The diagnosis of CMV pneumonitis in lung and heart/lung transplant patients by PCR compared with traditional laboratory criteria.

Abstract:

:Polymerase chain reaction (PCR) amplification of CMV DNA recovered from bronchial alveolar lavage (BAL) and peripheral blood samples was compared with tissue culture, cytology, and/or histology for the earlier detection of CMV pneumonitis in 12 recipients of single-lung or heart/lung transplants. In patients with confirmed CMV pneumonitis, cytological evidence of CMV disease in BAL samples was detected 38 +/- 14 days posttransplantation, while tissue culture and PCR-positive results were noted as early as 30 +/- 4.0 days and 18 +/- 4.6 days, respectively. While PCR was positive earlier than culture in a number of cases, culture-positive results were subsequently obtained in each case, consistent with earlier detection of viral replication by PCR as opposed to detection of latent virus. CMV was detected by PCR in 6 of 24 blood samples from patients with confirmed or suspected CMV pneumonitis, while results of all 24 blood samples were negative when assayed by tissue culture. PCR-based testing was more sensitive than traditional tests, allowing detection of viral replication earlier than tissue culture in the posttransplant period. PCR could provide a powerful means of monitoring the immunocompromised patients in whom preemptive therapeutic intervention for CMV disease is desirable.

journal_name

Transplantation

journal_title

Transplantation

authors

Buffone GJ,Frost A,Samo T,Demmler GJ,Cagle PT,Lawrence EC

doi

10.1097/00007890-199308000-00017

subject

Has Abstract

pub_date

1993-08-01 00:00:00

pages

342-7

issue

2

eissn

0041-1337

issn

1534-6080

journal_volume

56

pub_type

杂志文章
  • Treatment of hypercholesterolemia in the Watanabe rabbit using allogeneic hepatocellular transplantation under a regeneration stimulus.

    abstract::Numerous studies have reported successful allotransplantation of hepatocytes. However, none have shown long-term correction of a liver-related metabolic defect. In this study, we used a method of regional hepatocyte transplantation and subsequent induction of transplanted cell proliferation by regeneration response in...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199609150-00008

    authors: Eguchi S,Rozga J,Lebow LT,Chen SC,Wang CC,Rosenthal R,Fogli L,Hewitt WR,Middleton Y,Demetriou AA

    更新日期:1996-09-15 00:00:00

  • Analysis of Luminex-based Algorithms to Define Unacceptable HLA Antibodies in CDC-crossmatch Negative Kidney Transplant Recipients.

    abstract:BACKGROUND:HLA-specific antibodies detected by solid phase assays are increasingly used to define unacceptable HLA antigen mismatches (UAM) before renal transplantation. The accuracy of this approach is unclear. METHODS:Day of transplant sera from 211 complement-dependent cytotoxicity crossmatch-negative patients were...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002129

    authors: Zecher D,Bach C,Preiss A,Staudner C,Utpatel K,Evert M,Jung B,Bergler T,Böger CA,Spriewald BM,Banas B

    更新日期:2018-06-01 00:00:00

  • Impact of race on renal transplant outcome.

    abstract::The influence of race on the outcome of cadaver renal transplantation (CRT) continues to be controversial even in the cyclosporine era. The present study examines the effect of race in 343 adult CRT performed from 1/1/82 through 10/1/88 with regard to the incidence of delayed function (DF), graft survival (GS), and pa...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199001000-00014

    authors: Dawidson IJ,Coorpender L,Fisher D,Helderman H,Hull A,Palmer B,Peters P,Sagalowsky A,Sandor ZF,Toto R

    更新日期:1990-01-01 00:00:00

  • Predictive role of pretransplant serum CXCL10 for cardiac acute rejection.

    abstract:BACKGROUND:The detection of acute rejection in heart transplantation remains an important feature of transplant management, especially in the early phase. Frequent surveillance with endomyocardial biopsy is necessary, even though it is an invasive procedure and carries a certain risk. Hence, noninvasive biomarkers able...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181919f5d

    authors: Crescioli C,Buonamano A,Scolletta S,Sottili M,Francalanci M,Giomarelli P,Biagioli B,Lisi G,Pradella F,Serio M,Romagnani P,Maccherini M

    更新日期:2009-01-27 00:00:00

  • The CD154-CD40 costimulatory pathway in transplantation.

    abstract::The CD154-CD40 pathway is one of the critical costimulatory pathways that are required for full activation of T cells during alloimmune responses. Blockade of this pathway with anti-CD154 antibodies has been reported to prolong allograft survival in experimental transplantation models and to induce tolerance in some i...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/00007890-200201151-00012

    authors: Yamada And A,Sayegh MH

    更新日期:2002-01-15 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

  • New classification of ELPAT for living organ donation.

