Cytomegalovirus antibody status and renal transplantation: 1987-1994.

Abstract:

:We examined graft and patient survival rates of 47,146 patients in the United Network for Organ Sharing registry following transplants between donors and recipients who were cytomegalovirus (CMV) antibody negative and positive. CMV positivity increased with age to about 80% in patients over 60. Seropositivity was seen in 80% of Asians, 71% of African Americans, and 56% of Caucasians. In all age groups, females had a slightly higher incidence of positivity than males. Transplants involving CMV-positive donors resulted in lower graft survival rates than those with CMV-negative donors. This occurred regardless of whether the recipient was CMV negative or positive. The greatest effect was on patient survival rate, which, in turn, adversely affected graft survival rate. The CMV-positive-donor effect was primarily noted in (1) Caucasian recipients, (2) patients with HLA-A,B,DR mismatches, and (3) patients older than 15 years of age. In contrast, CMV-positive donors were not a risk factor for African American and Hispanic patients, CMV-positive Asian patients, patients younger than 16 years of age, and patients with no HLA-A,B,DR antigen mismatches. In conclusion, a kidney from a CMV-positive donor is a risk factor for certain patients and currently yields about a 4% overall lower graft survival rate at 3 years than a kidney from a CMV-negative donor.

journal_name

Transplantation

journal_title

Transplantation

authors

Hirata M,Terasaki PI,Cho YW

doi

10.1097/00007890-199607150-00007

subject

Has Abstract

pub_date

1996-07-15 00:00:00

pages

34-7

issue

1

eissn

0041-1337

issn

1534-6080

journal_volume

62

pub_type

杂志文章,多中心研究
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    abstract::Liver transplantation for patients requiring life-support results in the lowest survival and highest costs. A ten year (1983-1993) regional experience with liver transplantation for critically ill patients was undertaken to ascertain the fate of several subgroups of patients. Of the 828 liver transplants performed at ...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/00007890-199601270-00013

    authors: Washburn WK,Bradley J,Cosimi AB,Freeman RB,Hull D,Jenkins RL,Lewis WD,Lorber MI,Schweizer RT,Vacanti JP,Rohrer RJ

    更新日期:1996-01-27 00:00:00

  • Introducing hand-assisted retroperitoneoscopic live donor nephrectomy: learning curves and development based on 413 consecutive cases in four centers.

    abstract:BACKGROUND:Hand-assisted and retroperitoneoscopic techniques reduce the risk of bleeding and intraabdominal complications in living donor nephrectomy (LDN). This study reports on our four-center experience, development, and learning curves from the first 413 LDNs using a hand-assisted retroperitoneoscopic (HARS) techni...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182052baf

    authors: Wadström J,Biglarnia A,Gjertsen H,Sugitani A,Fronek J

    更新日期:2011-02-27 00:00:00

  • Cell and extracellular matrix rejection in arterial concordant and discordant xenografts in the rat.

    abstract::Vascularized xenografts are rejected acutely and hyperacutely in concordant or discordant combinations, respectively. We investigated the impact of the donor-recipient combination on the rejection of arterial xenografts, analyzing the cellular and extracellular matricial compartments. Aortic xenografts were performed ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199609270-00017

    authors: Allaire E,Mandet C,Bruneval P,Bensenane S,Becquemin JP,Michel JB

    更新日期:1996-09-27 00:00:00

  • Update on C1 Esterase Inhibitor in Human Solid Organ Transplantation.

    abstract::Complement plays important roles in both ischemia-reperfusion injury (IRI) and antibody-mediated rejection (AMR) of solid organ allografts. One approach to possibly improve outcomes after transplantation is the use of C1 inhibitor (C1-INH), which blocks the first step in both the classical and lectin pathways of compl...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000002717

    authors: Berger M,Lefaucheur C,Jordan SC

    更新日期:2019-09-01 00:00:00

  • Serial evaluation of cell surface markers for immune activation after acute renal allograft rejection by urine flow cytometry--correlation with clinical outcome.

    abstract:BACKGROUND:The use of urine flow cytometry (UFC) as a noninvasive tool for the diagnosis of acute and chronic rejection of the renal allograft has been previously reported. METHODS:We analyzed the expression of various cell surface antigens during a 30-day period after the diagnosis and treatment of 24 acute rejection...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200105150-00024

    authors: Roberti I,Reisman L

    更新日期:2001-05-15 00:00:00

  • Graft-versus-host reactions in the beige mouse. An investigation of the role of host and donor natural killer cells in the pathogenesis of graft-versus-host disease.

