Usefulness of Oxford classification in assessing immunoglobulin A nephropathy after transplantation.

Abstract:

BACKGROUND:We explored the efficacy of the Oxford classification for assessing native immunoglobulin A nephropathy (IgAN) in posttransplantation patients compared with the glomerular injury score and Haas classification. METHODS:A total of 125 renal allograft biopsies obtained from 114 patients diagnosed with IgAN regardless of original disease were assessed. RESULTS:The average time to biopsy was 70.5±45.3 months after transplantation. Glomeruli showed normal histology in 18.4%. Mesangial hypercellularity (M1), endocapillary hypercellularity (E1), segmental glomerulosclerosis (S1), and tubulointerstitial fibrosis (T1-2) were present in 12.8%, 6.4%, 45.6%, and 20.8% of the samples, respectively. There was a significant correlation between Oxford-MEST scores and glomerular injury score or Haas subclass. S1 and T1-2 were correlated with elevated serum creatinine level, proteinuria, and decreased estimated glomerular filtration rate, and E1 was correlated with decreased estimated glomerular filtration rate at the time of biopsy. The 10- and 15-year graft survival rates were 62.9% and 34.3%, respectively. The graft survival rate was significantly lower in the presence of S1 and T1-2. Endocapillary hypercellularity, segmental sclerosis, and tubulointerstitial fibrosis predicted graft survival and endocapillary hypercellularity and tubulointerstitial fibrosis also predicted serum creatinine doubling. CONCLUSIONS:The Oxford classification scheme is useful for evaluating chronic graft dysfunction in patients with posttransplantation IgAN. In addition to tubulointerstitial fibrosis, the presence of endocapillary hypercellularity and segmental sclerosis should be included in the pathology report.

journal_name

Transplantation

journal_title

Transplantation

authors

Lim BJ,Joo DJ,Kim MS,Kim YS,Kim SI,Kim Y,Huh KH,Koh MJ,Jeong HJ

doi

10.1097/TP.0b013e318291de65

subject

Has Abstract

pub_date

2013-06-27 00:00:00

pages

1491-7

issue

12

eissn

0041-1337

issn

1534-6080

journal_volume

95

pub_type

杂志文章
  • Graft-versus-host-disease-associated thymic damage results in the appearance of T cell clones with anti-host reactivity.

    abstract:BACKGROUND:We studied whether T-cell clones, which appear in the periphery as a result of the failure of thymic negative selection during graft-versus-host disease (GVHD), have any in vivo anti-host reactivity and can cause GVHD in an adoptive transfer model. METHODS:We performed our studies in a murine model (B10.BR ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200002150-00026

    authors: van den Brink MR,Moore E,Ferrara JL,Burakoff SJ

    更新日期:2000-02-15 00:00:00

  • Skin-autofluorescence is an independent predictor of graft loss in renal transplant recipients.

    abstract:BACKGROUND:Skin-autofluorescence (skin-AF) noninvasively measures the tissue accumulation of advanced glycation end products (AGEs). AGEs are nephrotoxic and potential effectors of cardiovascular mortality. We investigated whether skin-AF predicted graft loss after kidney transplantation. METHODS:A total of 302 renal ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31819d3173

    authors: Hartog JW,Gross S,Oterdoom LH,van Ree RM,de Vries AP,Smit AJ,Schouten JP,Nawroth PP,Gans RO,van Son WJ,Bierhaus A,Bakker SJ

    更新日期:2009-04-15 00:00:00

  • Computer-assisted quantification of fibrosis in chronic allograft nephropaty by picosirius red-staining: a new tool for predicting long-term graft function.

    abstract:BACKGROUND:Chronic allograft nephropathy (CAN) has become the predominant limiting factor for long-term transplant survival. A cardinal histomorphologic correlate for CAN is interstitial fibrosis. Currently, no method has been established in routine use that reliably quantifies the extent of interstitial fibrosis in re...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000078899.62040.E5

    authors: Pape L,Henne T,Offner G,Strehlau J,Ehrich JH,Mengel M,Grimm PC

    更新日期:2003-09-27 00:00:00

  • Effect of antithymocyte globulin on histocompatibility antigen recognition in man.

