Does liver ischemic preconditioning in brain death donors induce kidney preconditioning? A retrospective analysis.

Abstract:

BACKGROUND:It is unclear whether ischemic preconditioning (IPC) of solid organs induces remote IPC (RIPC) in donors after brain death (DBD). METHODS:Outcomes in kidney recipients from 163 DBD in two randomized trials of liver IPC (5 min=62 and 10 min=101) were obtained retrospectively from the Scientific Registry of Transplant Recipients. Controls were kidney recipients from donors without IPC. Mean cold ischemia times were less than 20 hr. Primary outcomes were delayed graft function, defined as dialysis during the first posttransplantation week, and death-censored graft survival. Secondary outcomes were duration of initial hospital stay, patient survival, and estimated glomerular filtration rate 6, 12, 36, and 60 months after transplantation. RESULTS:After exclusions (40 kidneys not recovered, 21 not transplanted, 8 en bloc, 23 with extrarenal organs, and 6 with missing records), 228 recipients were included. Delayed graft function occurred in 23% of No RIPC and 28% of RIPC kidneys (P=0.54). One- and 3-year graft survival rates were 92% and 90%, respectively, in the No RIPC and 90% and 81%, respectively, in the RIPC group (P=0.12), and mean hospital stay was 9.3±13.9 and 9.7±8.2 days, respectively (P=0.15). There were no significant between group differences in patient survival and estimated glomerular filtration rate at any time point. CONCLUSIONS:Despite design and power limitations, our results suggest that liver IPC in DBD is of no clinical benefit to kidney recipients. Inconsistent efficacy and impracticality severely limit the usefulness of IPC in DBD. Other modalities of preconditioning should be tested.

journal_name

Transplantation

journal_title

Transplantation

authors

Desai KK,Mora-Esteves C,Holland BK,Dikdan G,Fisher A,Wilson DJ,Koneru B

doi

10.1097/01.TP.0000436926.30897.56

subject

Has Abstract

pub_date

2014-02-15 00:00:00

pages

337-43

issue

3

eissn

0041-1337

issn

1534-6080

journal_volume

97

pub_type

杂志文章
  • Financial Feasibility Analysis of a Culturally and Linguistically Competent Hispanic Kidney Transplant Program.

    abstract:BACKGROUND:In 2006, Northwestern Medicine implemented a culturally targeted and linguistically congruent Hispanic Kidney Transplant Program (HKTP). The HKTP has been associated with a reduction in Hispanic/Latino disparities in live donor kidney transplantation. This paper assessed the financial feasibility of implemen...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003269

    authors: Wang A,Caicedo JC,McNatt G,Abecassis M,Gordon EJ

    更新日期:2020-04-09 00:00:00

  • Preventing acute rejection, Epstein-Barr virus infection, and posttransplant lymphoproliferative disorders after kidney transplantation: use of aciclovir and mycophenolate mofetil in a steroid-free immunosuppressive protocol.

    abstract:BACKGROUND:A widely held view is that any increase in the potency of an immunosuppressive agent will lead to an increase in infection and malignancy, such as life-threatening Epstein-Barr virus (EBV) induced posttransplant lymphoproliferative disorders (PTLD). We tested this paradigm by studying the effect of adding mo...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-199905150-00002

    authors: Birkeland SA,Andersen HK,Hamilton-Dutoit SJ

    更新日期:1999-05-15 00:00:00

  • OKT3 rescue for steroid-resistant rejection in adult liver transplantation.

    abstract::The results of OKT3 use for steroid-resistant rejection rescue in adult liver transplantation were analyzed retrospectively from a single transplant center. Comparison was made with concurrent patients who had no rejection (NR) or steroid-responsive rejections (SR). The records of 290 patients who underwent 323 liver ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199301000-00017

    authors: Solomon H,Gonwa TA,Mor E,Holman MJ,Gibbs J,Watemberg I,Netto G,Goldstein RM,Husberg BS,Klintmalm GB

    更新日期:1993-01-01 00:00:00

  • Genetic determinants of delayed graft function after kidney transplantation.

