The crossmatch in renal transplantation. Evaluation of flow cytometry as a replacement for standard cytotoxicity.

Abstract:

:Flow cytometry (FC) is increasingly being used as a crossmatch procedure in addition to the standard complement-dependent cytotoxicity (CDC) test. In fact, FC offers a number of advantages over CDC and has the potential to become the primary crossmatch technique for cadaveric donor renal transplantation. We evaluated this possibility in 230 patients crossmatched by both CDC and FC. The results showed that when the T cell crossmatch was negative by FC it was always negative by CDC, and that when the T cell results were positive by CDC (IgM antibodies excluded) they were also positive by FC. As expected, a number of tests were T cell-positive by FC but negative by CDC. A T cell CDC crossmatch was more likely to be positive when FC was positive for both T and B cells and when FC results were quantitatively higher. However, FC was unable to consistently predict a positive, dithiothreitol-resistant B cell CDC crossmatch. A policy to transplant patients with negative FC results (70% of the patients evaluated) and not to transplant sensitized patients with FC+ T cell results (10%) would allow us to make a final decision with only FC in 80% of the cases. Actual graft survival was similar for nonsensitized first-transplant candidates with positive (83%) or all patients with negative (86%) FC results. We conclude that FC is sufficient to make a final decision in most cases. Wider utilization will require improvements in the ability of FC to measure B cell antibodies and to quantitate antibodies to T cells.

journal_name

Transplantation

journal_title

Transplantation

authors

Scornik JC,Brunson ME,Schaub B,Howard RJ,Pfaff WW

subject

Has Abstract

pub_date

1994-02-27 00:00:00

pages

621-5

issue

4

eissn

0041-1337

issn

1534-6080

journal_volume

57

pub_type

临床试验,杂志文章
  • Detection of Ia alloantigens on phytohemagglutinin-stimulated T blast cells.

    abstract::The expression of Ia antigens on leukoagglutinin-induced blast cells was studied using a sensitive protein A-rosetting technique and quantitative absorption with conventional and monoclonal Ia antibodies. By direct testing, 40 to 60% of CBA (Iak) blast cells were shown to be Ia+ (Iak+, Ia.17+, and Ias-), expressing bo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198105010-00005

    authors: Michaelides M,McKenzie IF

    更新日期:1981-05-01 00:00:00

  • Immunosuppression in canine renal allografts using niridazole.

    abstract::The immunosuppressive activity of niridazole in unmatched kidney allografts in nephrectomized dogs was studied. The drug alone was not effective, but improved survival when used with azathioprine and prednisolone or azathioprine alone. However, niridazole was toxic in dogs in the doses used (25 or 50 mg/kg/day). ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198004000-00009

    authors: Sokucu N,Caridis DT,Moran J

    更新日期:1980-04-01 00:00:00

  • Increase in neonatal suppressor cell activity resulting from the graft-versus-host reaction.

    abstract::Suppressor cell activity in the spleen of 4-5-day-old mice is high and can be assayed in mixed lymphocyte cultures. The suppressor cells inhibit the proliferation of adult mouse spleen cells responding in vitro to an allogeneic stimulus. This suppressor cell activity can be increased by injecting the mice, on the day ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198409000-00010

    authors: Argyris BF

    更新日期:1984-09-01 00:00:00

  • Pregnancy after donor nephrectomy.

    abstract::Potential female donors frequently ask whether unilateral nephrectomy will impair future childbearing capabilities. To address this question, we surveyed 220 women who underwent donor nephrectomy between 1985 and 1992. Of the 144 women who responded, 33 became pregnant after donation for a total of 45 pregnancies. Sev...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199612270-00044

    authors: Wrenshall LE,McHugh L,Felton P,Dunn DL,Matas AJ

    更新日期:1996-12-27 00:00:00

  • Antilymphocytic antibodies and bone marrow transplantation. XI. Evidence that reduced Thy-1 expression in Thy-1.1 mice prevents suppression of graft-versus-host disease with anti-Thy-1 monoclonal antibodies.

    abstract::Considerable variations in the suppression of graft-versus-host disease with monoclonal anti-Thy-1 antibodies were found to relate to substantial differences noted in the expression of mouse Thy-1 marker on lymph node and spleen cells of Thy-1.1 (AKR/J, C57BL/6.Thy-1.1) and Thy 1.2 (AKR/Cu, C57BL/6) mice. Thy-1.1 mice...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Mysliwietz J,Thierfelder S,Hoffmann-Fezer G,Kummer U

    更新日期:1990-04-01 00:00:00

  • Early Outcomes of the New UK Deceased Donor Kidney Fast-Track Offering Scheme.

