Immunoregulatory abnormalities in patients with Epstein-Barr virus-associated B cell lymphoproliferative disorders.

Abstract:

:EBVirus-associated B cell lymphoproliferative disorder (BLPD) is a recognized complication of primary immunodeficiency and organ as well as bone marrow transplantation. Although the nature of the immune defects that predispose to the development of BLPD are unknown, it is postulated that aberrant T cell responses are involved. It is our hypothesis that unbalanced lymphokine production is a major contributory factor to abnormal B cell growth in response to EBV, resulting in BLPD. Since IFN-alpha and IL-4 are important regulators of B cell proliferation and also regulate the synthesis of IgE, we determined serum levels of IFN-alpha, IL-4, and IgE in 8 patients with newly diagnosed BLPD. Comparison was made to healthy recipients of organ transplants on immunosuppressive therapy without BLPD, and normal EBV seropositive controls. Levels of serum IL-4 were significantly elevated in both patients with BLPD as well as in healthy immunosuppressed organ transplant recipients as compared with normal healthy individuals. Patients with BLPD exhibited a combination of significantly lower levels of serum IFN-alpha, and significantly higher levels of serum IgE than either healthy EBV seropositive individuals or healthy recipients of organ transplants on immunosuppressive therapy. These results suggest that imbalance in the proportions of circulating cytokines favoring B cell proliferation may be contributing to the development of EBV-associated BLPD. The potential significance of the finding of low IFN-alpha in patients who develop BLPD is exemplified by our recent success in the treatment of BLPD with IFN-alpha and intravenous IgG.

journal_name

Transplantation

journal_title

Transplantation

authors

Mathur A,Kamat DM,Filipovich AH,Steinbuch M,Shapiro RS

subject

Has Abstract

pub_date

1994-04-15 00:00:00

pages

1042-5

issue

7

eissn

0041-1337

issn

1534-6080

journal_volume

57

pub_type

杂志文章
  • Delayed hepatic artery thrombosis in adult orthotopic liver transplantation-a 12-year experience.

    abstract:BACKGROUND:Although the clinical features of early hepatic artery thrombosis (HAT) are well defined, the features of delayed (more than 4 weeks after transplantation) hepatic artery thrombosis are less clearly defined. The aim of our study was to identify risk factors, clinical presentation, and outcome of management o...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200106150-00018

    authors: Bhattacharjya S,Gunson BK,Mirza DF,Mayer DA,Buckels JA,McMaster P,Neuberger JM

    更新日期:2001-06-15 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

  • Effects of protein-calorie restriction on the immune response to skin allografts in the rat.

    abstract::The effect of protein depletion on immune responsiveness was examined using a skin allograft model. Protein depletion was induced in adult Fischer (F344) male rats by the ad libitum provision of a 5% protein diet. Total serum protein, total body weight, total body nitrogen, and total body lipid were all markedly decre...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198009000-00012

    authors: Austin EH,Brennan MF,Rosenberg SA

    更新日期:1980-09-01 00:00:00

  • Hypertonic citrate solution as an alternative to modified Euro-Collins' solution for lung preservation.

    abstract::In a canine model of acute ischemic lung injury, a hypertonic citrate solution (HTC) widely used for renal preservation in the United Kingdom, was compared with modified Euro-Collins' solution (ECS) currently the most widely clinically used pulmonary perfusate. Ten beagle dogs underwent left thoracotomy and exclusion ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199105000-00022

    authors: Hooper TL,Jones MT,Thomson DS,Cook L,Owen S,Wilkes S,Woodcock A,Webster AH,Hasleton P,McGregor CG

    更新日期:1991-05-01 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

  • Liver transplantation restores endocrine cells in patients with familial amyloidotic polyneuropathy.

    abstract:BACKGROUND:The aim of this study was to investigate familial amyloidotic polyneuropathy, Portuguese type patients' endocrine cell content in the stomach and duodenum before and after liver transplantation, and to relate the findings to the patients' gastrointestinal disturbances. METHODS:Ten liver-transplanted familia...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200009150-00015

    authors: Anan I,El-Salhy M,Nyhlin N,Suhr OB

    更新日期:2000-09-15 00:00:00

  • Reinnervation of syngeneic pancreatico-duodenal grafts in rats.

