Outcomes of kidney transplant tourism and risk factors for de novo urothelial carcinoma.

Abstract:

BACKGROUND:To date, the outcomes of transplant tourism have not been reported extensively. In addition, data about the accuracy of urine cytology for the detection and the role of the BK virus (BKV) in the carcinogenesis of urothelial carcinoma (UC) after renal transplantation are lacking. METHODS:Three hundred seven patients who received deceased donor kidney transplants between January 2003 and December 2009 were retrospectively studied. The clinical parameters and outcomes between the domestic and tourist groups were compared. We also investigated the risk factors and role of BKV in the carcinogenesis of de novo UC by quantitative real-time polymerase chain reaction. RESULTS:The subjects in the tourist group were older at transplantation and had a shorter dialysis time before transplantation. There were significantly higher incidence rates of BKV viruria, Pneumocystis jiroveci pneumonia, and malignancy in the tourist group. Graft and patient survival were superior in the domestic group. A total of 43 cancers were identified, and the most common type of malignancy was UC (23 patients, 53.5%). The tourist group had a significantly higher incidence of tumors. The sensitivity and specificity of urine cytology for detecting UC were 73.9% and 94.7%, respectively. Independent predictors of UC included female sex, use of Chinese herbal medicine, and transplant tourism. Only two patients (8.7%) with UC had detectable BKV. CONCLUSIONS:Transplant tourism was a risk factor for infection and de novo malignancy. Urothelial carcinoma was the most common malignancy after kidney transplantation. Regular screening for the early detection of UC by urine cytology or periodic sonographic surveys is mandatory, especially for those at high risk.

journal_name

Transplantation

journal_title

Transplantation

authors

Tsai HL,Chang JW,Wu TH,King KL,Yang LY,Chan YJ,Yang AH,Chang FP,Pan CC,Yang WC,Loong CC

doi

10.1097/TP.0000000000000023

subject

Has Abstract

pub_date

2014-07-15 00:00:00

pages

79-87

issue

1

eissn

0041-1337

issn

1534-6080

journal_volume

98

pub_type

杂志文章
  • A randomized prospective trial of cold storage versus pulsatile perfusion for cadaver kidney preservation.

    abstract::In a randomized trial conducted in 9 Ontario transplant centers, 107 cadaver kidney donors were randomized so that both kidneys were preserved either by simple cold storage (CS) or by pulsatile perfusion (PP). After exclusions and losses to follow-up, there were 90 patients in the CS group and 91 in the PP group. Tota...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Halloran P,Aprile M

    更新日期:1987-06-01 00:00:00

  • Hypersensitivity reactions in the small intestine. 6. Pathogenesis of the graft-versus-host reaction in the small intestinal mucosa of the mouse.

    abstract::The intestinal phase of the graft-versus-host reaction (GVHR) has been investigated in adult F1 mice bearing grafts of fetal gut using an H-2-incompatible and an H-2-compatible, Mls-incompatible combination. The results indicate that the mitotic activity of the intestinal crypts and the number of intraepithelial lymph...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198109000-00011

    authors: Mowat AM,Ferguson A

    更新日期:1981-09-01 00:00:00

  • Attenuation of ischemic liver injury by augmentation of endogenous adenosine.

    abstract::Hepatic grafts from non-heartbeating donors may alleviate the organ shortage, but they inherently suffer from warm ischemia. In the present study, we tested our hypothesis that augmentation of endogenous adenosine by inhibition of nucleoside transport with R75231 attenuates ischemic liver injury. Adult female beagle d...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199701270-00007

    authors: Todo S,Zhu Y,Zhang S,Jin MB,Ishizaki N,Tanaka H,Subbotin V,Starzl TE

    更新日期:1997-01-27 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

  • Metabolic syndrome and atherosclerotic events in renal transplant recipients.

    abstract:BACKGROUND:Metabolic syndrome (MS) is a known cardiovascular risk factor in the general population. We explored the influence of MS on the occurrence of atherosclerotic events (AEs) after renal transplantation. METHODS:Three hundred thirty-seven renal transplant recipients were included in the study. Various parameter...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000266898.93894.3d

    authors: Courivaud C,Kazory A,Simula-Faivre D,Chalopin JM,Ducloux D

    更新日期:2007-06-27 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

  • Phenotypic analysis of oral tolerance to alloantigens: evidence that the indirect pathway of antigen presentation is involved.

    abstract:BACKGROUND:Oral administration of alloantigens induces down-regulation of Th1 immune responses and reduces the incidence of corneal graft rejection. This study examined the role of Th1 and Th2 cytokines, accessory cells, and lymphoid organs that are known to be instrumental in other forms of antigen-specific tolerance....