    abstract::To investigate the role of natural killer (NK) cells in the induction and pathogenesis of graft-versus-host (GVH) disease, +/beige (+/bg; normal NK cell activity) and beige/beige (bg/bg; deficient NK cell activity) parental C57BL/6 (B6) lymphoid cells were used to induce GVH reactions in either B6 X C3H/Hej +/bg (+/bg...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198708000-00017

    authors: Ghayur T,Seemayer TA,Kongshavn PA,Gartner JG,Lapp WS

    更新日期:1987-08-01 00:00:00

  • Racial Differences in Survival of Incident Home Hemodialysis and Kidney Transplant Patients.

    abstract:BACKGROUND:Previous studies have indicated that patients on maintenance hemodialysis have worse survival compared with kidney transplant (KTx) recipients. However, none of these studies have compared mortality of the US patients using alternative dialysis modalities such as home hemodialysis (HHD) with KTx recipients. ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001005

    authors: Molnar MZ,Ravel V,Streja E,Kovesdy CP,Mehrotra R,Kalantar-Zadeh K

    更新日期:2016-10-01 00:00:00

  • Selection of a suitable internal control gene for expression studies in pancreatic islet grafts.

    abstract::The use of real-time reverse transcription polymerase chain reaction to compare gene expression in different tissues and conditions requires normalization to an internal control that must be expressed at a constant level. Although a previous validation step is required to confirm that an internal control is appropriat...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000173790.12227.7b

    authors: Rodriguez-Mulero S,Montanya E

    更新日期:2005-09-15 00:00:00

  • Expression of RT1.A and RT1.B/D antigens on endothelium of rat kidneys.

    abstract::The presence of major histocompatibility complex (MHC)-encoded antigens (RT1) on endothelium of rat kidneys was investigated using hyperimmune allogeneic rat sera (HIS) in an indirect immunofluorescence technique with kidney sections. Endothelial antigens detected with anti-MHC sera segregated in an F2 generation with...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198209000-00002

    authors: Paul LC,Paradysz JM,Milford EL,Kunz HW,Carpenter CB

    更新日期:1982-09-01 00:00:00

  • Failure of in vitro assays to predict accurately the existence of neonatally induced H-2 tolerance.

    abstract::Tolerogen-specific alloreactivity, in the form of mixed lymphocyte responses and cell mediated lympholysis, was measured in vitro using lymphocytes from mice that received neonatal inoculations of H-2 semiallogeneic hematopoietic cells. It was found that depletion of specific alloreactivity, as detected by these assay...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Streilein JW,Strome P,Wood PJ

    更新日期:1989-10-01 00:00:00

  • Donation after circulatory determination of death: the university of michigan experience with extracorporeal support.

    abstract:BACKGROUND:Extracorporeal support (ECS) during organ procurement from donors after circulatory determination of death (DCDD) could increase the number of donor organs and decrease posttransplant complications. This study reports the experience of a large transplant center with controlled DCDD. METHODS:A retrospective ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000070

    authors: Rojas-Peña A,Sall LE,Gravel MT,Cooley EG,Pelletier SJ,Bartlett RH,Punch JD

    更新日期:2014-08-15 00:00:00

  • The assessment of transplantation tolerance induced by anti-CD4 monoclonal antibody in the murine model.

    abstract::Transplantation tolerance can be induced in the adult mouse by the selective manipulation of the CD4+ T cell subset. C3H/He recipients with prolonged survival (> 120 days) of C57BL/10 cardiac allografts induced by treatment, at the time of transplantation, with the anti-CD4 mAb, YTS 191.1, were skin grafted simultaneo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199302000-00025

    authors: Pearson TC,Darby CR,Bushell AR,West LJ,Morris PJ,Wood KJ

    更新日期:1993-02-01 00:00:00

  • Fetal liver transplantation in the dog. I. Restoration of hemopoiesis with cryopreserved fetal liver cells from DLA-identical siblings.

    abstract::Fetal liver cells (FLC) were obtained from beagle fetuses 52 days postconception, and were cryopreserved prior to transplantation into ten sibling recipients that had previously been exposed to total-body irradiation delivered in 3 fractions of 6 Gy each at 4 days, 2 days, and 2 hr before grafting. Donors and hosts we...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Prümmer O,Raghavachar A,Werner C,Calvo W,Carbonell F,Steinbach I,Fliedner TM

    更新日期:1985-04-01 00:00:00

  • Orthotopic renal transplantation in the rabbit.

    abstract::A technique of orthotopic renal transplantation in rabbits is described. The technique has been evolved in an experience of over 400 grafts, and difficulties encountered in producing satisfactory anaesthesia and techniques of anastomosis and in obtaining reliable graft function postoperatively have been defined and ov...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197611000-00003

    authors: Dunn DC

    更新日期:1976-11-01 00:00:00

  • Regulation of molecular pathways in ischemia-reperfusion injury after liver transplantation.

