEW:The bidirectional exchange of cells, both mature and progenitor types, at the maternal-fetal interface is a common feature of mammalian reproduction. The presence of semiallogeneic cells in a host can have significant immunological effects on transplantation tolerance and rejection. Here, we review re...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e3283484b57

    authors: Dutta P,Burlingham WJ

    更新日期:2011-08-01 00:00:00

  • Self-antigens and rejection: a proteomic analysis.

    abstract:PURPOSE OF REVIEW:Allo- and autoantibodies have been found to play important roles in both acute and chronic allograft rejection in organ transplantation, although only recently have non-human leukocyte antigen (non-HLA), nondonor-specific antibodies been given a more in-depth treatment. This review summarizes recent r...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000328

    authors: Yang JY,Sigdel TK,Sarwal MM

    更新日期:2016-08-01 00:00:00

  • Deciphering antibody-mediated rejection: new insights into mechanisms and treatment.

    abstract:PURPOSE OF REVIEW:To outline recent studies describing the mechanisms of antibody-mediated rejection (AMR) and new clinical protocols aimed at prevention and/or treatment of this difficult clinical entity. RECENT FINDINGS:The natural history of acute AMR after positive cross-match kidney transplantation involves an ac...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e3283342712

    authors: Stegall MD,Gloor JM

    更新日期:2010-02-01 00:00:00

  • Lung bioengineering: advances and challenges in lung decellularization and recellularization.

    abstract:PURPOSE OF REVIEW:Bioengineering the lung based on its natural extracellular matrix (ECM) offers novel opportunities to overcome the shortage of donors, to reduce chronic allograft rejections, and to improve the median survival rate of transplanted patients. During the last decade, lung tissue engineering has advanced ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000584

    authors: Uriarte JJ,Uhl FE,Rolandsson Enes SE,Pouliot RA,Weiss DJ

    更新日期:2018-12-01 00:00:00

  • Donor-specific antibodies in kidney transplantation: the University of Wisconsin experience.

    abstract:PURPOSE OF REVIEW:Antibody-mediated rejection (ABMR) is the leading cause of allograft failure in kidney transplant recipients. This article provides a summary of the clinical research relating to donor-specific antibodies (DSA) and ABMR in kidney transplant recipients at the University of Wisconsin-Madison Transplant ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章

    doi:10.1097/MOT.0000000000000814

    authors: Garg N,Parajuli S,Mandelbrot DA,Djamali A

    更新日期:2020-12-01 00:00:00

  • An interdisciplinary approach to the older transplant patient: strategies for improving clinical outcomes.

    abstract:PURPOSE OF REVIEW:To describe the latest investigations into the role of frailty and assessment of other aging-related issues in the solid organ transplant candidate and recipient. This information is relevant for all involved in the care of transplant patients, but is especially relevant in infectious diseases, given ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000662

    authors: Schaenman J,Goldwater D,Malinis M

    更新日期:2019-08-01 00:00:00

  • Long-term effects of islet transplantation.

    abstract:PURPOSE OF REVIEW:Islet transplantation has made great progress in recent years. This is a remarkable technical feat but raises the question of what the long-term benefits and risks are for type I diabetes recipients. RECENT FINDINGS:Graft survival continues to improve, and recent multicenter studies show that islet t...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000355

    authors: Holmes-Walker DJ,Kay TW

    更新日期:2016-10-01 00:00:00

  • Donation after circulatory death: the current state and technical approaches to organ procurement.

    abstract:PURPOSE OF REVIEW:In this review, we discuss the current state of donation after circulatory death (DCD). We define the DCD donor and describe the current protocols in management of the DCD patient. We then discuss current techniques in organ procurement of the lung and abdominal organs. RECENT FINDINGS:Although donat...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000179

    authors: Algahim MF,Love RB

    更新日期:2015-04-01 00:00:00

  • Lung transplantation for cystic fibrosis.

    abstract:PURPOSE OF REVIEW:There have been several recent articles which have attempted to refine the appropriate timing of listing for lung transplantation and the identification of factors which increase the risk with particular emphasis on pretransplant microbiology in patients with cystic fibrosis. Moreover, there are sever...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32830fe6b8

    authors: Corris PA

    更新日期:2008-10-01 00:00:00

  • The role of complement in regulating the alloresponse.

