Mannitol infusion within 15 min of cross-clamp improves living donor kidney preservation.

Abstract:

BACKGROUND:Optical coherence tomography (OCT) revealed that cells lining proximal convoluted tubules of living donor kidneys (LDKs) procured by laparoscopic procedures were very swollen in response to the brief period of ischemia experienced between the time of arterial vessel clamping and flushing the excised kidney with cold preservation solution. Damage to the tubules as a result of this cell swelling resulted in varying degrees of acute tubular necrosis (ATN) that slowed the recovery of the donor kidneys during the first 2 weeks after their transplantation. METHODS:To prevent this cell damage during LDK procurement, we changed the protocol for intravenous administration of mannitol (i.e., 12.5 or 25 g) to the donor. Specifically, we reduced the time of mannitol administration from 30 to 15 min or less before clamping the renal artery. RESULT:OCT revealed that this change in the timing of mannitol administration protected the human donor proximal tubules from normothermic-induced cell swelling. An evaluation of posttransplant recovery of renal function showed that patients treated with this modified protocol returned to normal renal function significantly faster than those treated with mannitol 30 min or more before clamping the renal artery. CONCLUSION:Because slow graft recovery in the first weeks after transplantation represents a risk factor for long-term graft function and survival, we believe that this change in pretreatment protocol will improve renal transplants in patients receiving LDK.

journal_name

Transplantation

journal_title

Transplantation

authors

Andrews PM,Cooper M,Verbesey J,Ghasemian S,Rogalsky D,Moody P,Chen A,Alexandrov P,Wang HW,Chen Y

doi

10.1097/TP.0000000000000154

subject

Has Abstract

pub_date

2014-10-27 00:00:00

pages

893-7

issue

8

eissn

0041-1337

issn

1534-6080

journal_volume

98

pub_type

杂志文章
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    abstract:BACKGROUND:Gastrointestinal complications are common in patients who undergo kidney transplantation and may affect posttransplant outcomes. We examined the incidence and predictors of gastroesophageal reflux disease (GERD) and dyspepsia and their associations with graft survival and mortality after transplant. METHODS...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318160d4c4

    authors: Neri L,Rocca Rey LA,Pinsky BW,Lentine KL,Salvalaggio PR,Machnicki G,Willoughby L,Burroughs TE,Takemoto SK,Schnitzler MA

    更新日期:2008-02-15 00:00:00

  • Safety of belatacept bridging immunosuppression in hepatitis C-positive liver transplant recipients with renal dysfunction.

    abstract:BACKGROUND:Perioperative renal dysfunction in liver transplant recipients complicates maintenance immunosuppressive therapy, particularly in patients with hepatitis C. Calcineurin inhibitors exacerbate renal dysfunction and mammalian target-of-rapamycin inhibitors are generally avoided because of perceived perioperativ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000438635.44461.2e

    authors: LaMattina JC,Jason MP,Hanish SI,Ottmann SE,Klassen DK,Potosky D,Hutson WR,Barth RN

    更新日期:2014-01-27 00:00:00

  • Clinicopathologic Characteristics of JC Virus Nephropathy in Kidney Transplant Recipients.

    abstract:BACKGROUND:The vast majority of polyomavirus nephropathy (PVN) are due to BK virus, but rare cases result from JC virus reactivation. To date, only a handful of biopsy-proven JC-PVN cases have been reported. Here, we describe the clinical and pathologic findings in 7 patients with biopsy-proven JC-PVN. METHODS:Search ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003363

    authors: Wiegley N,Walavalkar V,Aujla H,Chen LX,Huang Y,Lee BK,Jen KY

    更新日期:2020-06-17 00:00:00

  • Beneficial effect of MCI-186 on hepatic warm ischemia-reperfusion in the rat.

    abstract::Despite growing evidence that reactive oxygen species are responsible for deleterious effects of ischemia-reperfusion (I/R) injury of the liver, there exists, until now, no reliable antioxidant therapeutics applicable in the clinical setting. We investigated the effects of free radical scavenger, 3-methyl-1-phenyl-2-p...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200211270-00021

    authors: Ninomiya M,Shimada M,Harada N,Shiotani S,Hiroshige S,Soejima Y,Suehiro T,Sugimachi K

    更新日期:2002-11-27 00:00:00

  • The mechanism of anti-CD3 monoclonal antibodies. Mediation of cytolysis by inter-T cell bridging.

