High incidence of monoclonal immunoglobulins in patients after liver or heart transplantation.

Abstract:

:Sera from 56 recipients of liver or heart transplants were investigated for monoclonal immunoglobulins (mIg) by immunofixation electrophoresis (IFE) at different times during 4 years after transplantation. Transient, changing, or stable mIgs were found in 18 patients. A significantly increased mIg incidence was observed in heart Tx patients, patients over 40 years of age, and those receiving azathioprine or antithymocyte globulin in addition to prednisolone and cyclosporine as immunosuppressive treatment. No correlations could be found between the presence of mIg and the number of rejection episodes or intercurrent infections. Such serum mIg represent monoclones of at least 1 x 10(9) cells of B lymphocyte lineage that apparently proliferate without adequate suppressive control. Since immunosuppressed allograft recipients are at risk of developing B cell lymphomas, such monoclones may be regarded as prelymphomas necessitating a careful follow-up in these patients.

journal_name

Transplantation

journal_title

Transplantation

authors

Peest D,Schaper B,Nashan B,Wonigeit K,Raude E,Pichlmayr R,Haverich A,Deicher H

doi

10.1097/00007890-198809000-00011

subject

Has Abstract

pub_date

1988-09-01 00:00:00

pages

389-93

issue

3

eissn

0041-1337

issn

1534-6080

journal_volume

46

pub_type

杂志文章
  • 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

  • Quantitative comparison of rapamycin and cyclosporine effects on cytokine gene expression studied by reverse transcriptase-competitive polymerase chain reaction.

    abstract::We developed and applied a quantitative competitive polymerase chain reaction method to study the expression of various cytokine genes in Con A-stimulated murine splenocytes. This method relies on the use of competitive templates that differ from the target cytokine cDNA templates only by the introduction of a unique ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Zheng XX,Strom TB,Steele AW

    更新日期:1994-07-15 00:00:00

  • Immunoglobulin heavy chain transgenic mice expressing Galalpha(1,3)Gal-reactive antibodies.

    abstract:BACKGROUND:Natural antibodies that bind the carbohydrate antigen Galalpha1-3Galbeta1-4GlcNAc-R (alphaGal) mediate rigorous rejection of porcine xenografts and represent a major immunological hurdle to successful discordant xenotransplantation. However, little is known about how production of antibodies specific for alp...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200205270-00007

    authors: Cretin N,Iacomini J

    更新日期:2002-05-27 00:00:00

  • Successful renal transplantation after endovascular bifurcated stent graft repair of an abdominal aortic aneurysm.

    abstract::Renal transplantation after repair of aortoiliac aneurysms with traditional prosthetic vascular grafts has been shown to be effective. Vascular surgery continues to rapidly evolve, most notably with the advancement of endovascular repair of abdominal aortic aneurysms. Controlled trials continue to support the trend to...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200108150-00031

    authors: George P,Tan HP,Beebe H,Ratner LE

    更新日期:2001-08-15 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

  • Cardiac myosin autoantibodies and acute rejection after heart transplantation in patients with dilated cardiomyopathy.

    abstract:OBJECTIVES:To determine whether humoral autoimmune responses associated with dilated cardiomyopathy (DCM) influence the postoperative clinical course following cardiac transplantation. METHODS:ELISA levels of preformed cardiac myosin (CM) autoantibodies (Abs) in patients with a pretransplant diagnosis of dilated cardi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200004270-00015

    authors: Warraich RS,Pomerance A,Stanley A,Banner NR,Dunn MJ,Yacoub MH

    更新日期:2000-04-27 00:00:00

  • Promoting Organ Donor Registries Through Public Education: What Is the Cost of Securing Organ Donors?

    abstract:BACKGROUND:Transplant medicine's impact on America's public health is seriously limited by acute shortage of transplantable organs. Consequently, the United Sates has witnessed considerable investment in the promotion of organ donor registries. Although there is no evidence to support that donor registry promotion alle...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000957

    authors: Razdan M,Smith KJ,Bryce CL,Degenholtz HB

    更新日期:2016-06-01 00:00:00

  • Association of chronic thromboxane inhibition with reduced in situ cytotoxic T cell activity in rejecting rat renal allografts.

