Serum tumor markers after renal transplantation.

Abstract:

:The overall incidence of malignancy in renal transplant recipients is 100-fold higher compared with age matched controls. Routine clinical evaluation therefore often includes the determination of serum tumor markers AFP, CA19-9, CEA, CA125, CA15-3, PSA, and calcitonin. We evaluated the specificity and the sensitivity of these markers in 575 renal allograft recipients. Specificity varied between 0.69 (CA 125) and 0.96 (PSA) in 532 patients without cancer. Cyclosporine therapy and excretory allograft function did not affect marker concentration; impaired liver function was associated with significantly elevated AFP, CA19-9, CA125, and CA15-3 levels. In 43 patients with malignancies the sensitivity of the markers ranged between 0.2 (CEA) and 1 (CA 125, CA 15-3). We therefore conclude that routine screening of the transplant population with serum tumor markers is not useful because of the low sensitivity and specificity of these tests.

journal_name

Transplantation

journal_title

Transplantation

authors

Oberbauer R,Banyai S,Schmidt A,Kornek G,Scheithauer W,Mayer G

doi

10.1097/00007890-199611270-00021

subject

Has Abstract

pub_date

1996-11-27 00:00:00

pages

1506-9

issue

10

eissn

0041-1337

issn

1534-6080

journal_volume

62

pub_type

杂志文章
  • Successful tapering of immunosuppression to low-dose monotherapy steroids after living-related human leukocyte antigen-identical renal transplantation.

    abstract:BACKGROUND:Living-related (LR) human leukocyte antigen (HLA)-identical renal transplant (RTx) recipients often receive standard immunosuppression, despite the absence of mismatched major HLA-antigens and the known complications of long-term use of immunosuppression. No data are available on the need for immunosuppressi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31819634eb

    authors: van de Wetering J,Gerrits JH,van Besouw NM,Ijzermans JN,Weimar W

    更新日期:2009-03-15 00:00:00

  • Prolongation of renal allograft survival in the rat by pretreatment with donor antigen and cyclosporin A.

    abstract::Pretreatment of LEW rats with cyclosporin A (10 mg/kg/day orally for 14 days) plus 10(8) DA or (DA X LEW)F1 spleen lymphocytes on two occasions markedly prolonged the survival of subsequent DA renal allografts. The lymphocytotoxic antibody response was suppressed completely and renal biopsies showed a marked mononucle...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198106000-00004

    authors: Homan WP,Williams KA,Millard PR,Morris PJ

    更新日期:1981-06-01 00:00:00

  • Time trend in annual kidney graft survival.

    abstract::First cadaver, unrelated kidney graft survival at one year from 50 Eurotransplant centers was analyzed and found to show marked changes in survival rates over the 20-year period from 1967 to 1986 inclusive. Full information on HLA-A, -B, and -DR matching and use of cyclosporine therapy was only available for the perio...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198811000-00012

    authors: Thorogood J,van Houwelingen JC,van Rood JJ,Persijn GG

    更新日期:1988-11-01 00:00:00

  • Fibrinolytic preflush upon liver retrieval from non-heart beating donors to enhance postpreservation viability and energetic recovery upon reperfusion.

    abstract:BACKGROUND:Our objective was to evaluate graft equilibration with high viscosity (University of Wisconsin solution [UW]) or low viscosity (Bretschneider's histidine-tryptophan-ketoglutarate [HTK]) during liver procurement from non-heart beating donors (NHBD) and the potential impact of a preceding fibrinolysis with str...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200106270-00015

    authors: Minor T,Hachenberg A,Tolba R,Pauleit D,Akbar S

    更新日期:2001-06-27 00:00:00

  • Clinicopathologic features of graft rejection of the first human hand allograft.