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200205150-00021

    authors: Niederkorn JY,Mayhew E

    更新日期:2002-05-15 00:00:00

  • Topical treatment of cutaneous chronic graft versus host disease with halofuginone: a novel inhibitor of collagen type I synthesis.

    abstract:BACKGROUND:In chronic graft-versus-host disease (cGvHD), skin fibrosis, contractures, and an increase in collagen content form the hallmark. We report a successful treatment of a cGvHD patient by topical application of halofuginone, an inhibitor of collagen alpha1(I) gene expression. METHODS:Halofuginone-containing oi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199912150-00027

    authors: Nagler A,Pines M

    更新日期:1999-12-15 00:00:00

  • Racial Differences in Survival of Incident Home Hemodialysis and Kidney Transplant Patients.

    abstract:BACKGROUND:Previous studies have indicated that patients on maintenance hemodialysis have worse survival compared with kidney transplant (KTx) recipients. However, none of these studies have compared mortality of the US patients using alternative dialysis modalities such as home hemodialysis (HHD) with KTx recipients. ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001005

    authors: Molnar MZ,Ravel V,Streja E,Kovesdy CP,Mehrotra R,Kalantar-Zadeh K

    更新日期:2016-10-01 00:00:00

  • Comparative outcome analysis of ABO-incompatible and positive crossmatch renal transplantation: a single-center experience.

    abstract:BACKGROUND:ABO-incompatible (ABOi) and positive crossmatch (XM) renal transplants pose special immunologic challenges. It is important to compare outcomes, study resource utilization, and attempt to risk stratify patients in these higher risk transplant settings. METHODS:We compared apheresis utilization and transplan...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181a76ae1

    authors: Padmanabhan A,Ratner LE,Jhang JS,Duong JK,Markowitz GS,Vasilescu ER,Crew RJ,Schwartz J

    更新日期:2009-06-27 00:00:00

  • Update on C1 Esterase Inhibitor in Human Solid Organ Transplantation.

    abstract::Complement plays important roles in both ischemia-reperfusion injury (IRI) and antibody-mediated rejection (AMR) of solid organ allografts. One approach to possibly improve outcomes after transplantation is the use of C1 inhibitor (C1-INH), which blocks the first step in both the classical and lectin pathways of compl...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000002717

    authors: Berger M,Lefaucheur C,Jordan SC

    更新日期:2019-09-01 00:00:00

  • Hydrogen-rich University of Wisconsin solution attenuates renal cold ischemia-reperfusion injury.

    abstract:BACKGROUND:Renal ischemia-reperfusion (I/R) injury is unavoidable in kidney transplantation and frequently influences both short- and long-term allograft survival rates. One of the major events in I/R injury is the generation of cytotoxic oxygen radicals. Recently, hydrogen gas has been reported to display antioxidant ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318255f8be

    authors: Abe T,Li XK,Yazawa K,Hatayama N,Xie L,Sato B,Kakuta Y,Tsutahara K,Okumi M,Tsuda H,Kaimori JY,Isaka Y,Natori M,Takahara S,Nonomura N

    更新日期:2012-07-15 00:00:00

  • Prolongation of second heart transplants in rats.

    abstract::Second clinical kidney grafts often survive longer than first grafts. Using a rat cardiac allograft model, we examined the conditions under which survival of a second graft can be longer than first graft survival. In the BUF-to-LEW combination, following rejection of the first transplant, second cardiac allografts fro...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199210000-00025

    authors: Yanagiya A,Terasaki PI,Iwaki Y,Ho BB,Drinkwater DC,Laks H

    更新日期:1992-10-01 00:00:00

  • Long-term survival of hamster-to-rat cardiac xenografts in the absence of a Th2 shift.