    abstract::OKT3, an anti-CD3 MAB, depletes T cells in vivo and is among the most potent inhibitors of acute allograft rejection. The mechanism of this inhibition is unknown. The present studies investigate whether anti-CD3 antibodies have the ability to crosslink CD3 on two different cells and induce TCR-dependent antibody-bridg...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199010000-00030

    authors: Wong JT,Eylath AA,Ghobrial I,Colvin RB

    更新日期:1990-10-01 00:00:00

  • Plasma polymerase chain reaction for cytomegalovirus DNA after allogeneic marrow transplantation: comparison with polymerase chain reaction using peripheral blood leukocytes, pp65 antigenemia, and viral culture.

    abstract::In a prospective longitudinal study, detection of cytomegalovirus (CMV) DNA in plasma (plasma polymerase chain reaction [PCR]) was compared with PCR of CMV DNA in peripheral blood leukocytes (PBL PCR), the CMV pp65 antigenemia assay, and viral cultures from blood, urine, and throat of 29 patients, 14 of whom received ...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-199707150-00020

    authors: Boeckh M,Gallez-Hawkins GM,Myerson D,Zaia JA,Bowden RA

    更新日期:1997-07-15 00:00:00

  • Intraoperative Hemodynamic Parameters and Acute Kidney Injury After Living Donor Liver Transplantation.

    abstract:BACKGROUND:Acute kidney injury (AKI) after living donor liver transplantation (LDLT) is associated with increased mortality. We sought to identify associations between intraoperative hemodynamic variables and postoperative AKI. METHODS:We retrospectively reviewed 734 cases of LDLT. Intraoperative hemodynamic variables...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002584

    authors: Kim WH,Oh HW,Yang SM,Yu JH,Lee HC,Jung CW,Suh KS,Lee KH

    更新日期:2019-09-01 00:00:00

  • Mobilization of T lymphocytes following cardiac transplantation. Evidence that CD4-positive cells are required for cytotoxic T lymphocyte activation, inflammatory endothelial development, graft infiltration, and acute allograft rejection.

    abstract::Modified limiting dilution analysis (LDA) techniques were used to evaluate the mobilization of antigen-stimulated helper T lymphocytes (HTL) and cytotoxic T lymphocytes (CTL) following allogeneic heterotopic cardiac transplantation. These modified LDA techniques allow a quantitative comparison of T cells that have bee...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Bishop DK,Shelby J,Eichwald EJ

    更新日期:1992-04-01 00:00:00

  • Comparison of human islet isolation outcomes using a new mammalian tissue-free enzyme versus collagenase NB-1.

    abstract:BACKGROUND:After the discontinuation of the manufacturing Liberase HI because of a small potential for prion disease transmission, Roche Diagnostics (Indianapolis, IN) developed a new enzyme product (Liberase MTF [mammalian tissue free]), which is similar to Liberase HI with the exception that no mammalian tissue is us...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181e117ce

    authors: O'Gorman D,Kin T,Imes S,Pawlick R,Senior P,Shapiro AM

    更新日期:2010-08-15 00:00:00

  • Reduced human IgG anti-ATGAM antibody formation in renal transplant recipients receiving mycophenolate mofetil.

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    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-199560120-00001

    authors: Kimball JA,Pescovitz MD,Book BK,Norman DJ

    更新日期:1995-12-27 00:00:00

  • Differential regulation of the nuclear factor-κB pathway by rabbit antithymocyte globulins in kidney transplantation.

    abstract:BACKGROUND:Induction therapy is associated with excellent short-term kidney graft outcome. The aim of this study was to evaluate differences in the intragraft transcriptome after successful induction therapy using two rabbit antithymocyte globulins. METHODS:The expression of 376 target genes involved in tolerance, inf...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31824491aa

    authors: Urbanova M,Brabcova I,Girmanova E,Zelezny F,Viklicky O

    更新日期:2012-03-27 00:00:00

  • A comparison of gene expression in murine cardiac allografts and isografts by means DNA microarray analysis.

    abstract:BACKGROUND:Acute rejection of allografts remains a significant problem in clinical transplantation, and the fundamental mechanism underlying this rejection are as yet only poorly elucidated. Recently, DNA microarrays have come into use for the study of gene expression profiles, and we have taken advantage of this new t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200107270-00027

    authors: Saiura A,Mataki C,Murakami T,Umetani M,Wada Y,Kohro T,Aburatani H,Harihara Y,Hamakubo T,Yamaguchi T,Hasegawa G,Naito M,Makuuchi M,Kodama T

    更新日期:2001-07-27 00:00:00

  • Major histocompatibility complex control of NK-related allogeneic lymphocyte cytotoxicity in rats. The contributions of strong and medial transplantation antigens.

