Liver Transplantation for NASH-Related Hepatocellular Carcinoma Versus Non-NASH Etiologies of Hepatocellular Carcinoma.

Abstract:

BACKGROUND:Liver transplant (LT) for nonalcoholic steatohepatitis (NASH) related hepatocellular carcinoma (HCC) is not well characterized in the literature. The aim of the study was to examine characteristics and outcomes of patients who had LT for NASH-HCC (NASH) versus HCC from other liver diseases (non-NASH). METHODS:Using a 2-center retrospective design, all patients from 2004 to 2014 that received LT for HCC were analyzed. Subgroup analysis stratified patients according to Milan criteria. RESULTS:Nine hundred twenty-nine patients were transplanted for HCC. Sixty (6.5%) of 929 had HCC in the context of NASH. There were no significant differences between groups for pretransplant or explant tumor characteristics. The actuarial 1-, 3- and 5-year overall survival was 98%, 96%, and 80% in NASH versus 95%, 84%, and 78% in non-NASH (P = 0.1). No differences in tumor recurrence were observed in patients within and beyond Milan in the NASH group. Multivariate Cox regression demonstrated NASH status to be a protective factor for recurrence among patients with tumors beyond Milan (hazard ratio, 0.21; 95% confidence interval, 0.05-0.86; P = 0.029). CONCLUSION:After LT, outcomes are similar between NASH and non-NASH etiologies for HCC. The hypothesis that patients with more advanced HCC tumors in the context of NASH may have more favorable outcomes after LT has been generated, but requires further study.

journal_name

Transplantation

journal_title

Transplantation

authors

Sadler EM,Mehta N,Bhat M,Ghanekar A,Greig PD,Grant DR,Yao F,Sapisochin G

doi

10.1097/TP.0000000000002043

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

640-647

issue

4

eissn

0041-1337

issn

1534-6080

journal_volume

102

pub_type

杂志文章,多中心研究
  • Sotrastaurin (AEB071) alone and in combination with cyclosporine A prolongs survival times of non-human primate recipients of life-supporting kidney allografts.

    abstract:BACKGROUND:Sotrastaurin (STN), a novel oral protein kinase C inhibitor that inhibits early T-cell activation, was assessed in non-human primate recipients of life-supporting kidney allografts. METHODS:Cynomolgus monkey recipients of life-supporting kidney allografts were treated orally with STN alone or in combination...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31823cf92f

    authors: Bigaud M,Wieczorek G,Beerli C,Audet M,Blancher A,Heusser C,Morris RE,Wagner J

    更新日期:2012-01-27 00:00:00

  • Mapping and transcriptional properties of RT1 class II region genes.

    abstract::The class II region of major histocompatibility complex of the rat. Rattus norvegicus (RT1) consists of RT1.B, RT1.D, and RT1.H subregions. The gene order around the H subregion was determined as RT1.A--H beta-H alpha--B by RFLP analysis of naturally occurring intra-RT1 recombinant rats with HLA DP probes. A unique re...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199108000-00035

    authors: Fujii H,Kakinuma M,Yoshiki T,Natori T

    更新日期:1991-08-01 00:00:00

  • Family Over Rules? An Ethical Analysis of Allowing Families to Overrule Donation Intentions.

    abstract::Millions of people want to donate their organs after they die for transplantation, and many of them have registered their wish to do so or told their family and friends about their decision. For most of them, however, this wish is unlikely to be fulfilled, as only a small number of deaths (1% in the United Kingdom) oc...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000001536

    authors: Shaw D,Georgieva D,Haase B,Gardiner D,Lewis P,Jansen N,Wind T,Samuel U,McDonald M,Ploeg R,ELPAT Working Group on Deceased Donation.

    更新日期:2017-03-01 00:00:00

  • Endotelin ETA and ETB receptor antagonism during cold preservation in renal transplantation.

    abstract:BACKGROUND:In this study, we investigated the effects of selective endothelin (ET) receptor antagonism during different periods of cold ischemia on glomerular and tubular function and long-term survival in renal transplantation. METHODS:Left renal transplantation was performed in Lewis rats after 2 hr of cold ischemia...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200103150-00007

    authors: Hammad FT,Davis G,Zhang XY,Wheatley AM

    更新日期:2001-03-15 00:00:00

  • Impact of recipient body mass index on short-term and long-term survival of pancreatic grafts.

    abstract:BACKGROUND:The impact of recipient body mass index on graft and patient survival after pancreas transplantation is not well known. METHODS:We have analyzed data from all pancreas transplant recipients reported in the Scientific Registry of Transplant Recipients between 1987 and 2011. Recipients were categorized into B...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000226

    authors: Bédat B,Niclauss N,Jannot AS,Andres A,Toso C,Morel P,Berney T

    更新日期:2015-01-01 00:00:00

  • Blood transfusions in liver recipients: a conundrum or a clear benefit in the cyclosporine/tacrolimus era?