    abstract:BACKGROUND:Knowledge on the reinnervation of transplanted organs is scarce, and the aim of the study was therefore to evaluate to what degree syngeneic pancreas grafts were reinnervated in rats. METHODS:Syngeneic pancreatico-duodenal transplantations were performed in normoglycemic Wistar-Furth rats. Native and transp...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200101150-00002

    authors: Korsgren O,Jansson L,Ekblad E,Sundler F

    更新日期:2001-01-15 00:00:00

  • The role of PCR in the diagnosis and management of CMV in solid organ recipients: what is the predictive value for the development of disease and should PCR be used to guide antiviral therapy?

    abstract::Cytomegalovirus remains a significant source of morbidity and mortality in immunocompromised hosts. The increased sensitivity of molecular diagnostic techniques (PCR, antigenemia) has resulted in our ability to detect viral replication earlier in the posttransplant period, before the onset of symptoms. With the advent...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199701270-00017

    authors: Abecassis MM,Koffron AJ,Kaplan B,Buckingham M,Muldoon JP,Cribbins AJ,Kaufman DB,Fryer JP,Stuart J,Stuart FP

    更新日期:1997-01-27 00:00:00

  • Accelerated rejection of H-2-incompatible skin allografts in the absence of specific cytotoxic antibodies.

    abstract::Second-set rejection is generally considered to be mediated by cytotoxic humoral antibodies. A few discordant data have been reported, however. To address this question, we have taken advantage of a model in which specific cytotoxic alloantibodies are not produced although transplantation cellular immunity develops. F...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199309000-00003

    authors: Aitouche A,Touraine JL

    更新日期:1993-09-01 00:00:00

  • Knockdown of intraislet IKKβ by spherical nucleic acid conjugates prevents cytokine-induced injury and enhances graft survival.

    abstract:BACKGROUND:The efficiency of islet graft survival after intraportal implantation is compromised by host innate immune responses and the production of proinflammatory cytokines that cause acute cellular injury. This reaction activates intraislet nuclear factor-κB (NF-κB), causing production of gene products that have de...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182a4190e

    authors: Rink JS,McMahon KM,Zhang X,Chen X,Mirkin CA,Thaxton CS,Kaufman DB

    更新日期:2013-11-27 00:00:00

  • Human allogeneic vascular rejection after arterial transplantation and peripheral lymphoid reconstitution in severe combined immunodeficient mice.

    abstract:BACKGROUND:Interspecies differences create important shortcomings in existing animal models used to describe in vivo events responsible for allograft rejection. Alloimmune destruction of human dermal microvessels, histologically consistent with rejection, has been demonstrated in human skin-grafted severe combined immu...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199903270-00018

    authors: Lorber MI,Wilson JH,Robert ME,Schechner JS,Kirkiles N,Qian HY,Askenase PW,Tellides G,Pober JS

    更新日期:1999-03-27 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

  • Endogenous interleukin 1 receptor antagonist during human bone marrow transplantation: increased levels during graft-versus-host disease, during infectious complications, and after immunoglobulin therapy.

    abstract::In order to understand in more detail the role of endogenous interleukin 1 receptor antagonist (IL-1ra) during bone marrow transplantation, IL-1ra serum levels of 28 patients undergoing allogeneic (n=25) or autologous (n=3) bone marrow transplantation were measured with a commercially available ELISA. In addition, the...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199701150-00010

    authors: Schwaighofer H,Oberhuber G,Hebart H,Einsele H,Herold M,Nachbaur D,Eibl B,Tilg H,Kropshofer G,Ferrara JL,Niederwieser D

    更新日期:1997-01-15 00:00:00

  • Pulmonary and blood stream infections in adult living donor and cadaveric liver transplant patients.

    abstract:BACKGROUND:Infectious complications occur in approximately 50% of cadaveric liver transplant (CDLT) recipients. Living-donor liver transplantation (LDLT) is an established alternative to shorten the waiting time. Currently, the incidence of pulmonary infections after LDLT and the microbiologic causes are unknown. In th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31816f61a6

    authors: Saner FH,Olde Damink SW,Pavlakovic G,van den Broek MA,Rath PM,Sotiropoulos GC,Radtke A,Canbay A,Paul A,Nadalin S,Malagó M,Broelsch CE

    更新日期:2008-06-15 00:00:00

  • Altered threshold for the induction of graft-versus-host immunodeficiency following murine cytomegalovirus infection. Host and donor contributions.