    abstract:BACKGROUND:The first human hand allograft, performed in Lyon, France, on September 23, 1998, was removed during month 29 posttransplantation as the result of rejection because the patient did not comply with the immunosuppressive treatment. METHODS:The patient was regularly examined from the day of transplantation to ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000079458.81970.9A

    authors: Kanitakis J,Jullien D,Petruzzo P,Hakim N,Claudy A,Revillard JP,Owen E,Dubernard JM

    更新日期:2003-08-27 00:00:00

  • Transplantation of canine lung allografts preserved in UW solution for 24 hours.

    abstract::To evaluate the efficacy of University of Wisconsin (UW) solution for lung preservation, we performed canine lung allotransplantation with lungs preserved in UW solution. Donor lungs from eight dogs were flushed with UW solution and lungs from four dogs with Euro-Collins solution, and these were preserved for 24 hr in...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199301000-00004

    authors: Kawahara K,Itoyanagi N,Takahashi T,Akamine S,Kobayashi M,Tomota M

    更新日期:1993-01-01 00:00:00

  • Islets in alginate macrobeads reverse diabetes despite minimal acute insulin secretory responses.

    abstract:BACKGROUND:Encapsulation of islets has been widely investigated as a treatment for diabetes. The characteristics and dynamics of insulin secretion by encapsulated islets in response to glucose and other secretagogues are not well understood. METHODS:In our study, macroencapsulated syngeneic islets at 3-4 wk after tran...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200101270-00006

    authors: Trivedi N,Keegan M,Steil GM,Hollister-Lock J,Hasenkamp WM,Colton CK,Bonner-Weir S,Weir GC

    更新日期:2001-01-27 00:00:00

  • Multicenter randomized trial comparing tacrolimus (FK506) and cyclosporine in the prevention of renal allograft rejection: a report of the European Tacrolimus Multicenter Renal Study Group.

    abstract:BACKGROUND:To confirm the results of a number of studies conducted in Europe, the United States, and Japan, this multicenter, randomized trial compared the 12-month efficacy and safety of tacrolimus- and cyclosporine-based immunosuppressive regimens in the prevention of renal allograft rejection. METHODS:A total of 44...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00007890-199708150-00012

    authors: Mayer AD,Dmitrewski J,Squifflet JP,Besse T,Grabensee B,Klein B,Eigler FW,Heemann U,Pichlmayr R,Behrend M,Vanrenterghem Y,Donck J,van Hooff J,Christiaans M,Morales JM,Andres A,Johnson RW,Short C,Buchholz B,Rehmert N

    更新日期:1997-08-15 00:00:00

  • Xenoantisera to allotypic specificities of HLA-A and B antigens. Serological characterization.

    abstract::By using the lysostrip and the blocking of cytotoxicity by Fab2 fragments, HLA-A and B antibodies were detected in sera from rabbits and goats immunized with human high-density lipoprotein (HDL)-associated HLA antigens isolated from sera and from cultured lymphoid cells. After appropriate absorptions, the xenoantisera...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197910000-00014

    authors: Richiardi P,Pellegrino MA,Ferrone S

    更新日期:1979-10-01 00:00:00

  • Acute nephrotoxicity of tacrolimus and sirolimus in renal isografts: differential intragraft expression of transforming growth factor-beta1 and alpha-smooth muscle actin.

    abstract:BACKGROUND:Renal dysfunction early after kidney transplantation has multiple causes including ischemia-reperfusion (I/R) injury and drug-induced nephrotoxicity. This study assesses the acute nephrotoxicity of tacrolimus (Tac) and sirolimus (Sir) in a rat renal isograft model. METHODS:Lewis renal isografts and uninephr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000128837.07640.ae

    authors: Ninova D,Covarrubias M,Rea DJ,Park WD,Grande JP,Stegall MD

    更新日期:2004-08-15 00:00:00

  • Immunologic diagnosis of kidney rejection using FACS analysis of graft-infiltrating functional and activated T and NK cell subsets.