    abstract::Blood transfusions are common in patients with end-stage liver disease (ESLD), and their effects on sensitization, rejection, and liver graft survival are not well known. These effects were examined in 121 recipients of primary liver grafts, surviving > or = 30 days. Ninety-six (79%) patients received transfusions bef...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199706150-00008

    authors: Koneru B,Harrison D,Rizwan M,Holland BK,Ippolito T,Holman MJ,Leevy CB

    更新日期:1997-06-15 00:00:00

  • Sirolimus reduces the incidence of acute rejection episodes despite lower cyclosporine doses in caucasian recipients of mismatched primary renal allografts: a phase II trial. Rapamune Study Group.

    abstract:BACKGROUND:The novel agent sirolimus (SRL; Rapamune; rapamycin) inhibits the immune response by a mechanism distinct from those of calcineurin antagonists or antimetabolites. This randomized, controlled, multicenter, single blind, phase II trial examined the combination of SRL, steroids, and full versus reduced doses o...

    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:10.1097/00007890-199911270-00016

    authors: Kahan BD,Julian BA,Pescovitz MD,Vanrenterghem Y,Neylan J

    更新日期:1999-11-27 00:00:00

  • Long-term Persistence of Innate Lymphoid Cells in the Gut After Intestinal Transplantation.

    abstract:BACKGROUND:Little is known about innate lymphoid cell (ILC) populations in the human gut, and the turnover of these cells and their subsets after transplantation has not been described. METHODS:Intestinal samples were taken from 4 isolated intestine and 3 multivisceral transplant recipients at the time of any operativ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001593

    authors: Weiner J,Zuber J,Shonts B,Yang S,Fu J,Martinez M,Farber DL,Kato T,Sykes M

    更新日期:2017-10-01 00:00:00

  • Control of cyclosporine A-induced tumor progression using 15-deoxyspergualin for rat cardiac transplantation.

    abstract::Immunosuppressive therapy increases the risk of recurrence of initial cancers in organ transplant patients, and compelling therapeutic protocols are needed to suppress the malignancy and protect the allograft. We examined the potential use of 15-deoxyspergualin (DSG) in relation to organ transplantation and cancer. Th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000271496.75233.f6

    authors: Ohsawa I,Uemoto S,Kobayashi E,Murakami T

    更新日期:2007-08-15 00:00:00

  • A suppressive effect of cyclosporine A on replication and noncoding control region activation of polyomavirus BK virus.

    abstract:BACKGROUND:The effect of cyclosporine A (CsA) on polyomavirus BK virus (BKV) replication remains unclear. The aim of this in vitro study was to investigate the effect of CsA on BKV replication in human uroepithelial cells. METHODS:After infection of a human renal proximal tubular cell line, HK-2 with BKV, BKV viral lo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181c9b51c

    authors: Li YJ,Weng CH,Lai WC,Wu HH,Chen YC,Hung CC,Yang CW,Tian YC

    更新日期:2010-02-15 00:00:00

  • The use of marginal heart beating donor livers for transplantation in the United kingdom.

    abstract:BACKGROUND:This study investigated the use of deceased heart-beating donor livers offered for transplantation during a 10-year period, during which there has been an increasing disparity between organ supply and demand in the United Kingdom. METHODS:Summary data from the National Transplant Database were analyzed on a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000268072.04260.69

    authors: Devey LR,Friend PJ,Forsythe JL,Mumford LL,Wigmore SJ

    更新日期:2007-07-15 00:00:00

  • Xenografts of rat islets into diabetic mice. An evaluation of new smaller capsules.

    abstract::Healthy rat islets were encapsulated in alginate-polylysine-alginate capsules measuring 0.25-0.35 mm in diameter using a modified encapsulation technique. The encapsulated islets were transplanted intraperitoneally in nonimmunosuppressed streptozotocin-induced diabetic BALB/c mice. The diabetic condition of the experi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199206000-00002

    authors: Lum ZP,Krestow M,Tai IT,Vacek I,Sun AM

    更新日期:1992-06-01 00:00:00

  • Membrane-associated lymphotoxin on natural killer cells activates endothelial cells via an NF-kappaB-dependent pathway.

    abstract:BACKGROUND:Inhibition of complement in small animal models of xenotransplantation has demonstrated graft infiltration with natural killer (NK) cells and monocytes associated with endothelial cell (EC) activation. We have previously demonstrated that human NK cells activate porcine EC in vitro, which results in adhesion...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199811150-00017

    authors: von Albertini M,Ferran C,Brostjan C,Bach FH,Goodman DJ

    更新日期:1998-11-15 00:00:00

  • The association of enhancement of renal allograft survival by donor-specific blood transfusion with host MHC-linked inhibition of IgG anti-donor class I alloantibody responses.