    abstract::Nonmajor histocompatibility complex (non-MHC) antigens are important targets of graft rejection and graft-versus-host disease in clinical transplantation. Little is known regarding immunity to non-MHC antigens. To study this problem we evaluated the effect of antihuman thymocyte globulin (ATG) on reactivity in autolog...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198102000-00001

    authors: Harada M,Gale RP

    更新日期:1981-02-01 00:00:00

  • Treatment of knee osteoarthritis with autologous mesenchymal stem cells: a pilot study.

    abstract:BACKGROUND:Osteoarthritis is the most prevalent joint disease and a frequent cause of joint pain, functional loss, and disability. Osteoarthritis often becomes chronic, and conventional treatments have demonstrated only modest clinical benefits without lesion reversal. Cell-based therapies have shown encouraging result...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318291a2da

    authors: Orozco L,Munar A,Soler R,Alberca M,Soler F,Huguet M,Sentís J,Sánchez A,García-Sancho J

    更新日期:2013-06-27 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

  • Donation after circulatory death: current practices, ongoing challenges, and potential improvements.

    abstract::Organ donation after circulatory death (DCD) has been endorsed by the World Health Organization and is practiced worldwide. This overview examines current DCD practices, identifies problems and challenges, and suggests clinical strategies for possible improvement. Although there is uniform agreement on DCD donor candi...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.TP.0000437178.48174.db

    authors: Morrissey PE,Monaco AP

    更新日期:2014-02-15 00:00:00

  • Peripheral blood mononuclear cell responses from type 1 diabetic patients and subjects at-risk for type 1 diabetes to human fetal pancreatic tissue proteins.

    abstract:BACKGROUND:Fetal pancreatic tissue has been suggested to be less immunogenic than adult islets. Thus, transplantation of human fetal pancreatic tissue as treatment for type 1 diabetes has been gaining interest. To investigate this question, we tested the peripheral blood mononuclear cell (PBMC) responses from different...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200005150-00028

    authors: Brooks-Worrell BM,Peterson KP,Peterson CM,Palmer JP,Jovanovic L

    更新日期:2000-05-15 00:00:00

  • Impact of Mitochondrial Permeability on Endothelial Cell Immunogenicity in Transplantation.

    abstract:BACKGROUND:Microvascular endothelial cells (ECs) are central to an allograft's immunogenicity. Cold ischemia and reperfusion injury associated with static cold storage and warm reperfusion activates ECs and increases the immunogenicity of the allograft. After reperfusion, mitochondrial permeability transition pore (mPT...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002163

    authors: Tran DT,Esckilsen S,Mulligan J,Mehrotra S,Atkinson C,Nadig SN

    更新日期:2018-06-01 00:00:00

  • Flow cytometry cross-match: a method for predicting graft rejection.

    abstract::Long-term graft survival is mainly influenced by early graft rejection and posttransplant graft function. The ability of both complement-dependent cytotoxicity cross-match (CDC) and flow cytometry cross-match (FCXM) to predict acute rejection episodes has been evaluated by cross-matching 40 patients who received cadav...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199702270-00012

    authors: Utzig MJ,Blümke M,Wolff-Vorbeck G,Lang H,Kirste G

    更新日期:1997-02-27 00:00:00

  • Immunologic diagnosis of kidney rejection using FACS analysis of graft-infiltrating functional and activated T and NK cell subsets.

    abstract::In human organ transplantation, the correct diagnosis of rejection may be difficult using clinical and/or histopathologic criteria, and immunologic assays should therefore be considered. We have applied monoclonal antibodies in 2-color flow cytometric (FACS) analysis to study phenotypic patterns of kidney-infiltrating...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198905000-00014

    authors: Tötterman TH,Hanås E,Bergström R,Larsson E,Tufveson G

    更新日期:1989-05-01 00:00:00

  • Impact of simultaneous pancreas and kidney transplantation on cardiovascular risk factors in patients with type 1 diabetes mellitus.