    abstract::In the literature, varying terminology for living organ donation can be found. However, there seems to be a need for a new classification to avoid confusion. Therefore, we assessed existing terminology in the light of current living organ donation practices and suggest a more straightforward classification. We propose...

    journal_title:Transplantation

    pub_type: 社论

    doi:10.1097/TP.0b013e3182129236

    authors: Dor FJ,Massey EK,Frunza M,Johnson R,Lennerling A,Lovén C,Mamode N,Pascalev A,Sterckx S,Van Assche K,Zuidema WC,Weimar W

    更新日期:2011-05-15 00:00:00

  • Successful retreatment of allograft rejection with OKT3.

    abstract::OKT3 is a murine monoclonal antibody to the CD3 antigen of human T lymphocytes. The production of human antimurine antibodies after treatment with OKT3 has been perceived as a major limitation to its extended use and reuse. Treatment of 142 patients with 168 courses of OKT3 resulted in the development of antimouse ant...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198901000-00020

    authors: First MR,Schroeder TJ,Hurtubise PE,Mansour ME,Penn I,Munda R,Balistreri WF,Alexander JW,Melvin DB,Fidler JP

    更新日期:1989-01-01 00:00:00

  • The long-term outcome of OKT3 compared with cyclosporine prophylaxis after liver transplantation.

    abstract::We report the long-term follow-up (greater than 1 year) of 46 patients (12 pediatric) randomized to receive OKT3 for the first 14 days after OLT with low-dose steroids compared with 39 patients (8 pediatric) who received cyclosporine, steroids, and azathioprine. The mean period of follow-up for survivors was 648 +/- 2...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-199107000-00019

    authors: McDiarmid SV,Busuttil RW,Levy P,Millis MJ,Terasaki PI,Ament ME

    更新日期:1991-07-01 00:00:00

  • Direct evidence of a functional separation of alloreactive T lymphocytes from bystander cells infiltrating rat allografts. Interleukin 2 receptor-positive cells reacting with the monoclonal antibody ART 18 mediating second-set rejection.

    abstract::In this study we examined the functional capacity of unseparated, IL-2R positive and IL-2R negative leukocytes infiltrating BN rat hearts or kidneys grafted into allogeneic LEW rats. Upon adoptive transfer into syngeneic LEW recipients, splenocytes or day-3 graft infiltrate cells of either cardiac or renal transplants...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199007000-00019

    authors: Heidecke CD,Brauer R,Schneider-Eicke J,Schilling T,Wolff S,Diamantstein T

    更新日期:1990-07-01 00:00:00

  • Peripheral blood gene expression analysis in intestinal transplantation: a feasibility study for detecting novel candidate biomarkers of graft rejection.

    abstract:INTRODUCTION:We investigated the putative candidate biomarkers of graft rejection in peripheral blood of intestinal transplant patients. MATERIALS AND METHODS:Peripheral blood gene expression analysis was performed in intestinal transplant patients. The results were matched with concurrent graft biopsies using bioinfo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182370db1

    authors: Andreev VP,Tryphonopoulos P,Blomberg BB,Tsinoremas N,Weppler D,Neuman DR,Volsky A,Nishida S,Tekin A,Selvaggi G,Levi DM,Tzakis AG,Ruiz P

    更新日期:2011-12-27 00:00:00

  • Effects of leflunomide and cyclosporine on myocutaneous allograft survival in the rat.

    abstract::The immunosuppressive effects of leflunomide and cyclosporine were evaluated in a rat neurovascularized myocutaneous allograft model. Inbred Brown-Norway and Lewis rats were served as donors and recipients, respectively. All recipients were observed for 60 days or until allograft rejection occurred. All isograft contr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199609270-00027

    authors: Yeh LS,Gregory CR,Griffey SM,Lecouteur RA,Morris RE

    更新日期:1996-09-27 00:00:00

  • The effects of liver denervation on the regulation of hepatic biliary secretion.

    abstract::Effects of liver denervation on bile formation were studied in eight dogs prepared with chronic biliary fistulas. The animals were studied in the basal state, after feeding, and during infusion of glucagon 50 ng/kg/min, secretin 2 U/kg/hr, or somatostatin 200 ng/kg/min. After this first set of experiments the animals ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199207000-00023

    authors: Cucchiaro G,Branum GD,Farouk M,Mansour G,Kuhn CM,Anthony DC,Meyers WC

    更新日期:1992-07-01 00:00:00

  • Race, Relationship and Renal Diagnoses After Living Kidney Donation.

    abstract:BACKGROUND:In response to recent studies, a better understanding of the risks of renal complications among African American and biologically related living kidney donors is needed. METHODS:We examined a database linking U.S. registry identifiers for living kidney donors (1987-2007) to billing claims from a private hea...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000733

    authors: Lentine KL,Schnitzler MA,Garg AX,Xiao H,Axelrod D,Tuttle-Newhall JE,Brennan DC,Segev DL