    abstract::Donor-specific blood transfusion (DSBT) in animals and humans can either promote subsequent renal graft survival or lead to sensitization and graft rejection. Using a rat renal allograft model, we have examined whether the effects of DSBT on renal allograft outcome and IgG alloantibody responses are linked to the host...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199309000-00033

    authors: Wasowska B,Baldwin WM 3rd,Howell DN,Sanfilippo F

    更新日期:1993-09-01 00:00:00

  • Prolongation of cardiac xenograft survival in rats receiving cyclosporin A.

    abstract::The effect of cyclosporin A was tested in a heterotopic cardiac xenograft model, in which hamster hearts were implanted into LEW rats. Despite the presence of low titers of rat anti-hamster lymphocytotoxic antibodies immediate rejection of the hamster hearts did not occur, suggesting that this model represented a xeno...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198103000-00004

    authors: Homan WP,Williams KA,Fabre JW,Millard PR,Morris PJ

    更新日期:1981-03-01 00:00:00

  • A possible explanation for anemia in patients treated with mycophenolic acid.

    abstract:BACKGROUND:Clinical studies suggest that the immunosuppressant mycophenolate mofetil is associated with anemia. However, the mechanism for this is not known. Here, we studied the effect of mycophenolic acid (MPA), the active metabolite of mycophenolate mofetil, on erythropoiesis in vitro. METHODS:Both UT-7 cells and p...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318238da98

    authors: Pile T,Kieswich J,Harwood S,Yaqoob MM

    更新日期:2011-12-27 00:00:00

  • International Liver Transplant Society Practice Guidelines: Diagnosis and Management of Hepatopulmonary Syndrome and Portopulmonary Hypertension.

    abstract::Two distinct pulmonary vascular disorders, hepatopulmonary syndrome (HPS) and portopulmonary hypertension (POPH) may occur as a consequence of hepatic parenchymal or vascular abnormalities. HPS and POPH have major clinical implications for liver transplantation. A European Respiratory Society Task Force on Pulmonary-H...

    journal_title:Transplantation

    pub_type: 杂志文章,实务指引

    doi:10.1097/TP.0000000000001229

    authors: Krowka MJ,Fallon MB,Kawut SM,Fuhrmann V,Heimbach JK,Ramsay MA,Sitbon O,Sokol RJ

    更新日期:2016-07-01 00:00:00

  • Endothelial dysfunction and fetuin A levels before and after kidney transplantation.

    abstract:BACKGROUND:Endothelial dysfunction (ED) has a major role in the cardiovascular outcome of patients with chronic kidney disease (CKD). The aim of this study was to investigate the relation between fetuin A levels and ED in kidney transplant recipients. METHODS:Forty-two living donor kidney transplant recipients, 21 (11...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000251647.72673.c7

    authors: Caglar K,Yilmaz MI,Saglam M,Cakir E,Kilic S,Eyileten T,Sonmez A,Oguz Y,Oner K,Ors F,Vural A,Yenicesu M

    更新日期:2007-02-27 00:00:00

  • Histologic grading of acute allograft rejection in pancreas needle biopsy: correlation to serum enzymes, glycemia, and response to immunosuppressive treatment.

    abstract:BACKGROUND:Allograft rejection continues to be the most common cause of graft failure in technically successful pancreas transplants. Early diagnosis and treatment of rejection is essential for long-term graft survival. Pancreas graft biopsies are now used routinely for the diagnosis of acute allograft rejection. The c...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199812270-00030

    authors: Papadimitriou JC,Drachenberg CB,Wiland A,Klassen DK,Fink J,Weir MR,Cangro C,Schweitzer EJ,Bartlett ST

    更新日期:1998-12-27 00:00:00

  • Magnetic resonance of the hepatic veins with angular reconstruction: application in living-related liver transplantation.

    abstract:BACKGROUND:Preoperative mapping of the hepatic venous system of the partial liver graft is indispensable to the success of living-related liver transplantation. We assessed the accuracy of magnetic resonance (MR) venography with angular reconstruction in depicting the tributaries of the middle hepatic vein and left hep...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199907270-00019

    authors: Cheng YF,Chen CL,Huang TL,Chen TY,Lee TY,Chen YS,Wang CC,de Villa V,Goto S,Chiang YC,Eng HL,Jawan B,Cheung HK

    更新日期:1999-07-27 00:00:00

  • Comparison of specific radioimmunoassays for cyclosporine.