    abstract:BACKGROUND:The UK Kidney Fast-Track Scheme (KFTS) was introduced in 2012 to identify kidneys at high risk of discard and to rapidly facilitate transplantation. A retrospective analysis of kidneys transplanted through the KFTS was undertaken. METHODS:UK Transplant Registry data were collected on deceased donor kidneys ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001860

    authors: Callaghan CJ,Mumford L,Pankhurst L,Baker RJ,Bradley JA,Watson CJE

    更新日期:2017-12-01 00:00:00

  • Management of posttransplant lymphoproliferative disease in pediatric liver transplant recipients receiving primary tacrolimus (FK506) therapy.

    abstract:BACKGROUND:Posttransplant lymphoproliferative disease (PTLD) after pediatric liver transplantation has been associated with high mortality rates. METHODS:The present study examined 282 consecutive pediatric liver transplant recipients from October 1989 to June 1996 who received primary tacrolimus immunosuppression. Th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199810270-00014

    authors: Cacciarelli TV,Green M,Jaffe R,Mazariegos GV,Jain A,Fung JJ,Reyes J

    更新日期:1998-10-27 00:00:00

  • Section 2. Small-for-size liver graft and hepatocellular carcinoma recurrence.

    abstract::Liver transplantation (LT) is the most effective treatment for small and unresectable hepatocellular carcinomas (HCCs). With scarcity of deceased donor livers, living donor LT (LDLT) is the alternative to deceased donor LT (DDLT). Animal studies have suggested that regeneration of the partial liver graft encourages HC...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.tp.0000446266.42019.28

    authors: Chan SC

    更新日期:2014-04-27 00:00:00

  • Analysis of Post-Liver Transplant Hepatitis C Virus Recurrence Using Serial Cluster of Differentiation Antibody Microarrays.

    abstract:BACKGROUND:Hepatitis C virus (HCV) reinfection of the liver allograft after transplantation is universal, with some individuals suffering severe disease recurrence. Predictive markers of recurrent disease severity are urgently needed. In this study, we used a cluster of differentiation (CD) microarray to predict the se...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000617

    authors: Rahman W,Tu T,Budzinska M,Huang P,Belov L,Chrisp JS,Christopherson RI,Warner FJ,Bowden DS,Thompson AJ,Bowen DG,Strasser SI,Koorey D,Sharland AF,Yang JY,McCaughan GW,Shackel NA

    更新日期:2015-09-01 00:00:00

  • Long-term culture of islets abrogates cytokine-induced or lymphocyte-induced increase of antigen expression on beta cells.

    abstract:BACKGROUND:Immunogenicity of a graft depends on its expression of major histocompatability complex (MHC) antigens and adhesion molecules and on the amount of intragraft leukocytes, the so-called passenger leukocytes. Although long-term culture reduces passenger leukocytes, permanent acceptance is not necessarily observ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200208270-00003

    authors: Kuttler B,Hartmann A,Wanka H

    更新日期:2002-08-27 00:00:00

  • Successful renal transplantation of patients sensitized following deliberate unrelated blood transfusions.

    abstract::One of the most powerful influences on cadaveric renal graft survival is the enhancing effect of blood transfusions from unrelated individuals (1, 2). However, the optimum number of transfusions required to achieve this effect remains controversial. Enhanced graft survival following only one or two transfusions has be...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198503000-00008

    authors: Martin S,Dyer PA,Harris R,Manos J,Mallick NP,Gokal R,Johnson RW

    更新日期:1985-03-01 00:00:00

  • Time-dependent impairment of mitochondrial function after storage and transplantation of rabbit kidneys.

    abstract:BACKGROUND:The mitochondrial respiratory chain is implicated as a major target of kidney damage after ischemia-reperfusion. This study measures changes in integrated mitochondrial function and in the activity of enzymes of the respiratory chain after cold storage and transplantation-reperfusion in vivo. METHODS:Mitoch...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200004150-00011

    authors: Sammut IA,Burton K,Balogun E,Sarathchandra P,Brooks KJ,Bates TE,Green CJ

    更新日期:2000-04-15 00:00:00

  • In vitro cytokine profiles and their relevance to rejection following renal transplantation.

    abstract::Graft rejection remains an important cause of renal allograft failure, despite improvements in immunosuppression and HLA typing. Although HLA matching is beneficial, ensuring an exact match it is often impractical. Thus, a reliable in vitro method for quantitating and qualitating alloreactivity is an important goal. I...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199510150-00015

    authors: Kaminski ER,Kaminski A,Bending MR,Chang R,Heads A,Szydlo RM,Pereira RS

    更新日期:1995-10-15 00:00:00

  • CXCL9 Predicts Severity at the Onset of Chronic Graft-versus-host Disease.