    abstract::The development of allospecific cellular immunity during acute rat renal allograft rejection parallels alterations occurring in arachidonic acid metabolism, including increased production of the vasoconstrictor eicosanoid thromboxane A2 (TxA2). We have previously demonstrated that chronic inhibition of thromboxane syn...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Ruiz P,Coffman TM,Klotman PE,Sanfilippo F

    更新日期:1989-10-01 00:00:00

  • Immunosuppression with a combination of the leflunomide analog, FK778, and microemulsified cyclosporine for renal transplantation in mongrel dogs.

    abstract:BACKGROUND:The leflunomide analog, FK778, is a selective pyrimidine synthesis inhibitor. In rodent models, FK778 is efficacious in the prevention of allograft and xenograft rejection, and a combination of FK778 and cyclosporine has synergistic immunosuppressive efficacy. METHODS:Heterotopic renal transplantation was p...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000061789.97072.12

    authors: Kyles AE,Gregory CR,Griffey SM,Bernsteen L,Pierce J,Lilja HS,Morris RE

    更新日期:2003-04-27 00:00:00

  • Late onset of severe graft-versus-host disease in a pediatric liver transplant recipient.

    abstract::We report the management of a patient with the late onset of chronic graft-versus-host disease (GVHD) after orthotopic liver transplantation. GVHD is a rare complication of solid organ transplants that usually presents early after transplantation and is fatal in the majority of cases. Our patient differs from the typi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200105270-00022

    authors: Dunn SP,Krueger LJ,Butani L,Punnett H

    更新日期:2001-05-27 00:00:00

  • Nosocomial Legionnaires' disease following renal transplantation.

    abstract::A cluster of five cases of Legionnaires' disease in renal transplant patients is described. They were treated with erythromycin and rifampicin, and all five survived. Two of them had rejected their grafts prior to their Legionella pneumonia; two rejected their transplants after reduction of immunosuppressive therapy t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Wilczek H,Kallings I,Nyström B,Hoffner S

    更新日期:1987-06-01 00:00:00

  • ICAM-1 induction on hepatocytes as a marker for immune activation of acute liver allograft rejection.

    abstract::Intercellular adhesion molecule-1 (ICAM-1) induction on hepatocytes was investigated in relation to acute liver allograft rejection, CMV infection, and systemic bacterial infections. Twenty-four liver transplant recipients underwent an episode of acute rejection, 13 developed a symptomatic clinical CMV infection, and ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199312000-00041

    authors: Lautenschlager IT,Höckerstedt KA

    更新日期:1993-12-01 00:00:00

  • Human granulocytic ehrlichiosis in a renal transplant patient: case report and review of the literature.

    abstract:BACKGROUND:Human ehrlichiosis, a newly described zoonotic infection, can be classified as human monocytic ehrlichiosis (HME) or human granulocytic ehrlichiosis (HGE). Although the clinical manifestations of HME and HGE are similar, the type of leukocyte infected, the etiologic agent, and the tick vector are distinct. ...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/00007890-199710270-00010

    authors: Adachi JA,Grimm EM,Johnson P,Uthman M,Kaplan B,Rakita RM

    更新日期:1997-10-27 00:00:00

  • FK506 treatment in combination with leflunomide in hamster-to-rat heart and liver xenograft transplantation.

    abstract:BACKGROUND:In the experiment described here, we investigated the effects of the immunosuppressants FK506 and leflunomide (Lef) on the survival of hamster hearts and liver xenografts in Lewis rats. METHODS:Lewis rats were used as recipients of hamster heart or liver grafts using different regimens of FK506 and Lef. Don...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199810150-00004

    authors: Sankary HN,Yin DP,Chong AS,Ma LL,Blinder L,Shen JK,Foster P,Williams JW

    更新日期:1998-10-15 00:00:00

  • Domino hepatic transplantation using the liver from a patient with familial amyloid polyneuropathy.