    abstract::In human organ transplantation, the correct diagnosis of rejection may be difficult using clinical and/or histopathologic criteria, and immunologic assays should therefore be considered. We have applied monoclonal antibodies in 2-color flow cytometric (FACS) analysis to study phenotypic patterns of kidney-infiltrating...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198905000-00014

    authors: Tötterman TH,Hanås E,Bergström R,Larsson E,Tufveson G

    更新日期:1989-05-01 00:00:00

  • Evaluation of posttransplantation soluble CD30 for diagnosis of acute renal allograft rejection.

    abstract:BACKGROUND:Posttransplantation measurement of soluble CD30 (sCD30) may be useful for identifying kidney graft recipients at risk of impending graft rejection in the early posttransplantation period. METHODS:We measured plasma sCD30 levels and evaluated the levels in relation to the diagnosis of rejection. RESULTS:Rec...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000044702.18327.66

    authors: Pelzl S,Opelz G,Daniel V,Wiesel M,Süsal C

    更新日期:2003-02-15 00:00:00

  • Improved results in pancreatic transplantation by avoidance of nonimmunological graft failures.

    abstract::Twenty eight consecutive combined renal and pancreatic transplantations with enteric exocrine diversion were performed between June 1984 and May 1986. The one-year actuarial patient survival and renal and pancreatic graft survival were 90%, 67%, and 69%, respectively. Nineteen pancreatic grafts and eighteen renal graf...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198705000-00014

    authors: Tydén G,Brattström C,Lundgren G,Ostman J,Gunnarsson R,Groth CG

    更新日期:1987-05-01 00:00:00

  • Tacrolimus pharmacogenetics: the CYP3A5*1 allele predicts low dose-normalized tacrolimus blood concentrations in whites and South Asians.

    abstract::Previously, we demonstrated that the dose-normalized tacrolimus blood concentration after renal transplantation was associated with a single nucleotide polymorphism (SNP) in the CYP3AP1 gene, probably through linkage with an SNP in the CYP3A5 gene. Individuals with at least one CYP3A5*1 allele synthesize CYP3A5 and CY...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000151766.73249.12

    authors: Macphee IA,Fredericks S,Mohamed M,Moreton M,Carter ND,Johnston A,Goldberg L,Holt DW

    更新日期:2005-02-27 00:00:00

  • The response to interferon of NK and K cells from conventionally immunosuppressed and cyclosporine-treated renal allograft recipients.

    abstract::Interferon is a potent stimulator of natural killer (NK) and killer (K) cell activity in human beings, both these cytotoxic functions representing host defense mechanisms against viral infections and lymphoid malignancy. Both NK and K cell functions are markedly impaired in conventionally immunosuppressed allograft re...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198408000-00008

    authors: Guillou PJ,Hegarty JH,Ramsden CW,Giles GR

    更新日期:1984-08-01 00:00:00

  • Intrasplenic hepatocyte allotransplantation in dalmation dogs with and without cyclosporine immunosuppression.

    abstract::Hepatocyte allotransplantation has been performed successfully in several small animal models for the amelioration of inborn metabolic errors. Before a human clinical trial of hepatocyte allotransplantation can be attempted, preliminary experience in a large animal model is needed. We transplanted isolated mongrel hep...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199705150-00003

    authors: Benedetti E,Kirby JP,Asolati M,Blanchard J,Ward MG,Williams R,Hewett TA,Fontaine M,Pollak R

    更新日期:1997-05-15 00:00:00

  • Organ donation and transplantation in the UK-the last decade: a report from the UK national transplant registry.

    abstract::Over the decade between 2003 and 2012, the UK has seen major changes in how organ donation and transplantation is delivered. The number of deceased organ donors has increased from 709 (12.0 per million population [pmp]) to 1,164 (18.3 pmp); this increase has been predominantly a result of an increase in donors after c...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000438215.16737.68

    authors: Johnson RJ,Bradbury LL,Martin K,Neuberger J,UK Transplant Registry.