    abstract:BACKGROUND:Chronic graft-versus-host disease (cGVHD) represents a double-edged sword. In its nonsevere form, cGVHD associates with better control of the malignant disease, thus highlighting graft-versus-leukemia effects. However, severe cGVHD leads to debilitating morbidity and increased nonrelapse mortality. The predi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003108

    authors: Giesen N,Schwarzbich MA,Dischinger K,Becker N,Hummel M,Benner A,Radujkovic A,Müller-Tidow C,Dreger P,Luft T

    更新日期:2020-11-01 00:00:00

  • A potential immunosuppressive effect of anti-lymphocyte function-associated antigen-1 monoclonal antibody on islet transplantation.

    abstract::The immunosuppressive potentials of mAbs to lymphocyte function-associated antigen-1 (LFA-1) and CD2 molecules were examined in murine islet transplantation. Crude digested islets from BALB/c (H-2d) mice were transplanted into the renal subcapsular space of streptozotocin-induced diabetic C57BL/6 (H-2b) mice. The rat ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Gotoh M,Fukuzaki T,Monden M,Dono K,Kanai T,Yagita H,Okumura K,Mori T

    更新日期:1994-01-01 00:00:00

  • Sequential antilymphoblast globulin and cyclosporine for renal transplantation.

    abstract::The nephrotoxic effects of cyclosporine (CsA) seem to be augmented by co-existing renal injury. A high rate of prolonged delayed function (acute tubular necrosis [ATN]) and non-function (NF) has been associated with the use of CsA prior to and following renal transplantation. Cyclosporine has also been associated with...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198701000-00019

    authors: Sommer BG,Henry M,Ferguson RM

    更新日期:1987-01-01 00:00:00

  • Beneficial effect of cyclosporine pretreatment in canine liver ischemia. Enzymatic and electronmicroscopic studies.

    abstract::The effect of cyclosporine on hepatic ischemia was investigated. Hepatic ischemia was produced for 90 min in mongrel dogs. Experimental dogs were divided into three groups as follows: group A (control group), group B (CsA pretreatment group), group C (CsA posttreatment group). CsA was administered at a dose of 10 mg/k...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199107000-00024

    authors: Hayashi T,Nagasue N,Kohno H,Chang YC,Nakamura T

    更新日期:1991-07-01 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

  • Impairment of the immune response to influenza vaccination in renal transplant recipients by cyclosporine, but not azathioprine.

    abstract::Influenza vaccination has been strongly recommended for immunosuppressed renal transplant recipients. However, immunosuppression may lead to impaired antibody responses. We studied the antibody response to an inactivated trivalent influenza vaccine in 59 renal transplant recipients with life-sustaining kidney function...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198610000-00009

    authors: Versluis DJ,Beyer WE,Masurel N,Wenting GJ,Weimar W

    更新日期:1986-10-01 00:00:00

  • Amplification of immunological functions by subcutaneous injection of intermediate-high dose interleukin-2 for 2 years after autologous stem cell transplantation in children with stage IV neuroblastoma.

    abstract:BACKGROUND:Immunotherapy given post-autologous stem cell transplantation may eliminate residual tumor cells escaping the conditioning protocol. METHODS:Five children suffering from stage IV neuroblastoma were treated by recombinant interleukin-2 (IL-2) post-autologous peripheral blood stem cell transplantation. The pa...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200010150-00019

    authors: Toren A,Nagler A,Rozenfeld-Granot G,Levanon M,Davidson J,Bielorai B,Kaplinsky C,Meitar D,Mandel M,Ackerstein A,Ballin A,Attias D,Biniaminov M,Rosenthal E,Brok-Simoni F,Rechavi G,Kaufmann Y

    更新日期:2000-10-15 00:00:00

  • Evaluation of the drug interaction between intravenous high-dose fluconazole and cyclosporine or tacrolimus in bone marrow transplant patients.

    abstract::The purpose of this open-label, prospective study was to compare steady state concentrations and clearances of intravenously administered cyclosporine or tacrolimus with and without concomitant high-dose (400 mg/day) fluconazole in allogeneic BMT patients. Twenty-one patients were evaluable. The mean steady state cycl...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-199604270-00026

    authors: Osowski CL,Dix SP,Lin LS,Mullins RE,Geller RB,Wingard JR

    更新日期:1996-04-27 00:00:00

  • Impact of Tacrolimus Compared With Cyclosporin on the Incidence of Acute Allograft Rejection in Human Immunodeficiency Virus-Positive Kidney Transplant Recipients.

    abstract:BACKGROUND:Kidney transplantation (KT) of human immunodeficiency virus (HIV)-positive patients has transformed the management of end-stage kidney disease in this population. Although favourable outcomes have been reported, patients experience high rates of acute allograft rejection (AR). We examined factors associated ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000879

    authors: Gathogo E,Harber M,Bhagani S,Levy J,Jones R,Hilton R,Davies G,Post FA,UK HIV Kidney Transplantation Study Group.