    abstract::Allogeneic lymphocyte cytotoxicity (ALC) describes the elimination of allogeneic lymphocytes in vivo by an NK-related activity. There is evidence that ALC is demonstrable between donor and recipient when these are incompatible at MHC gene loci alone. Since ALC is a property of T cell-deficient nude rats, the role of t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198811000-00025

    authors: Ager A,Fajumi J,Sparshott SM,Ford WL,Butcher GW

    更新日期:1988-11-01 00:00:00

  • Manufacture of antithymocyte globulin (ATGAM) for clinical trials.

    abstract::Methods are described for preparing large amounts of horse anti-human thymocyte globulin (ATG, ATGAM; The Upjohn Company) for clinical use. These methods have been used since 1968 to provide material for clinical trials. Characteristics of 40 lots of ATG are summarized. ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197910000-00007

    authors: Wechter WJ,Nelson JW,Perper RJ,Parcells AJ,Riebe KW,Evans JS,Satoh PS,Ko H

    更新日期:1979-10-01 00:00:00

  • Human cytomegalovirus pp67 mRNAemia versus pp65 antigenemia for guiding preemptive therapy in heart and lung transplant recipients: a prospective, randomized, controlled, open-label trial.

    abstract:BACKGROUND:Preemptive therapy of human cytomegalovirus (HCMV) infections has gained popularity in transplantation centers. However, standardized protocols are not available. In particular, whether a qualitative molecular assay for detection of a late (pp67) HCMV mRNA represents a valuable alternative to quantitative an...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.TP.0000057239.32192.B9

    authors: Gerna G,Baldanti F,Lilleri D,Parea M,Torsellini M,Castiglioni B,Vitulo P,Pellegrini C,Viganò M,Grossi P,Revello MG

    更新日期:2003-04-15 00:00:00

  • The impact of renal transplantation on the course of hepatitis B liver disease.

    abstract::To establish the impact of transplantation on the course of chronic hepatitis B liver disease we performed a prospective study of the clinical and pathological sequelae of hepatitis B disease in all 22 patients who had renal allografts that functioned for more than 1 year and who were hepatitis B surface antigen (HBsA...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198506000-00007

    authors: Parfrey PS,Forbes RD,Hutchinson TA,Kenick S,Farge D,Dauphinee WD,Seely JF,Guttmann RD

    更新日期:1985-06-01 00:00:00

  • Thromboxane augmentation of alloreactive T cell function.

    abstract::Thromboxane (Tx) plays a vital role in the dysfunction and ultimate rejection of MHC-disparate renal allografts. In addition to its potent vasoconstrictory properties, in vivo studies have implied that Tx is capable of promoting immune cytotoxic T cell function within transplants. In this study, we have examined the i...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199209000-00021

    authors: Ruiz P,Rey L,Spurney R,Coffman T,Viciana A

    更新日期:1992-09-01 00:00:00

  • Mouse skin graft prolongation with donor-strain bone marrow and antilymphocyte serum. Effect of bone marrow cell storage.

    abstract::Significant extended survival of C3H/He skin grafts in antilymphocyte serum (ALS)-treated B6AF1 mice can be brought about by the injection of donor-strain bone marrow on day 6 or 7 after grafting. In the present study, survival of the active graft-prolonging bone marrow cells under several storage conditions was inves...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198601000-00004

    authors: De Fazio SR,Hartner WC,Monaco AP,Gozzo JJ

    更新日期:1986-01-01 00:00:00

  • Characterization of B cell antibodies in kidney transplant recipients.

    abstract::Antibodies against B lymphocytes were found in the serum of the majority of 59 kidney transplant recipients and of 22 eluates obtained from kidney allografts undergoing rejection. To characterize these B cell lymphocytotoxins we have used a mouse monoclonal anti-DR antibody (L227) that inhibits cytotoxicity of antibod...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198305000-00011

    authors: Nunez G,McPhaul JJ Jr,Stastny P

    更新日期:1983-05-01 00:00:00

  • Investigation of the potential use of immunosuppressive agent gliotoxin in organ transplantation.

    abstract::Gliotoxin is an immunosuppressive secondary metabolite produced by several pathogenic fungi. It has previously been shown to prevent graft-versus-host disease in transplantation of allogeneic mouse bone marrow and to reduce the immunogenicity of human fetal pancreas. We here report on the effect of gliotoxin on the pr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Sutton P,Moreland A,Hutchinson IV,Müllbacher A

    更新日期:1995-11-15 00:00:00

  • Non-major histocompatibility system immunogenetic influences in rat renal allograft survival.

    abstract::H-1-incompatible rat renal allograft survival rates are strongly influenced by the non-major histocompatibility system (MHS) genes. The same H-1 (MHS) incompatibility tested on four different non-MHS backgrounds gave widely differing results ranging from 11 to 60% fractional survival between the best and the poorest (...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197805000-00006

    authors: Paris AM,Bishop C,Festenstein H,Gunther E

    更新日期:1978-05-01 00:00:00

  • Cryopreservation of rat pancreatic islets: effect of ethylene glycol on islet function and cellular composition.