    abstract:BACKGROUND:Intracellular concentration of reactive oxygen species is held within tight physiological limits by enzymes with scavenging and repair functions. Under extreme conditions such as prolonged cold ischemia, these enzymes may be unable to adequately protect the organ, resulting in reperfusion injury that renders...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200209270-00013

    authors: St Peter SD,Imber CJ,Jones DC,Fuggle SV,Watson CJ,Friend PJ,Marshall SE

    更新日期:2002-09-27 00:00:00

  • Randomized trial to evaluate the clinical benefits of serum alpha-glutathione S-transferase concentration monitoring after liver transplantation.

    abstract:BACKGROUND:An increase in serum alpha-glutathione S-transferase concentration (GST) has been shown to be a more sensitive and specific marker of hepatocellular damage than equivalent increases in transaminase activities. A randomized clinical trial of 60 liver transplants in 49 patients was carried out to assess the cl...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-199711270-00013

    authors: Hughes VF,Trull AK,Gimson A,Friend PJ,Jamieson N,Duncan A,Wight DG,Prevost AT,Alexander GJ

    更新日期:1997-11-27 00:00:00

  • Ontogeny of suppressor cells. II. Suppression of graft-versus-host and mixed leukocyte culture responses by embryonic cells.

    abstract::Ontogenic development of suppressor cells was studied in mouse embryos. It was found that liver cells of embryos at various stages of gestation were capable of interfering with the mixed leukocyte culture (MLC) reaction. The MLC reaction was also inhibited by embryonic spleen and thymus cells. However, the latter were...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197812000-00016

    authors: Globerson A,Umiel T

    更新日期:1978-12-01 00:00:00

  • Pretransplant IgG subclasses of donor-specific human leukocyte antigen antibodies and development of antibody-mediated rejection.

    abstract:BACKGROUND:The subclass of IgG antibodies contributes to their capability to activate complement. It is currently unknown whether the pretransplant IgG subclass composition allows distinguishing harmful from presumably irrelevant donor-specific human leukocyte antigen (HLA) antibodies (HLA-DSA) detected by single-antig...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31821cdf0d

    authors: Hönger G,Hopfer H,Arnold ML,Spriewald BM,Schaub S,Amico P

    更新日期:2011-07-15 00:00:00

  • 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 w...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000154

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

    更新日期:2014-10-27 00:00:00

  • Amyloid A Amyloidosis After Renal Transplantation: An Important Cause of Mortality.

    abstract:BACKGROUND:There are limited data on the outcome of transplant recipients with familial Mediterranean fever (FMF)-associated AA amyloidosis. The aim of the present study is to evaluate demographic, clinical, laboratory, and prognostic characteristics and outcome measures of these patients. METHODS:Eighty-one renal tra...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0000000000003043

    authors: Sarihan I,Caliskan Y,Mirioglu S,Ozluk Y,Senates B,Seyahi N,Basturk T,Yildiz A,Kilicaslan I,Sever MS

    更新日期:2020-08-01 00:00:00

  • Fate of antipaternal H-2 antibodies bound to the placenta in vivo.

    abstract::We have previously demonstrated that the placental spongiotrophoblast and yolk sac venous plexus express paternally derived H-2K and D (class I) antigens in a manner accessible to maternal circulation, and that the placenta serves to prevent antipaternal antibodies from reaching the fetus. Kinetic studies indicated th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198403000-00016

    authors: Raghupathy R,Singh B,Wegmann TG

    更新日期:1984-03-01 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

  • 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

  • Time-response studies of the cellular immune response to cell membrane antigens.

    abstract::It was the objective of these experiments to study the time-related changes in the responsiveness of the cellular elements of the immune system following contact with single non-H-2 or multiple H-2 histocompatibility antigens. The reactivity of spleen cells from mice that received injections of spleen cells bearing H-...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198802000-00047

    authors: Graff RJ,Kurtz ME,Russell H,Martin-Morgan D

    更新日期:1988-02-01 00:00:00

  • Increased interleukin-10 production without expansion of CD4+CD25+ T-regulatory cells in early stable renal transplant patients on calcineurin inhibitors.

    abstract:BACKGROUND:Increasing long-term allograft survival is the main challenge in organ transplantation, and allograft loss due to chronic rejection has been found to correlate with episodes of early acute rejection. It is important to understand the mechanisms that maintain the donor-specific hyporesponsive state. This stud...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/TP.0b013e3181af20fd

    authors: Mittal SK,Sharma RK,Gupta A,Naik S

    更新日期:2009-08-15 00:00:00

  • External Validation of the DynPG for Kidney Transplant Recipients.