    abstract:BACKGROUND:In hamster-to-rat cardiac xenografts, long-term survival (LTS) is obtained in 60% of recipients if vascular rejection is overcome by cobra venom factor and cyclosporine (CsA). It has been suggested that this accommodation state could be due to the Th2 response. METHODS:We examined the infiltrate by using im...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199806270-00004

    authors: Brouard S,Blancho G,Moreau A,Heslan JM,Cuturi MC,Soulillou JP

    更新日期:1998-06-27 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

  • Evolution and etiology of cardiovascular diseases in renal transplant recipients.

    abstract::The mortality rates for CVDs in transplant recipients are greater than those in the general population (13). CVDs are a major cause of both patient and graft loss in renal transplant recipients, and improving cardiovascular health may help to extend both patient and graft survival. A complication of chronic renal fail...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:

    authors: Wheeler DC,Steiger J

    更新日期:2000-12-15 00:00:00

  • Mechanisms of immunological eradication of a syngeneic guinea pig tumor. II. Effect of methotrexate treatment and T cell depletion of the recipient on adoptive immunity.

    abstract::The influence of methotrexate on the development of immunity to the line 10 hepatoma was studied in guinea pigs. Chronic methotrexate treatment had no apparent effect on the ability of immune guinea pigs to suppress the growth of inoculated tumor cells. In contrast, the same methotrexate regimen inhibited the developm...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198301000-00011

    authors: Shu S,Fonseca LS,Hunter JT,Rapp HJ

    更新日期:1983-01-01 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

  • CD4+CD45RO+CD25-/lowCD127+: CD4+CD45RO+CD25hiCD127-/low Ratio in Peripheral Blood: A Useful Biomarker to Detect Cardiac Allograft Vasculopathy in Heart Transplanted Patients.

    abstract:BACKGROUND:Cardiac allograft vasculopathy (CAV) is a major limitation in long-term graft survival after heart transplantation (HTx). Its prediction and detection at an early stage is a challenge because an accurate, minimally invasive blood test is lacking. The aim of this study was to analyze the relationship of Tact ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000493

    authors: Roldán C,Mirabet S,Cecilia C,Brossa V,Roig E,Martín C,Gelpí C

    更新日期:2015-07-01 00:00:00

  • Neutrophil elastase enhances intercellular adhesion molecule-1 expression.

    abstract:BACKGROUND:Elastase released from activated neutrophils is an important mediator of inflammatory tissue damage. We investigated the effect of human neutrophil elastase (NE) inhibitor (ONO-5046) on reperfusion injury after pancreaticoduodenal transplantation in rats by measuring the expression of intercellular adhesion ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199806270-00014

    authors: Yamaguchi Y,Matsumura F,Wang FS,Akizuki E,Liang J,Matsuda T,Okabe K,Ohshiro H,Horiuchi T,Yamada S,Mori K,Ogawa M

    更新日期:1998-06-27 00:00:00

  • Response to varicella immunization in pediatric liver transplant recipients.

    abstract:BACKGROUND:Individuals undergoing therapeutic immunosuppression are at risk of severe varicella-zoster virus (VZV) infection, particularly those without evidence of previous infection. METHODS:Eleven children, median age 10 months (range 5.5 months to 7 years and 9 months) received one dose of varicella vaccine (Varil...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200011150-00023

    authors: Donati M,Zuckerman M,Dhawan A,Hadzic N,Heaton N,North-Lewis P,Mieli-Vergani G

    更新日期:2000-11-15 00:00:00

  • Gene therapy for organ grafts using rapid injection of naked DNA: application to the rat liver.

    abstract:BACKGROUND:We developed a nonviral gene transfer method using rapid injection of naked DNA targeting the liver and applied it in a rat model of liver transplantation. METHODS:Inbred Dark Agouti and Lewis rats were used. To test the efficacy and adverse effects of systemic or local (catheter-based) injection, different...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000118404.66106.e8

    authors: Inoue S,Hakamata Y,Kaneko M,Kobayashi E

    更新日期:2004-04-15 00:00:00

  • Anti-CD3 F(ab')2 fragments are immunosuppressive in vivo without evoking either the strong humoral response or morbidity associated with whole mAb.