    abstract:BACKGROUND:Ischemia-reperfusion (I/R) injury is a multifactorial phenomenon that occurs during the transplant event and frequently compromises early graft function after liver transplantation (LT). Current comprehension of molecular mechanisms and regulation processes of I/R injury lacks clarity. MicroRNA (miRNA) regul...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182a20398

    authors: Gehrau RC,Mas VR,Dumur CI,Ladie DE,Suh JL,Luebbert S,Maluf DG

    更新日期:2013-11-27 00:00:00

  • CD4+ and B lymphocytes in transplantation immunity. II. Augmented rejection of tumor allografts by mice lacking B cells.

    abstract::To test the importance of B lymphocytes in immunity to major histocompatibility complex class I alloantigens, B cell-deficient mice were generated by reconstituting severe combined immunodeficiency mice, which lack functional B and T lymphocytes, with T cells or with both T and B cells. The reconstituted mice were cha...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Monach PA,Schreiber H,Rowley DA

    更新日期:1993-06-01 00:00:00

  • Acute renal injury in the interferon-gamma gene knockout mouse: effect on cytokine gene expression.

    abstract::We studied major histocompatibility complex (MHC) and cytokine mRNA induction after renal injury in the absence of interferon-gamma (IFN-gamma) using IFN-gamma gene knockout (GKO) mice. The left renal pedicle of normal (wild-type) and GKO BALB/c mice was clamped for 60 minutes; cytokine and MHC mRNA expression were mo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199560120-00031

    authors: Goes N,Urmson J,Vincent D,Halloran PF

    更新日期:1995-12-27 00:00:00

  • Risk factors for liver transplantation across the ABO barrier.

    abstract::A retrospective study was performed to identify risk factors affecting the fate of liver allografts transplanted across the ABO barrier. Over a 5-year period, 30 patients received 31 emergency OLTs with ABO-incompatible allografts. One-year graft and patient survival rates were 37.1% and 48.4%, respectively. This grou...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199409150-00003

    authors: Lo CM,Shaked A,Busuttil RW

    更新日期:1994-09-15 00:00:00

  • Migration of dendritic cells to the draining lymph node after allogeneic or congeneic rat skin transplantation.

    abstract:BACKGROUND:After transplantation, donor dendritic cells (DC) migrating to the draining lymph node of the recipient are thought to play an important role in the initiation of graft rejection. In this study, we compared the in vivo migration of DC after allogeneic skin transplantation with that after congeneic skin trans...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199903270-00008

    authors: Richters CD,van Gelderop E,du Pont JS,Hoekstra MJ,Kreis RW,Kamperdijk EW

    更新日期:1999-03-27 00:00:00

  • Disparities in Waitlist and Posttransplantation Outcomes in Liver Transplant Registrants and Recipients Aged 18 to 24 Years: Analysis of the UNOS Database.

    abstract:BACKGROUND:We evaluated liver transplantation waitlist and posttransplantation outcomes in those aged 18 to 24 years compared with both younger (0-17 years) and older (25-34 years) registrants and recipients. METHODS:Using national data from the United Network for Organ Sharing, competing risk, Cox regression and Kapl...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001689

    authors: Ebel NH,Hsu EK,Berry K,Horslen SP,Ioannou GN

    更新日期:2017-07-01 00:00:00

  • Evolving frequency and outcomes of liver transplantation based on etiology of liver disease.

    abstract:BACKGROUND:In the background of availability of better treatments for specific liver diseases and listing of nonalcoholic steatohepatitis (NASH) as an etiology for liver transplantation (LT), data are unclear on the impact of disease etiology on the frequency of LT and liver posttransplantation outcomes. METHODS:The U...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31827afb3a

    authors: Singal AK,Guturu P,Hmoud B,Kuo YF,Salameh H,Wiesner RH

    更新日期:2013-03-15 00:00:00

  • Graft-protective role of high pretransplantation IgA-anti-Fab autoantibodies: confirmatory evidence obtained in more than 4000 kidney transplants. The Collaborative Transplant Study.

    abstract:BACKGROUND:Preliminary studies showed an excellent success rate of kidney grafts in patients with high pretransplantation serum levels of IgA autoantibodies directed against the Fab region of the human IgG molecule. METHODS:With the collaboration of 30 centers from around the world, we attempted to verify the role of ...