    abstract:BACKGROUND:In kidney transplantation, dynamic prediction of patient and kidney graft survival (DynPG) may help to promote therapeutic alliance by delivering personalized evidence-based information about long-term graft survival for kidney transplant recipients. The objective of the current study is to externally valida...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003209

    authors: Lenain R,Dantan E,Giral M,Foucher Y,Asar Ö,Naesens M,Hazzan M,Fournier MC

    更新日期:2021-02-01 00:00:00

  • Transplantation and 2-year follow-up of kidneys procured from a cadaver donor with a history of lupus nephritis.

    abstract:BACKGROUND:Two patients underwent cadaver transplantation with kidneys from a donor with a history of World Health Organization Class IV/V lupus nephritis, and we report their clinical and pathological outcome. METHODS:The donor had a diagnosis of lupus nephritis made by renal biopsy 5 years before donation. At the ti...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200003270-00030

    authors: Lipkowitz GS,Madden RL,Kurbanov A,Mulhern JG,O'Shea MH,Germain MJ,Freeman J,Braden GL

    更新日期:2000-03-27 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

  • Use of steatotic graft in living-donor liver transplantation.

    abstract:BACKGROUND:The degree of fatty infiltration in hepatic grafts is known to be an important risk factor for primary graft nonfunction in cadaveric liver transplantation. However, the effect of hepatic steatosis in living-donor liver transplantation (LDLT) has not yet been well defined. In this study, we evaluated the imp...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000071205.52835.A4

    authors: Soejima Y,Shimada M,Suehiro T,Kishikawa K,Yoshizumi T,Hashimoto K,Minagawa R,Hiroshige S,Terashi T,Ninomiya M,Shiotani S,Harada N,Sugimachi K

    更新日期:2003-07-27 00:00:00

  • Critical influence of natural regulatory CD25+ T cells on the fate of allografts in the absence of immunosuppression.

    abstract:BACKGROUND:Allografts are occasionally accepted in the absence of immunosuppression. Because naturally occurring CD4(+)CD25(+) regulatory T cells (natural CD25(+) Treg cells) have been shown to inhibit allograft rejection, we investigated their influence on the outcome of allografts in nonimmunosuppressed mouse recipie...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000155179.61445.78

    authors: Benghiat FS,Graca L,Braun MY,Detienne S,Moore F,Buonocore S,Flamand V,Waldmann H,Goldman M,Le Moine A

    更新日期:2005-03-27 00:00:00

  • Diabetes and hepatic oxidative damage are associated with hepatitis C progression after liver transplantation.

    abstract:BACKGROUND:Posttransplant diabetes mellitus (PTDM) is common after liver transplantation and was recently identified as a risk factor for hepatitis C progression. Increased levels of oxidative stress have been identified in diabetes and hepatitis C. The aim of this study was to evaluate the relationship among PTDM, oxi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000279003.40279.0e

    authors: Cotler SJ,Kallwitz E,TenCate V,Bhushan A,Berkes J,Benedetti E,Layden-Almer J,Layden TJ,Valyi-Nagy T,Guzman G

    更新日期:2007-09-15 00:00:00

  • Induction of carbon monoxide in donor animals prior to organ procurement reduces graft immunogenicity and inhibits chronic allograft dysfunction.

    abstract:BACKGROUND:Nonspecific inflammatory damages occurring prior to organ transplantation reduce long-term graft survival. Here, we tested the beneficial effects of carbon monoxide (CO) induction by methylene chloride (MC). METHODS:Fischer-344 (F-344 Rat) or Dark Agouti (DA Rat) donor animals were either treated with MC fo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000232716.91887.c5

    authors: Martins PN,Reutzel-Selke A,Jurisch A,Denecke C,Attrot K,Pascher A,Kotsch K,Pratschke J,Neuhaus P,Volk HD,Tullius SG

    更新日期:2006-10-15 00:00:00

  • Measurement of mycophenolate mofetil effect in transplant recipients.