    更新日期:2014-01-15 00:00:00

  • Acute tubular necrosis after renal transplantation.

    abstract::We evaluated the influence of dialysis requiring acute tubular necrosis on patient survival, and kidney survival and function in all 182 patients who needed dialysis immediately after transplantation at the University of Minnesota Hospitals. When compared to matched control patients not requiring dialysis, there was n...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198003000-00016

    authors: Brophy D,Najarian JS,Kjellstrand CM

    更新日期:1980-03-01 00:00:00

  • FK778 and FK506 combination therapy to control acute rejection after rat liver allotransplantation.

    abstract:BACKGROUND:In organ transplantation, several immunosuppressants are currently used to control graft rejection. Clinically, no single immunosuppressive agent can completely prevent posttransplantation immunoreaction; thus, combination therapy is usually performed. Novel agents with more powerful immunosuppressive activi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000144312.08782.16

    authors: Yamamoto S,Okuda T,Yamasaki K,Tanaka H,Kubo S,Takemura S,Ikeda K,Minamiyama Y,Hirohashi K,Suehiro S

    更新日期:2004-12-15 00:00:00

  • Inhibition of human monocyte spreading. An in vitro test for immunosuppressive potency of antihum lymphocyte globulin.

    abstract::Monocytes from human peripheral blood, when incubated in vitro, spread onto the surface of the glass. Horse antihuman lymphocyte globulin (ALG) added to the incubation chamber inhibits the spreading, while normal horse globulin (NHG) does not. The inhibition depends on the concentration of ALG admixed to the mononucle...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Silobrcić V,Mazuran R,Dekaris D,Balner H

    更新日期:1976-01-01 00:00:00

  • Increased expression of endoarterial vascular cell adhesion molecule-1 mRNA in an experimental model of lung transplant rejection: diagnosis by pulmonary arterial biopsy.

    abstract:BACKGROUND:Early detection of rejection after lung transplantation may prevent allograft failure. This study determines if mRNA from the cell adhesion molecules intercellular adhesion molecule-1, vascular cell adhesion molecule (VCAM)-1, and E-selectin in pulmonary endovascular tissue samples could be markers of early ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000057530.32397.6D

    authors: Rothman A,Mann D,Behling CA,McGraw M,Seslar S,Shiu P,Zhang L,Kriett JM

    更新日期:2003-04-15 00:00:00

  • CD4 lymphocytopenia as a risk factor for skin cancers in renal transplant recipients.

    abstract:BACKGROUND:Renal transplant recipients are at increased risk of developing skin cancer. It remains difficult to establish the actual influence of overimmunosuppression in the development of skin cancers. We investigated whether lymphocyte subset count may predict the risk of developing skin cancer in long-term renal tr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199805150-00022

    authors: Ducloux D,Carron PL,Rebibou JM,Aubin F,Fournier V,Bresson-Vautrin C,Blanc D,Humbert P,Chalopin JM

    更新日期:1998-05-15 00:00:00

  • Murine sera cytotoxicity toward human B cells and their effect on human mixed lymphocyte reactions.

    abstract::Seven murine anti-H-2 and three nonimmune mouse sera were tested for cytotoxicity toward B and T lymphocytes from a panel of human donors. One group of sera, including two anti-H-2.33 sera, exhibited cytotoxicity directed exclusively toward human B but not T cells from all donors. Absorption studies on human lymphobla...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197908000-00007

    authors: Verghese MW,Ward FE

    更新日期:1979-08-01 00:00:00

  • Relationship between CD8+ T-cell phenotype and function, Epstein-Barr virus load, and clinical outcome in pediatric renal transplant recipients: a prospective study.

    abstract:BACKGROUND:The authors studied the relationship between the dynamics of Epstein-Barr virus (EBV) load, CD8 T-cell activation and differentiation, and EBV-associated symptoms in 25 children after kidney transplantation (Tx). METHODS:Twenty-two patients were enrolled at the time of Tx and three at diagnosis of EBV-induc...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000131168.21930.5c

    authors: Baudouin V,Dehée A,Pédron-Grossetete B,Ansart-Pirenne H,Haddad E,Maisin A,Loirat C,Sterkers G