    abstract:BACKGROUND:Inasmuch as cryopreservation can facilitate clinical islet transplantation by providing a means of storing supplemental islets in order to augment marginally adequate grafts, protocols are needed to allow for a minimal loss in viable beta cells. By replacing the cryoprotectant dimethyl sulfoxide (DMSO) with ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199710150-00020

    authors: Korbutt GS,Rayat GR,Ezekowitz J,Rajotte RV

    更新日期:1997-10-15 00:00:00

  • Center-level variation in the development of delayed graft function after deceased donor kidney transplantation.

    abstract:BACKGROUND:Patient-level risk factors for delayed graft function (DGF) have been well described. However, the Organ Procurement and Transplantation Network definition of DGF is based on dialysis in the first week, which is subject to center-level practice patterns. It remains unclear if there are center-level differenc...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000450

    authors: Orandi BJ,James NT,Hall EC,Van Arendonk KJ,Garonzik-Wang JM,Gupta N,Montgomery RA,Desai NM,Segev DL

    更新日期:2015-05-01 00:00:00

  • Enhanced T cell cytokine gene expression in mouse airway obliterative bronchiolitis.

    abstract:BACKGROUND:Obliterative bronchiolitis (OB), chronic allograft rejection of the lung, is a major cause of morbidity and mortality after lung transplantation. Previous studies using the heterotopic mouse trachea model of chronic airway rejection have shown a T cell infiltrate composed of CD4+ and CD8+ T cells. The goal o...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200002150-00016

    authors: Neuringer IP,Walsh SP,Mannon RB,Gabriel S,Aris RM

    更新日期:2000-02-15 00:00:00

  • 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 ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000023

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

    更新日期:2014-07-15 00:00:00

  • Cardiac allograft vasculopathy: central role of endothelial injury leading to transplant "atheroma".

    abstract::Endothelial injury plays a central role in the pathophysiologic mechanisms underlying cardiac allograft vasculopathy (CAV). Although the accelerated course of CAV and its localization to the allograft support an important role for the alloimmune response, there is considerable evidence implicating lipoprotein abnormal...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.TP.0000080981.90718.EB

    authors: Valantine HA

    更新日期:2003-09-27 00:00:00

  • Factors affecting graft survival after liver transplantation from donation after cardiac death donors.

    abstract:BACKGROUND:Liver transplantation from donation after cardiac death (DCD) donors is an increasingly common approach for expansion of the donor organ supply. However, transplantation with DCD livers results in inferior graft survival. In this study, we examined donor and recipient characteristics that are associated with...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000250936.73034.98

    authors: Lee KW,Simpkins CE,Montgomery RA,Locke JE,Segev DL,Maley WR

    更新日期:2006-12-27 00:00:00

  • Successful liver transplantation of two brothers with crigler-najjar syndrome type 1 using a single cadaveric organ.

    abstract::Crigler-Najjar type 1 disease (CNS1) is the result of a genetic defect, leading to complete functional loss of an enzyme which glucuronidates bilirubin. As a consequence, unconjugated bilirubin accumulates and may cause kernicterus, the most serious complication in adolescents. Phototherapy effectively adjusts bilirub...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200201150-00012

    authors: Schauer R,Lang T,Zimmermann A,Stangl M,Da Silva L,Schildberg FW,Rau HG

    更新日期:2002-01-15 00:00:00

  • The association of IgA deficiency but not IgG or IgM deficiency with a reduced patient and graft survival following liver transplantation.

    abstract::Recipients of solid organ allografts require lifelong immunosuppression in order to prevent graft rejection and to maintain graft function. In general, such immunosuppression greatly impairs the cellular immune system, as this level of the immune system is principally responsible for self and non-self recognition. The...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199208000-00015

    authors: Van Thiel DH,Finkel R,Friedlander L,Gavaler JS,Wright HI,Gordon R

    更新日期:1992-08-01 00:00:00

  • The Relationship of the Severity and Category of Acute Rejection With Intimal Arteritis Defined in Banff Classification to Clinical Outcomes.

    abstract:BACKGROUND:It is unclear if the category of acute rejection with intimal arteritis (ARV) is relevant to short- and long-term clinical outcomes and if the graft outcomes are affected by the severity of intimal arteritis. METHODS:One hundred forty-eight ARV episodes were reviewed and categorized according to the 2013 Ba...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000640

    authors: Wu K,Budde K,Schmidt D,Neumayer HH,Rudolph B

    更新日期:2015-08-01 00:00:00