    abstract:BACKGROUND:Immunosuppression involves the nature of the immunosuppressive agents and individual differences in patient factors. We investigated whether the effect of mycophenolate mofetil (MMF) is measurable using an in vitro measure of immunocompetence and related its effects to cyclosporine (CsA) in vitro. METHODS:L...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200108150-00011

    authors: Ogawa N,Nagashima N,Nakamura M,Shalabi A,Maley WR,Burdick JF

    更新日期:2001-08-15 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

  • Isolation of large numbers of mesenchymal stem cells from the washings of bone marrow collection bags: characterization of fresh mesenchymal stem cells.

    abstract:BACKGROUND:Bone marrow (BM) is an excellent source of mesenchymal stem cells (MSC) which can be expanded in vitro for further use. However, large volumes of BM specimens are not routinely available. We hypothesized that the normally discarded BM collection kits might be a convenient source of large numbers of MSC. MET...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000259752.13304.0b

    authors: Mageed AS,Pietryga DW,DeHeer DH,West RA

    更新日期:2007-04-27 00:00:00

  • Possible role of extracellularly released phagocyte proteinases in coagulation disorder during liver transplantation.

    abstract::Orthotopic liver transplantation is frequently associated with a complex coagulation disorder, influencing the outcome of the procedure. In this respect, disseminated intravascular coagulation (DIC) had been suggested to be of causative importance for bleeding complications after reperfusion of the liver graft. In 10 ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199109000-00018

    authors: Riess H,Jochum M,Machleidt W,Himmelreich G,Blumhardt G,Roissaint R,Neuhaus P

    更新日期:1991-09-01 00:00:00

  • High Intrapatient Variability of Tacrolimus Exposure in the Early Period After Liver Transplantation Is Associated With Poorer Outcomes.

    abstract:BACKGROUND:Tacrolimus (TAC) is the cornerstone of immunosuppressive regimen in liver transplantation (LT). Its pharmacokinetics is characterized by a high interpatient and intrapatient variability (IPV) leading to an unpredictable dose-response relationship. The aim of our study was to evaluate the impact of TAC IPV (I...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002052

    authors: Rayar M,Tron C,Jézéquel C,Beaurepaire JM,Petitcollin A,Houssel-Debry P,Camus C,Verdier MC,Dehlawi A,Lakéhal M,Desfourneaux V,Meunier B,Sulpice L,Bellissant E,Boudjema K,Lemaitre F

    更新日期:2018-03-01 00:00:00

  • Apollon/RNF41 myocardial messenger RNA diagnoses cardiac allograft apoptosis in rejection.

    abstract:BACKGROUND:Endomyocardial biopsy (EMB) remains the gold standard for acute cellular rejection (ACR) diagnosis in cardiac transplantation yet is subject to interobserver variability. A method that could avoid discordant EMB analysis would be desirable. The apoptosis rate in EMB correlates with ACR severity. Apollon inhi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181c3c690

    authors: Aharinejad S,Andrukhova O,Gmeiner M,Thomas A,Krenn K,Zuckermann A,Grimm M

    更新日期:2010-01-27 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

  • T cells receptor beta-chain repertoires are nonrandomly selected in responses to HLA-DR1.

    abstract::T cell receptor (TCR) beta-chain usage by HLA-DR1 alloreactive T cell lines was examined to determine whether common TCR gene segments were used preferentially. We have demonstrated previously that a DR1-specific, human renal allograft-derived T cell line and replicate, anti-DR1 mixed lymphocyte reactions (MLR), estab...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199604150-00017

    authors: Hand SL,Alter MD,Finn OJ

    更新日期:1996-04-15 00:00:00

  • Living donor liver transplantation and tolerance: a potential strategy in cholangiocarcinoma.

    abstract:BACKGROUND:Donor-specific immune tolerance has been reported in isolated cases of kidney transplantation associated with bone marrow transplantation. The following is a description of a living donor liver transplantation for a hilar cholangiocarcinoma in a previous recipient of an allogeneic bone marrow transplant. ME...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000083981.82522.13

    authors: Kadry Z,Mullhaupt B,Renner EL,Bauerfeind P,Schanz U,Pestalozzi BC,Studer G,Zinkernagel R,Clavien PA

    更新日期:2003-09-27 00:00:00