    abstract:PURPOSE OF REVIEW:This review emphasizes new information concerning the role of anaphylatoxins in the regulation of the immune response to allografts. Its timeliness relates the growing concept of the innate immune response as a regulator of the adaptive immune system and to how this concept lends itself to therapeutic...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32831ec551

    authors: Sacks S,Lee Q,Wong W,Zhou W

    更新日期:2009-02-01 00:00:00

  • Pulmonary hypertension in liver transplant.

    abstract:PURPOSE OF REVIEW:Pulmonary hypertension patients provide challenging issues to anesthesiology. The condition is more so when it is associated with liver transplant surgery. This situation is especially true when associated with portopulmonary hypertension (POPH), a subdivision of pulmonary hypertension. Understanding ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e328346e138

    authors: Ayoub T

    更新日期:2011-06-01 00:00:00

  • Mechanical circulatory support challenges in pediatric and (adult) congenital heart disease.

    abstract:PURPOSE OF REVIEW:Increased miniaturization of ventricular assist devices (VADs) and new mechanical support strategies (MCS) has increased the use of MCS in the pediatric and congenital heart disease (CHD) population. This comes with the need for care providers specialized in this field to determine optimal patient and...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000522

    authors: Schweiger M,Lorts A,Conway J

    更新日期:2018-06-01 00:00:00

  • Long-term outcomes and quality of life after intestine transplantation.

    abstract:PURPOSE OF REVIEW:Over the past decade intestine transplantation has been accepted as standard therapy for patients with life-threatening complications of parenteral nutrition. For patients without life-threatening complications, continued therapy with parenteral nutrition has been standard despite seemingly similar pa...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e3283398565

    authors: Sudan D

    更新日期:2010-06-01 00:00:00

  • Pathology of C4d-negative antibody-mediated rejection in renal allografts.

    abstract:PURPOSE OF REVIEW:To summarize current evidence supporting the existence of C4d-negative antibody-mediated rejection (AMR) in renal allografts, its potential to cause chronic graft injury, and whether histopathologic features of C4d-negative AMR differ from those of C4d-positive AMR. RECENT FINDINGS:Recently published...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32835d4daf

    authors: Haas M

    更新日期:2013-06-01 00:00:00

  • Ethical considerations in live donor transplantation: should complications be tolerated?

    abstract:PURPOSE OF REVIEW:Although living donor transplantation is considered an ethically acceptable undertaking for the purpose of saving another's life, its safety remains under investigation. RECENT FINDINGS:Although living donors undertake considerable medical risks for no direct medical benefit, the question remains whe...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32835f3f2c

    authors: Gordon EJ

    更新日期:2013-04-01 00:00:00

  • Pluripotent stem cell applications for regenerative medicine.

    abstract:PURPOSE OF REVIEW:In this review, we summarize the current status of clinical trials using therapeutic cells produced from human embryonic stem cells (hESCs) and human induced pluripotent stem cells (hiPSCs). We also discuss combined cell and gene therapy via correction of defined mutations in human pluripotent stem ce...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000244

    authors: Angelos MG,Kaufman DS

    更新日期:2015-12-01 00:00:00

  • Macrophages: contributors to allograft dysfunction, repair, or innocent bystanders?

    abstract:PURPOSE OF REVIEW:Macrophages are members of the innate immune response. However, their role in the adaptive immune response is not known. The purpose of this review is to highlight our current understanding of macrophage structure and function and how they may participate in allograft injury. RECENT FINDINGS:Studies ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32834ee5b6

    authors: Mannon RB

    更新日期:2012-02-01 00:00:00

  • Current outcomes after pediatric and adult intestinal transplantation.

    abstract:PURPOSE OF REVIEW:In this article, we will review the outcomes of patients with intestinal transplant (ITx) with a focus on factors affecting long-term graft and patient survival. RECENT FINDINGS:The most recent International Intestinal Transplant Registry reports a 1-, 5-, and 10-year graft survival of 71%, 50%, and ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000608

    authors: Amin A,Farmer DG

    更新日期:2019-04-01 00:00:00