    abstract::Acute murine cytomegalovirus (MCMV) infection enhances the ability of parental spleen cells to induce graft-vs.-host immunodeficiency (GVHID) in F1 hybrid mice when the two processes occur simultaneously in the recipient. The present study assessed GVHID as the ability of spleen cells to generate in vitro cytotoxic T ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198808000-00021

    authors: Via CS,Shanley JD,Weatherly BR,Lang P,Shearer GM

    更新日期:1988-08-01 00:00:00

  • Pharmacodynamics of mycophenolic acid in heart allograft recipients: correlation of lymphocyte proliferation and activation with pharmacokinetics and graft histology.

    abstract:BACKGROUND:Assays of drug blood levels are used for therapeutic immunosuppressive drug monitoring (pharmacokinetics, PK). We monitored lymphocyte functions (pharmacodynamics, PD) in allograft recipients treated with mycophenolic acid (MPA) to determine its mechanisms and the relationships among dose levels, PK, PD, and...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200010150-00009

    authors: Gummert JF,Barten MJ,van Gelder T,Billingham ME,Morris RE

    更新日期:2000-10-15 00:00:00

  • Expression of transforming growth factor-beta1 and hypoxia-inducible factor-1alpha in an experimental model of kidney transplantation.

    abstract:BACKGROUND:Ischemia-reperfusion syndrome has been recognized as an important pathogenic factor in renal transplantation, not only in the development of delayed graft function but also in the development of acute and chronic rejection. Hypoxia-inducible factor (HIF)-1 activates transcription of several genes implicated ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000063128.86981.B2

    authors: Lario S,Mendes D,Bescós M,Iñigo P,Campos B,Alvarez R,Alcaraz A,Rivera-Fillat F,Campistol JM

    更新日期:2003-05-27 00:00:00

  • An effective immune-monitoring protocol based on gene expression profiles in the peripheral T-cell fraction reactive to graft antigens.

    abstract:BACKGROUND:The ability to induce tolerance, or at least minimize the need for immunosuppressive therapy, is a high priority in organ transplantation. Accomplishing this goal requires a novel method for determining when a patient has become tolerant to or is rejecting their graft. Here, we sought to develop an efficient...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182696a5b

    authors: Lim DG,Park YH,Kim SE,Jung EJ,Jeong SH,Lee H,Shin SJ,Park CS,Han DJ,Kim SC

    更新日期:2012-10-27 00:00:00

  • Direct induction of class II molecules by cytomegalovirus in rat heart microvascular endothelial cells is inhibited by ganciclovir (DHPG).

    abstract::It has been demonstrated both in vivo and in vitro that cytomegalovirus regulates not only MHC class I but also class II antigen expression on vascular endothelial cells. The CMV-linked MHC induction is believed to be involved in acute rejection mechanisms and chronic vasculopathy after transplantation. In this study,...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199411150-00009

    authors: Ustinov JA,Lahtinen TT,Bruggeman CA,Häyry PJ,Lautenschlager IT

    更新日期:1994-11-15 00:00:00

  • Association between capsule diameter, adequacy of encapsulation, and survival of microencapsulated rat islet allografts.

    abstract::As a consequence of its large volume, a microencapsulated islet graft can be implanted only into the peritoneal cavity. The graft volume can be reduced by using small capsules. However, reduction of the diameter of the capsules holds a certain risk, because with smaller capsules, more islets may be found to protrude f...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199610150-00004

    authors: De Vos P,De Haan B,Pater J,Van Schilfgaarde R

    更新日期:1996-10-15 00:00:00

  • Inhibition of inducible nitric oxide synthase ameliorates functional and histological changes of acute lung allograft rejection.

    abstract:BACKGROUND:We recently demonstrated that inhibition of inducible nitric oxide synthase (iNOS) ameliorated severe acute lung allograft rejection. This study used a rat lung transplant model to determine (1) the time course and cellular localization of iNOS expression during the histological progression of unmodified acu...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199704270-00008

    authors: Worrall NK,Boasquevisque CH,Botney MD,Misko TP,Sullivan PM,Ritter JH,Ferguson TB Jr,Patterson GA

    更新日期:1997-04-27 00:00:00

  • Sirolimus-based therapy for kidney transplantation from expanded criteria donors.

    abstract::The new class of immunosuppressants--inhibitors of the mammalian target of rapamycin--has no nephrotoxicity and the capacity to inhibit vascular smooth cell proliferation. These characteristics may afford considerable clinical advantages in the transplantation of kidneys from expanded criteria donors (ECD). Six clinic...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181a058a1

    authors: Rigotti P,Kahan BD

    更新日期:2009-04-27 00:00:00

  • Human herpesvirus-6 meningoencephalitis in a recipient of an unrelated allogeneic bone marrow transplantation.