    更新日期:2004-06-15 00:00:00

  • Increased infections in liver transplant recipients with recurrent hepatitis C virus hepatitis.

    abstract::Infectious complications in patients with recurrent hepatitis C virus (HCV) hepatitis after liver transplantation were prospectively assessed and compared with those of all other liver transplant recipients without HCV hepatitis operated on during the same period. Major infections occurred in 64% (14/22) of the patien...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199602150-00014

    authors: Singh N,Gayowski T,Wagener MM,Marino IR

    更新日期:1996-02-15 00:00:00

  • Impact of recipient body mass index on short-term and long-term survival of pancreatic grafts.

    abstract:BACKGROUND:The impact of recipient body mass index on graft and patient survival after pancreas transplantation is not well known. METHODS:We have analyzed data from all pancreas transplant recipients reported in the Scientific Registry of Transplant Recipients between 1987 and 2011. Recipients were categorized into B...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000226

    authors: Bédat B,Niclauss N,Jannot AS,Andres A,Toso C,Morel P,Berney T

    更新日期:2015-01-01 00:00:00

  • Pharmacodynamic assessment of mycophenolic acid-induced immunosuppression by measurement of inosine monophosphate dehydrogenase activity in a canine model.

    abstract::The combination of pharmacokinetic and pharmacodynamic (measurement of the biological effect) monitoring of immunosuppressive drugs provides a method for the optimization of drug dosing. We chose to investigate this using mycophenolic acid (MPA), an immunosuppressive drug that mediates its effect by the inhibition of ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199601150-00018

    authors: Langman LJ,Shapiro AM,Lakey JR,LeGatt DF,Kneteman NM,Yatscoff RW

    更新日期:1996-01-15 00:00:00

  • Sirolimus reduces the incidence of acute rejection episodes despite lower cyclosporine doses in caucasian recipients of mismatched primary renal allografts: a phase II trial. Rapamune Study Group.

    abstract:BACKGROUND:The novel agent sirolimus (SRL; Rapamune; rapamycin) inhibits the immune response by a mechanism distinct from those of calcineurin antagonists or antimetabolites. This randomized, controlled, multicenter, single blind, phase II trial examined the combination of SRL, steroids, and full versus reduced doses o...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00007890-199911270-00016

    authors: Kahan BD,Julian BA,Pescovitz MD,Vanrenterghem Y,Neylan J

    更新日期:1999-11-27 00:00:00

  • Monocytotoxic antibodies after bone marrow transplantation in aplastic anemia.

    abstract::Pre- and post transplant sera from 51 cases of bone marrow transplants performed for severe aplastic anemia were tested on monocytes (M) and corresponding B cells (B) from a panel of unrelated donors. One-third of the sera were cytotoxic for B and M either from different or from the same individuals, while 45% reacted...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198206000-00006

    authors: Gluckman JC,Gluckman E,Azogui O,Guillet J,Baldwin WM,Devergie A,Chapuis F,Brisson E,Andersen E,Dausset J

    更新日期:1982-06-01 00:00:00

  • Ischemic preconditioning: a defense mechanism against the reactive oxygen species generated after hepatic ischemia reperfusion.

    abstract:BACKGROUND:Preconditioning protects against both liver and lung damage after hepatic ischemia-reperfusion (I/R). Xanthine and xanthine oxidase (XOD) may contribute to the development of hepatic I/R. OBJECTIVE:To evaluate whether preconditioning could modulate the injurious effects of xanthine/XOD on the liver and lung...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200204270-00004

    authors: Peralta C,Bulbena O,Xaus C,Prats N,Cutrin JC,Poli G,Gelpi E,Roselló-Catafau J

    更新日期:2002-04-27 00:00:00