    更新日期:2015-08-01 00:00:00

  • Randomized trial of mycophenolate mofetil versus enteric-coated mycophenolate sodium in primary renal transplant recipients given tacrolimus and daclizumab/thymoglobulin: one year follow-up.

    abstract:BACKGROUND:It was of interest to compare enteric-coated mycophenolate sodium (EC-MPS) versus mycophenolate mofetil (MMF) among renal transplant recipients receiving a tacrolimus-based immunosuppressive regimen. METHODS:Between December 2004 and February 2006, a single-center, open-label randomized trial of MMF (group ...

    journal_title:Transplantation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/TP.0b013e3181734b4a

    authors: Ciancio G,Burke GW,Gaynor JJ,Roth D,Sageshima J,Kupin W,Tueros L,Hanson L,Rosen A,Ruiz P,Miller J

    更新日期:2008-07-15 00:00:00

  • Treatment of chronic hepatitis C with recombinant interferon alpha in kidney transplant recipients.

    abstract::Chronic hepatitis C is a common cause of viral liver disease in kidney transplant (KT) recipients. To assess the efficacy and safety of therapy with interferon alpha we conducted a prospective study where 14 cadaveric KT recipients with chronic hepatitis C received recombinant interferon alpha-2b (IFNa) 3 million unit...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-199505270-00012

    authors: Rostaing L,Izopet J,Baron E,Duffaut M,Puel J,Durand D

    更新日期:1995-05-27 00:00:00

  • Alloreactive anti-HLA-B7 cytolytic T cell clones use restricted T cell receptor genes.

    abstract::Most alloreactive T cells specifically recognize peptides bound to donor MHC molecules. In addition to peptides, solvent accessible MHC residues also may stimulate alloreactive T cells. We studied T cell receptor (TCR) usage by 16 independent anti-HLA-B7 alloreactive cytolytic T lymphocyte (CTL) clones. Most or all of...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199610150-00014

    authors: Li YY,Smith KD,Shi Y,Lutz CT

    更新日期:1996-10-15 00:00:00

  • Prevalence and risk factors of noncontrolled and resistant arterial hypertension in renal transplant recipients.

    abstract:BACKGROUND:Arterial hypertension (HT) is common in renal transplant recipients (RTRs). Control of HT is not optimal in this high-risk population despite recommendations for target blood pressure levels under 130/80 mm Hg. METHODS:We performed a cross-sectional analysis of the prevalence of uncontrolled HT, and using a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000467

    authors: Vetromile F,Pernin V,Szwarc I,Garrigue V,Delmas S,Mourad G,Fesler P

    更新日期:2015-05-01 00:00:00

  • Pancreatic islet transplantation: the radiographic approach.

    abstract:BACKGROUND:Successful pancreatic islet transplantation (PIT) has resulted in several transplant centers wanting to start PIT programs. PIT remains experimental and must be performed safely for its continued use. We describe the radiographic techniques used at our center and their results. METHODS:Between January 17, 2...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000073976.26604.96

    authors: Goss JA,Soltes G,Goodpastor SE,Barth M,Lam R,Brunicardi FC,Froud T,Alejandro R,Ricordi C

    更新日期:2003-07-15 00:00:00

  • Immunopathological observations after xenogeneic liver perfusions using donor pigs transgenic for human decay-accelerating factor.

    abstract:BACKGROUND:Donor pigs transgenic for human decay-accelerating factor (hDAF) were used in a xenogeneic ex vivo liver perfusion model to study the effect of this modification on the development of hyperacute rejection. METHODS:Three transgenic pigs were hepatectomized after hypothermic portal and transaortal gravity per...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199708150-00002

    authors: Pascher A,Poehlein C,Storck M,Prestel R,Mueller-Hoecker J,White DJ,Abendroth D,Hammer C

    更新日期:1997-08-15 00:00:00

  • Cross-species graft-versus-host-disease is accompanied by a donor-derived cellular immune response.

    abstract::Acute graft-versus-host-disease is classically described as reactivity of donor lymphocytes to recipient alloantigens. To date there is debate as to whether GVHD can be induced across a species barrier. We recently reported the induction of stable xenogeneic chimerism (rat-->mouse) and donor-specific transplantation t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199310000-00030

    authors: Cooper MH,Nalesnik MA,Watkins SC,Hoffman RA,Ildstad ST

    更新日期:1993-10-01 00:00:00

  • Transfusion rate for 500 consecutive liver transplantations: experience of one liver transplantation center.

    abstract:BACKGROUND:Orthotopic liver transplantation (OLT) has been associated with major blood loss and the need for blood product transfusions. During the last decade, improved surgical and anesthetic management has reduced intraoperative blood loss and blood product transfusions. A first report from our group published in 20...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318250fc25

    authors: Massicotte L,Denault AY,Beaulieu D,Thibeault L,Hevesi Z,Nozza A,Lapointe R,Roy A