    abstract::This study compares two recently introduced radioimmunoassay kits involving specific monoclonal antibodies to cyclosporine. One kit (Sandimmun) involved 3H-labeled CsA (3H-CsA) as tracer and the other (CY-CLO-Trac-SP) involved a 125I-labeled conjugated derivative of CsA. The kits were nearly equivalent in method perfo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198904000-00019

    authors: Sgoutas DS,Hammarstrom M

    更新日期:1989-04-01 00:00:00

  • Enhancement of skin grafts in the mouse. The combined used of specific and nonspecific immunosuppression.

    abstract::Enhancement of skin grafts in mice by passively administered alloantiserum was examined in conjunction with the simultaneous use of other immunosuppressive regimens. It could be clearly shown that when a "weak" antilymphocyte serum (ALS) was used, a significant further prolongation of graft survival occurred over that...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197509000-00009

    authors: Koene RA,Gerlag PG,McKenzie IF,Hagemann JF,Wijdeveld PG

    更新日期:1975-09-01 00:00:00

  • Simultaneous Liver Kidney Transplant in Elderly Patients With Chronic Kidney Disease: Is There an Appropriate Upper Age Cutoff?

    abstract:BACKGROUND:The aging of liver transplant (LT) recipients, the weighting of the model for end-stage liver disease score, and the increased prevalence of nonalcoholic steatohepatitis has led to an increased number of older LT recipients with pre-LT chronic kidney disease (CKD). There are limited data on the impact of inc...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003147

    authors: Goldberg DS,Vianna RM,Martin EF,Martin P,Arosemena Benitez LR,O'Brien CB,Bhamidimarri KR

    更新日期:2020-12-01 00:00:00

  • Vascular thymus transplantation in rats. Technique, morphology, and function.

    abstract::A new method of thymus transplantation is introduced, in which the graft is directly connected with the recipient's vascular system. This procedure was used both in euthymic rats and congenitally athymic nude rats. At all tested intervals after transplantation thymus grafts hardly differed from the recipient's own thy...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199010000-00028

    authors: Kampinga J,Schuurman HJ,Pol GH,Bartels H,Broekhuizen R,Vaessen LM,Tielen FJ,Rozing J,Blaauw EH,Roser B

    更新日期:1990-10-01 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

  • Reduction of ischemia-reperfusion injury in the rat kidney by FTY720, a synthetic derivative of sphingosine.

    abstract:BACKGROUND:The current shortage of organ donors has led many centers to use marginal and nonheart-beating donors (NHBDs). Recent research has implicated the infiltration of lymphocytes as an important mediator of ischemia-reperfusion injury (IRI). FTY720 is an immunosuppressant that promotes lymphocyte sequestration in...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000269794.74990.da

    authors: Delbridge MS,Shrestha BM,Raftery AT,El Nahas AM,Haylor JL

    更新日期:2007-07-27 00:00:00

  • Financial incentives for cadaver organ donation: an ethical reappraisal.

    abstract::A panel of ethicists, organ procurement organization executives, physicians, and surgeons was convened by the sponsorship of the American Society of Transplant Surgeons to determine whether an ethically acceptable pilot trial could be proposed to provide a financial incentive for a family to consent to the donation of...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200204270-00034

    authors: Arnold R,Bartlett S,Bernat J,Colonna J,Dafoe D,Dubler N,Gruber S,Kahn J,Luskin R,Nathan H,Orloff S,Prottas J,Shapiro R,Ricordi C,Youngner S,Delmonico FL

    更新日期:2002-04-27 00:00:00

  • Signaling through CD31 protects endothelial cells from apoptosis.

    abstract::Endothelial damage has been implicated in the pathogenesis of chronic rejection. Conversely, expression of protective genes [including A20, A1, bcl-xl, and hemoxygenase-1 (HO-1)] in the endothelium has been associated with long-term graft survival. Overexpression of protective genes in cultured endothelial cells confe...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200102150-00020

    authors: Evans PC,Taylor ER,Kilshaw PJ

    更新日期:2001-02-15 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

  • Effect of cyclosporine, cyclosporine metabolite 17, and other cyclosporine-related compounds on T lymphocyte clones derived from rejected human kidney grafts. I. Inhibition of proliferation.

    abstract::The effect of cyclosporine and metabolite 17 (M17) as well as other CsA-related compounds (CsG, dihydro-CsC, dihydro-CsD, CsH, B5.49, and H7.94) was tested on T lymphocyte clone proliferation. In these experiments, antigen and interleukin 2 (IL-2) dependent long-term T lymphocyte clones derived from a rejected human k...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198712000-00019

    authors: Chabannes D,Moreau JF,Soulillou JP

    更新日期:1987-12-01 00:00:00