    abstract:BACKGROUND:In transplantation, novel methods are required to augment the supply of donor organs. We report the first domino liver transplant in which a patient with familial amyloid polyneuropathy (FAP) received an orthotopic split liver graft, and her explanted liver was donated to another patient. Three successful li...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199806150-00016

    authors: Stangou AJ,Heaton ND,Rela M,Pepys MB,Hawkins PN,Williams R

    更新日期:1998-06-15 00:00:00

  • A schema for histologic grading of small intestine allograft acute rejection.

    abstract:BACKGROUND:Histologic evaluation of small bowel allograft biopsies is important for the diagnosis of acute rejection. However, a standard histologic schema to grade the severity of intestinal acute rejection is not currently available. The primary goal of this study was to develop a histologic grading system for the di...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000062840.49159.2F

    authors: Wu T,Abu-Elmagd K,Bond G,Nalesnik MA,Randhawa P,Demetris AJ

    更新日期:2003-04-27 00:00:00

  • Apoptosis and chemokine induction after renal ischemia-reperfusion.

    abstract:BACKGROUND:One of the earliest prerequisites for the development of inflammation after ischemia-reperfusion (I/R) is local chemokine expression. We recently demonstrated that apoptosis, characterized by intracellular caspase-activation, contributes to the development of inflammation after I/R. METHODS:The contribution...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200104150-00032

    authors: Daemen MA,de Vries B,van't Veer C,Wolfs TG,Buurman WA

    更新日期:2001-04-15 00:00:00

  • Evaluation of renal function in potential living kidney donors.

    abstract:BACKGROUND:Most transplant centers in the United States, including our own, use creatinine clearance (Ccr) to estimate glomerular filtration rate (GFR) in potential living kidney donors. The purpose of this study was to evaluate our experience with estimation of donor GFR by Ccr and to explore other potential strategie...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200101270-00016

    authors: Bertolatus JA,Goddard L

    更新日期:2001-01-27 00:00:00

  • Immunohistologic analysis of human renal allograft dysfunction.

    abstract::The value of percutaneous core needle biopsy in the immunohistological evaluation of renal allograft dysfunction was studied in 72 consecutive biopsies performed in 42 patients. The phenotypes of infiltrating cells mediating graft destruction were identified with monoclonal antibodies and immunoperoxidase staining tec...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198701000-00022

    authors: Waltzer WC,Miller F,Arnold A,Anaise D,Rapaport FT

    更新日期:1987-01-01 00:00:00

  • Genes associated with progression and recurrence of hepatocellular carcinoma in hepatitis C patients waiting and undergoing liver transplantation: preliminary results.

    abstract:BACKGROUND:Liver transplantation (LT) represents a curative treatment for small hepatocellular carcinoma (HCC). Potentially curable higher-stage HCC patients are denied LT due to the lack of cancer markers that predict progression and recurrence. METHODS:Thirty-eight candidates for LT with hepatitis C virus (HCV) cirr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000258643.05294.0b

    authors: Mas VR,Fisher RA,Archer KJ,Yanek KC,Williams B,Dumur CI,Maluf DG

    更新日期:2007-04-15 00:00:00

  • Precursor frequency and lytic specificity of interleukin 2 and interleukin 4-responsive murine lymphocytes.

    abstract::The response to IL-2 and IL-4 of several functionally defined lymphoid cell types was assessed at the individual responding cell level in limiting dilution experiments in which exogenous IL-2 or IL-4 was used to promote cellular activation and expansion. Splenic precursors that give rise to alloreactive CTL in LDA sup...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199004000-00018

    authors: Widmer MB,Voice RF,Conlon PJ,Grabstein KH

    更新日期:1990-04-01 00:00:00

  • Plasma exchange in acute renal allograft rejection. A controlled trial.