    journal_title:Transplantation

    pub_type: 评论,杂志文章,多中心研究

    doi:10.1097/00007890-200004150-00021

    authors: Süsal C,Döhler B,Opelz G

    更新日期:2000-04-15 00:00:00

  • Induction of T-independent xenotolerance in a semi-discordant hamster-to-presensitized, nude rat model.

    abstract:BACKGROUND:We have previously demonstrated that in a concordant hamster-to-nude rat cardiac transplant model, T-independent specific B-lymphocyte and natural killer (NK)-cell tolerance could be induced, leading to long-term xenograft (Xg) survival. Here, we investigated whether the same could be achieved in a clinicall...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199907150-00024

    authors: Ji P,Xia G,Sefrioui H,Rutgeerts O,Segers C,Waer M

    更新日期:1999-07-15 00:00:00

  • Cognitive abilities in children after liver transplantation.

    abstract:BACKGROUND:The authors investigated the cognitive status during the late postoperative phase in children who had undergone liver transplantation (LTx). METHODS:The authors examined 44 children who had undergone liver transplantation at their center. The children were 8.9+/-2.3 (mean+/-SD) years of age and had received...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000161251.20520.42

    authors: Kaller T,Schulz KH,Sander K,Boeck A,Rogiers X,Burdelski M

    更新日期:2005-05-15 00:00:00

  • The Immunology of Posttransplant CMV Infection: Potential Effect of CMV Immunoglobulins on Distinct Components of the Immune Response to CMV.

    abstract::The immune response to cytomegalovirus (CMV) infection is highly complex, including humoral, cellular, innate, and adaptive immune responses. Detection of CMV by the innate immune system triggers production of type I IFNs and inflammatory cytokines which initiate cellular and humoral responses that are critical during...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000001095

    authors: Carbone J

    更新日期:2016-03-01 00:00:00

  • Early induction of immune resistance against leukemia in mice after lethal irradiation followed by syngeneic bone marrow transplantation and injection of syngeneic leukocytes.

    abstract::BALB/cxDBA/2Wf F1 (CD2F1) mice were lethally irradiated and reconstituted with syngeneic bone marrow cells untreated or treated with 75 micrograms/ml of mafosfamide. One day after bone marrow transplantation some groups of mice were injected with syngeneic splenocytes, peripheral blood leukocytes, or thymocytes. Seven...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199104000-00020

    authors: Skórski T,Kawalec M,Kawiak J

    更新日期:1991-04-01 00:00:00

  • Phenotypic evaluation of B-cell subsets after rituximab for treatment of acute renal allograft rejection in pediatric recipients.

    abstract:BACKGROUND:Recently published pediatric trial of Rituximab for the treatment of CD20+ acute renal allograft rejection (AR) demonstrated transient depletion of circulating/intragraft B cells (Zarkhin et al., Am J Transplant 2008; 8: 2607). In this study, we have evaluated phenotypic definition of circulating B-cell subs...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318213df29

    authors: Zarkhin V,Lovelace PA,Li L,Hsieh SC,Sarwal MM

    更新日期:2011-05-15 00:00:00

  • Randomized controlled trial to evaluate flush and reperfusion techniques in liver transplantation.

    abstract::To determine the impact of different flush and reperfusion techniques on postreperfusion syndrome (PRS) and postoperative graft function, 100 transplants were randomly assigned into four groups as follows: group 1 (n=31), portal vein flush, no vena caval venting; group 2 (n=21), hepatic arterial flush, no vena caval v...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-199702150-00012

    authors: Millis JM,Melinek J,Csete M,Imagawa DK,Olthoff KM,Neelankanta G,Braunfeld MY,Sopher MJ,Chan SM,Pregler JL,Yersiz H,Busuttil AA,Shackleton CR,Shaked A,Busuttil RW

    更新日期:1997-02-15 00:00:00

  • Effects of blood transfusions given after renal transplantation.

    abstract:BACKGROUND:Human leukocyte antigen (HLA) antibodies produced after transplantation are frequently measured in transplant recipients, because they are strongly associated with humoral rejection and graft loss. However, antibodies can be induced by posttransplant blood transfusions rather than by the graft, casting doubt...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181a24b96

    authors: Scornik JC,Schold JD,Bucci M,Meier-Kriesche HU

    更新日期:2009-05-15 00:00:00

  • Seasonal variation in outpatient blood pressure in stable renal transplant recipients.

    abstract::Seasonal variation in blood pressure (BP) has been described in the general and dialysis populations, with higher recordings noted in the winter than in the summer. This difference has been attributed to changes in weight, ambient temperature, and length of daylight. In this study, we sought to determine whether such ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200112150-00014

    authors: Prasad GV,Nash MM,Zaltzman JS

    更新日期:2001-12-15 00:00:00