    更新日期:2012-06-27 00:00:00

  • Urine cytokines profile in renal transplant patients with asymptomatic bacteriuria.

    abstract:BACKGROUND:The role of asymptomatic bacteriuria in kidney transplant recipients is unknown. There is no clear evidence of its effect on transplanted kidney. METHODS:We studied urine cytokines profile among kidney transplant recipients with bacteriuria found in screening examination. Urine cultures were collected in 26...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000226072.20185.f8

    authors: Ciszek M,Paczek L,Bartłomiejczyk I,Mucha K

    更新日期:2006-06-27 00:00:00

  • The prevalence, course, and characteristics of chronic anemia after heart and lung transplantation.

    abstract::A retrospective study of the 99 surviving heart and lung transplant (HLT) recipients at one center showed that 31% had significant anemia (hemoglobin less than 100g/L) six months after transplantation. Chronic anemia persisted in 18% of HLT recipients two years posttransplantation. A similar study of 100 heart transpl...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199206000-00016

    authors: Hunt BJ,Amin S,Halil O,Yacoub M

    更新日期:1992-06-01 00:00:00

  • Initial results of solitary pancreas transplants performed without regard to donor/recipient HLA mismatching.

    abstract:BACKGROUND:We hypothesized that solitary pancreas transplants could be performed successfully even in the presence of poor HLA matching if an aggressive approach were taken with regard to immunosuppressive protocol and the performance of allograft biopsy. METHODS:Seven pancreas-after-kidney transplants and seven pancr...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/00007890-200007270-00028

    authors: Gruber SA,Katz S,Kaplan B,Clark JH 3rd,Chen PC,El-Sabrout R,Kerman RH

    更新日期:2000-07-27 00:00:00

  • Significance of true-positive and false-positive pretransplantation lymphocytotoxic crossmatch in primary liver allograft outcomes.

    abstract:BACKGROUND:At the time of transplantation, a recipient's serum is tested against the prospective donor's lymphocytes to identify specific reactivity and to look for a donor-specific crossmatch (CXM). Here, we investigated the relationship between the pretransplantation lymphocytotoxic CXM results and the long-term outc...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31828d155a

    authors: Shin M,Moon HH,Kim JM,Park JB,Kwon CH,Kim SJ,Lee SK,Joh JW

    更新日期:2013-06-15 00:00:00

  • Primary integumentary xenograft reactivity in the American cockroach, Periplaneta americana.

    abstract::The nature of cell-mediated immunity in the American cockroach (Periplaneta americana) was studied by observing the events involved in graft reactivity. Adult roaches received integumentary xenografts from Blaberus giganteus, as well as control autografts. Grafts were scored histologically by counting the number of nu...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198405000-00012

    authors: George JF,Karp RD,Rheins LA

    更新日期:1984-05-01 00:00:00

  • Cytokines, adhesion molecules, and the pathogenesis of chronic rejection of rat renal allografts.

    abstract::Little is known of the host immune mechanisms responsible for initiation and progression of chronic rejection. We describe immunopathologic features associated with progressively deteriorating function of kidney allografts in the F344-to-Lewis rat strain combination, which differ at MHC and non-MHC loci. Initial rejec...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199309000-00028

    authors: Hancock WH,Whitley WD,Tullius SG,Heemann UW,Wasowska B,Baldwin WM 3rd,Tilney NL

    更新日期:1993-09-01 00:00:00

  • Dietary omega-3 and omega-9 fatty acids uniquely enhance allograft survival in cyclosporine-treated and donor-specific transfusion-treated rats.

    abstract:BACKGROUND:Both laboratory and clinical studies have shown that dietary lipids may affect immunologic responses. This study was conducted to compare different classes of long-chain unsaturated fatty acids for their effect on allograft survival in animals receiving a donor-specific transfusion and a short course of low-...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199805270-00004

    authors: Alexander JW,Valente JF,Greenberg NA,Custer DA,Ogle CK,Gibson SW,Babcock GF

    更新日期:1998-05-27 00:00:00

  • Donor species complement after liver xenotransplantation. The mechanism of protection from hyperacute rejection.

    abstract::Hamster hearts transplanted into stable rat recipients of hamster livers (OLT rats) were hyperacutely rejected after transfer with unaltered rat antihamster hyperimmune serum (HS). This was followed by immediate liver xenograft rejection in 4 of 5 rats. In contrast, simple heat inactivation of the rat HS resulted in p...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199403270-00025

    authors: Valdivia LA,Fung JJ,Demetris AJ,Celli S,Pan F,Tsugita M,Starzl TE

    更新日期:1994-03-27 00:00:00