    abstract::A controlled trial was carried out to assess the value of intensive plasma exchange in 27 renal transplant recipients with clinical and histological evidence of acute vascular rejection. In addition to standard immunosuppression, 13 patients received plasma exchange on six consecutive days at a mean exchange volume of...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-198305000-00006

    authors: Allen NH,Dyer P,Geoghegan T,Harris K,Lee HA,Slapak M

    更新日期:1983-05-01 00:00:00

  • Full reconstitution of hematopoietic system by murine umbilical cord blood.

    abstract:BACKGROUND:Murine umbilical cord blood cells (UCBCs) were studied for their ability to reconstitute the hematopoietic system. METHODS:On average, 150 microL of cord blood per fetus containing 1.2 to 2 x 10(4) nucleated cells were collected from day 18.5 fetal umbilical cord, and 3 to 6 x 10(3) cells per fetus were obt...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000065295.99190.03

    authors: Migishima F,Oikawa A,Kondo S,Ema H,Morita Y,Nakauchi H,Yokoyama M,Song SY,Nishijima M,Okabe M,Shinohara N

    更新日期:2003-06-15 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

  • Animal models of chronic allograft injury: contributions and limitations to understanding the mechanism of long-term graft dysfunction.

    abstract::Advances in immunosuppression have reduced the incidence of acute graft loss after transplantation, but long-term allograft survival is still hindered by the development of chronic allograft injury, a multifactorial process that involves both immunologic and nonimmunologic components. Because these components become d...

    journal_title:Transplantation

    pub_type: 社论,评审

    doi:10.1097/TP.0b013e3181efcfbc

    authors: Bedi DS,Riella LV,Tullius SG,Chandraker A

    更新日期:2010-11-15 00:00:00

  • Depletion of hepatitis C virus from procured kidneys using pulsatile perfusion preservation.

    abstract::The safety of the use of kidneys procured from a hepatitis C virus (HCV)-positive cadaver donors in transplantation has recently been the subject of controversy. One factor that is important in determining the transmission of the virus and/or viral liver disease is the total viral inoculum to which the renal allograft...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199403270-00011

    authors: Zucker K,Cirocco R,Roth D,Olson L,Burke GW,Nery J,Esquenazi V,Miller J

    更新日期:1994-03-27 00:00:00

  • Early immune reaction after reduced-intensity cord-blood transplantation for adult patients.

    abstract:BACKGROUND:To investigate immune reactions after reduced-intensity cord-blood transplantation (RI-CBT). MATERIALS AND METHODS:We reviewed medical records of 57 adult RI-CBT recipients. Preparative regimen comprised fludarabine, total-body irradiation, and either melphalan (n=51) or busulfan (n=6). Graft-versus-host di...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000163289.20406.86

    authors: Kishi Y,Kami M,Miyakoshi S,Kanda Y,Murashige N,Teshima T,Kusumi E,Hara S,Matsumura T,Yuji K,Masuoka K,Wake A,Morinaga S,Kanemaru M,Hayashi T,Tanaka Y,Taniguchi S,Tokyo Stem Cell Transplant Consortium.

    更新日期:2005-07-15 00:00:00

  • Respiratory complications: a major concern after right hepatectomy in living liver donors.

    abstract:BACKGROUND:One of the main concerns after living donor liver transplantation is the risk of morbidity and/or mortality that it imposes on the donors. Respiratory postoperative complications in living liver donors have already been reported but their frequency seems to be underestimated. We designed a prospective study ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000191624.70135.35

    authors: Dondero F,Taillé C,Mal H,Sommacale D,Sauvanet A,Farges O,Francoz C,Durand F,Delefosse D,Denninger MH,Vilgrain V,Marrash-Chahla R,Fournier M,Belghiti J

    更新日期:2006-01-27 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

  • The use of duplex Doppler ultrasonography to evaluate renal allograft dysfunction.

    abstract::This study evaluated the utility of duplex Doppler sonograms (DS) and the resistive index (RI) in the identification and differential diagnosis of various causes of renal allograft dysfunction. The efficacy of DS and RI was studied either during acute episodes of allograft dysfunction or during periodic posttransplant...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199012000-00015

    authors: Meyer M,Paushter D,Steinmuller DR

    更新日期:1990-12-01 00:00:00