    abstract::The use of anti-CD3 monoclonal antibodies to treat organ allograft rejection has been complicated by (1) the morbidity associated with the initial dose, (2) the humoral response of the patients against the mAbs, and (3) the generalized immunosuppression induced by the mAbs. We investigated the potential of F(ab')2 fra...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199006000-00018

    authors: Hirsch R,Bluestone JA,DeNenno L,Gress RE

    更新日期:1990-06-01 00:00:00

  • Financial Burden Borne by Laparoscopic Living Kidney Donors.

    abstract:BACKGROUND:Living kidney donors have donation-related out-of-pocket costs (direct costs) and/or ongoing daily expenses while losing income (indirect costs). Yet there is little information about how much of a subjective burden these constitute for the donors. METHODS:From December 2003 through December 2014, we survey...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001568

    authors: Wiseman JF,Jacobs CL,Larson DB,Berglund DM,Garvey CA,Ibrahim HN,Matas AJ

    更新日期:2017-09-01 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

  • Escaping from rejection.

    abstract::Since the earliest days of transplantation, immunobiologists have sought means to prevent recognition and rejection of foreign tissue. The goal of these strategies is the retention of recipient immune function while selectively avoiding graft injury. Although considerable theoretical and technical problems remain, an ...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0b013e3181bcc93a

    authors: Lynch RJ,Platt JL

    更新日期:2009-12-15 00:00:00

  • Natural killer cell- and macrophage mediated discordant guinea pig-->rat xenograft rejection in the absence of complement, xenoantibody and T cell immunity.

    abstract:BACKGROUND:The role of natural killer (NK) cells and macrophages (Møs) in the absence of T cell immunity in discordant xenograft (xg) rejection was investigated. METHODS:Guinea pig hearts were transplanted into athymic nude rats receiving no treatment or antixenoantibody (xAb), anticomplement (C), antinatural killer (...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Xia G,Ji P,Rutgeerts O,Waer M

    更新日期:2000-07-15 00:00:00

  • Mycophenolate mofetil-based, cyclosporine-free induction and maintenance immunosuppression: first-3-months analysis of efficacy and safety in two cohorts of renal allograft recipients.

    abstract:BACKGROUND:The currently used macrolide immunosuppressants, i.e., cyclosporine and tacrolimus, exert considerable nephrotoxicity. We aimed to avoid the nephrotoxic effects by applying a cyclosporine-free regimen for the induction as well as for the maintenance treatment of renal allograft recipients using mycophenolate...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-199807150-00007

    authors: Zanker B,Schneeberger H,Rothenpieler U,Hillebrand G,Illner WD,Theodorakis I,Stangl M,Land W

    更新日期:1998-07-15 00:00:00

  • Costimulation blockade: current perspectives and implications for therapy.

    abstract::T cells must be activated before they can elicit damage to allografts, through interaction of their T cell receptor (TCR) with peptide-MHC complex and through accessory molecules. Signaling through accessory molecules or costimulatory molecules is a critical way for the immune system to fine tune T cell activation. An...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0b013e31826d4672

    authors: Kinnear G,Jones ND,Wood KJ

    更新日期:2013-02-27 00:00:00

  • Posttransplant major histocompatibility complex class I chain-related gene A antibodies and long-term graft outcomes in a multicenter cohort of 779 kidney transplant recipients.

    abstract:BACKGROUND:The impact of major histocompatibility class I chain-related A (MICA) antibodies on renal graft outcomes is unclear. The goal of this work was to assess the impact of posttransplant MICA antibodies, assayed at 1 year, with two commercially available kits, on long-term renal graft outcomes. METHODS:We retros...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0b013e31824fd8f1

    authors: Lemy A,Andrien M,Lionet A,Labalette M,Noel C,Hiesse C,Delahousse M,Suberbielle-Boissel C,De Meyer M,Latinne D,Mourad M,Delsaut S,Racapé J,Wissing KM,Toungouz M,Abramowicz D

    更新日期:2012-06-27 00:00:00