    更新日期:2016-04-01 00:00:00

  • Analysis of the interactions of immunosuppressive drugs with cyclosporine in inhibiting DNA proliferation.

    abstract::Though the high immunosuppressive efficacy of cyclosporine has revolutionized clinical transplantation, renal, hepatic, and neural toxicities limit its therapeutic potential. One approach to this problem is to combine CsA therapy with immunosuppressive agents that act synergistically with it, thereby permitting lower ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199002000-00044

    authors: Vathsala A,Chou TC,Kahan BD

    更新日期:1990-02-01 00:00:00

  • Potential feasibility of early bone marrow cell injection into the spleen for creating functional hepatocytes.

    abstract:BACKGROUND:Bone marrow cells (BMCs) are believed to have the ability to generate functional hepatocytes and have some merits as a therapeutic modality for metabolic liver diseases. However, the appearance of BMC-derived hepatocytes (BMDHs) is low. We hypothesized that early BMC injection would be feasible for creating ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31819e0528

    authors: Misawa R,Soeda J,Ise H,Takahashi M,Kubota K,Mita A,Nakata T,Miyagawa S

    更新日期:2009-04-27 00:00:00

  • Guillain-Barre syndrome in organ and bone marrow transplant patients.

    abstract:BACKGROUND:Guillain-Barre Syndrome (GBS) is believed to be caused by autoimmune mechanisms that are predominantly T-cell mediated. We report GBS in organ transplant patients and bone marrow transplant patients, both of whom have iatrogenically suppressed T-cell function. METHODS:We reviewed the Duke University Medical...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200104270-00026

    authors: Bulsara KR,Baron PW,Tuttle-Newhall JE,Clavien PA,Morgenlander J

    更新日期:2001-04-27 00:00:00

  • KIR/HLA ligand incompatibility in kidney transplantation.

    abstract:BACKGROUND:The polymorphic family of killer-cell immunoglobulin-like receptors (KIRs) consists of activating and inhibitory receptors expressed by natural killer (NK) cells and effector T cells that recognize human leukocyte antigen (HLA) class I ligands. It has been suggested that KIR/HLA incompatibility exerts benefi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000290681.41859.41

    authors: Kunert K,Seiler M,Mashreghi MF,Klippert K,Schönemann C,Neumann K,Pratschke J,Reinke P,Volk HD,Kotsch K

    更新日期:2007-12-15 00:00:00

  • Retrospective study on the impact of hepatitis C virus infection on kidney transplant patients over 20 years.

    abstract:BACKGROUND:The majority of chronic hepatitis is ascribable to hepatitis C virus (HCV) infection, whereas the clinical impact has not been understood in kidney transplant recipients. Our current study was carried out to assess the impact of HCV infection on kidney recipients over the long-term, and to investigate the ef...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199808270-00010

    authors: Hanafusa T,Ichikawa Y,Kishikawa H,Kyo M,Fukunishi T,Kokado Y,Okuyama A,Shinji Y,Nagano S

    更新日期:1998-08-27 00:00:00

  • New mouse model to study islet transplantation in insulin-dependent diabetes mellitus.

    abstract:BACKGROUND:Islet transplantation studies with diabetic rodents frequently use treatment with diabetogens such as alloxan or streptozotocin to render hosts hyperglycemic. These chemicals produce unwanted toxic side effects, which complicate interpretations of damage produced by hyperglycemia versus direct toxin-induced ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200204270-00024

    authors: Mathews CE,Langley SH,Leiter EH

    更新日期:2002-04-27 00:00:00

  • Recovery of in vivo cellular immunity after human marrow grafting. Influence of time postgrafting and acute graft-versus-host disease.

    abstract::Three hundred thirty-two marrow graft recipients and 241 healthy marrow donors were studied by skin testing with recall and neoantigens. Two hundred thirty patients with leukemia and seventy-eight patients with aplastic anemia received allogeneic HLA-identical sibling marrow. Twenty-four patients with leukemia receive...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198402000-00006

    authors: Witherspoon RP,Matthews D,Storb R,Atkinson K,Cheever M,Deeg HJ,Doney K,Kalbfleisch J,Noel D,Prentice R

    更新日期:1984-02-01 00:00:00

  • The effect of verapamil on renal function after warm and cold ischemia in the isolated perfused rat kidney.

    abstract::The potential usefulness of verapamil, a calcium channel blocker to renal allograft preservation, was investigated using the isolated perfused rat kidney. Two models of ischemic injury were used. In the first model, rat kidneys were exposed to 40 min of 37 degrees C ischemia on the perfusion circuit. Addition of verap...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198512000-00004

    authors: Shapiro JI,Cheung C,Itabashi A,Chan L,Schrier RW

    更新日期:1985-12-01 00:00:00