    abstract:BACKGROUND:Human herpesvirus-6 (HHV-6) has been implicated in bone marrow suppression, interstitial pneumonitis, and fatal meningoencephalitis in bone marrow transplant (BMT) recipients. METHODS:We describe the case of a woman with acute myeloid leukemia in second remission who developed febrile meningoencephalitis 8 ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199805270-00024

    authors: Rieux C,Gautheret-Dejean A,Challine-Lehmann D,Kirch C,Agut H,Vernant JP

    更新日期:1998-05-27 00:00:00

  • Clinical and laboratory evaluation of the safety of a bioartificial liver assist device for potential transmission of porcine endogenous retrovirus.

    abstract:BACKGROUND:The potential risk of transmission of porcine endogenous retroviruses (PERV) from xenogeneic donors into humans has been widely debated. Because we were involved in a phase I/II clinical trial using a bioartificial liver support system (BLSS), we proceeded to evaluate the biosafety of this device. MATERIALS...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200202150-00017

    authors: Kuddus R,Patzer JF 2nd,Lopez R,Mazariegos GV,Meighen B,Kramer DJ,Rao AS

    更新日期:2002-02-15 00:00:00

  • Extensively drug-resistant Pseudomonas aeruginosa bacteremia in solid organ transplant recipients.

    abstract:BACKGROUND:We sought to determine the risk factors, molecular epidemiology, antibiotic therapy, and outcomes of bacteremia because of extensively drug-resistant (XDR) Pseudomonas aeruginosa in solid organ transplant (SOT) recipients. METHODS:All episodes of bacteremia occurring in SOT recipients were prospectively doc...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000366

    authors: Bodro M,Sabé N,Tubau F,Lladó L,Baliellas C,González-Costello J,Cruzado JM,Carratalà J

    更新日期:2015-03-01 00:00:00

  • Mutagenicity of cyclosporine. Induction of sister chromatid exchange in human cells.

    abstract::To examine whether cyclosporine (CsA) has mutagenic potential against human cells, we analyzed sister chromatid exchange (SCE) induction by CsA using human lymphocytes in vitro. SCE frequencies increased significantly in the lymphocytes treated with 1 microgram/ml and 5 micrograms/ml CsA, though the frequencies seemed...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Yuzawa K,Kondo I,Fukao K,Iwasaki Y,Hamaguchi H

    更新日期:1986-07-01 00:00:00

  • Evidence that sensitivity to cyclosporine is influenced by the HLA-DR phenotype of kidney graft recipients.

    abstract::Clinical as well as experimental studies have shown a great interindividual variability in the immunosuppressive efficacy of CsA. Evaluating previous in vitro findings of a correlation between sensitivity of alloresponsiveness to CsA and the HLA-DR phenotype CsA levels were compared in kidney transplant recipients wit...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199204000-00010

    authors: Zlabinger GJ,Kudlacek S,Pohanka E,Franz M,Hamilton G,Rosenmayr A,Kovarik J

    更新日期:1992-04-01 00:00:00

  • Long-term prognosis of renal transplantation after preemptive treatment of cytomegalovirus infection.

    abstract::A role for cytomegalovirus (CMV) infection in the etiologies of acute and chronic rejection in renal allograft recipients has been suggested. We previously reported that preemptive treatment of CMV infection with ganciclovir in kidney transplant patients was safe and effective. We now present a retrospective analysis ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199704150-00012

    authors: Akposso K,Rondeau E,Haymann JP,Peraldi MN,Marlin C,Sraer JD

    更新日期:1997-04-15 00:00:00

  • Tacrolimus (FK506) and cyclosporine reduce the uptake and transport of particles into rabbit Peyer's patches.

    abstract::Tacrolimus (FK) and cyclosporine (Cs) are potent immunosuppressants that effectively prevent the rejection of transplanted organs including liver and small intestine. Our study examined the effects of these immunosuppressants on Peyer's patches, which play an important role in mucosal immune response through uptake an...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200204150-00006

    authors: Fujimura Y,Owen RL

    更新日期:2002-04-15 00:00:00

  • Alloantibodies against donor epidermis and early kidney transplant rejection.

    abstract::We have previously observed that transplant recipient sera with endothelial antibodies are bound to epidermal cells, as shown by immunofluorescence on sections of skin. It was also reported that early kidney failures that occurred despite negative T cell crossmatches were associated with, and could have been predicted...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199102000-00019

    authors: Moraes JR,Moraes ME,Luo YM,Stastny P

    更新日期:1991-02-01 00:00:00