    abstract::We retrospectively investigated the impact of pancreas transplantation on cardiovascular disease risk factors in patients with type 1 diabetic end-stage renal disease (ESRD). Two cohorts of patients, 44 simultaneous pancreas and kidney transplant patients (SPK) and 30 kidney transplant-alone patients (KTA), were inclu...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000270617.43811.af

    authors: Luan FL,Miles CD,Cibrik DM,Ojo AO

    更新日期:2007-08-27 00:00:00

  • In vivo alloreactive potential of ex vivo-expanded primary T lymphocytes.

    abstract:BACKGROUND:We are presently investigating the therapeutic potential of herpes simplex-thymidine kinase-expressing donor T cells in the setting of a T cell-depleted allogeneic bone marrow transplantation. The generation, expansion, and selection of the gene-modified T cells require a 12-day ex vivo culture period in hig...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199805270-00014

    authors: Contassot E,Murphy W,Angonin R,Pavy JJ,Bittencourt MC,Robinet E,Reynolds CW,Cahn JY,Hervé P,Tiberghien P

    更新日期:1998-05-27 00:00:00

  • The association of donor center characteristics with attrition from the national marrow donor registry.

    abstract:BACKGROUND:The National Marrow Donor Program (NMDP) has approximately 5 million registered potential donors and continues to add more than 30,000 new recruits to the registry monthly. However, more than 30% of potential donors are not available or decline to donate at key decision points in the donation process. Althou...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000116394.88804.a7

    authors: Myaskovsky L,Switzer GE,Dew MA,Goycoolea JM,Confer DL,Abress L

    更新日期:2004-03-27 00:00:00

  • The effect of trophic factor supplementation on cold ischemia-induced early apoptotic changes.

    abstract::We have previously shown that trophic factor supplementation (TFS) of University of Wisconsin (UW) solution enhanced kidney viability after cold storage. Here, we use an in vitro model to study the effect of TFS on early apoptotic changes after cold ischemic storage. Mitochondrial membrane potential was determined by ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000242524.35562.4b

    authors: Kwon YS,Foley JD,Murphy CJ,McAnulty JF

    更新日期:2007-01-15 00:00:00

  • Pretransplant low CD3+CD25high cell counts or a low CD3+CD25high/CD3+HLA-DR+ ratio are associated with an increased risk to acute renal allograft rejection.

    abstract:BACKGROUND:Detection of markers predicting allograft rejection is important for risk assessment before kidney transplantation, as well as to minimize posttransplantation immunosuppression. METHODS:We studied the expression of CD25, HLA-DR, CD134, CD62L, and CD44 by flow cytometry in CD4, CD8, and CD3 cells, from pretr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182283c58

    authors: Hueso M,Mestre M,Benavente Y,Bas J,Grinyó JM,Navarro E

    更新日期:2011-09-15 00:00:00

  • Ultrasound changes within the liver after total pancreatectomy and intrahepatic islet cell autotransplantation.

    abstract:OBJECTIVE:Intrahepatic infusion is the most common method of islet autotransplantation. Structural and functional changes within the liver may result from a number of factors, including embolization of the terminal branches of the portal vein, the effects of high insulin concentration on surrounding hepatocytes or resp...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31817348d6

    authors: Ong SL,Pollard C,Rees Y,Garcea G,Webb M,Illouz S,Berry DP,Dennison AR

    更新日期:2008-06-27 00:00:00

  • Are the native kidneys responsible for erythrocytosis in renal allorecipients?

    abstract::The development of erythrocytosis following renal transplantation has been reported to be caused by a number of factors. These include acute and chronic rejection, hydronephrosis and renal artery stenosis. In this study, seven patients were noted to have erythrocytosis with hematocrits ranging between 53.5 and 66%. Se...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Dagher FJ,Ramos E,Erslev AJ,Alongi SV,Karmi SA,Caro J

    更新日期:1979-12-01 00:00:00

  • H-2 complex and Ia antigens on cells dissociated from mouse thyroid glands and islets of Langerhans.

    abstract::Mouse thyroid tissue was dissociated with collagenase, fixed in periodate-lysine-paraformaldehyde (PLP), and further dissociated with EDTA and trypsin to yield cell suspensions containing mainly follicle epithelial cells and vascular endothelial cells. H-2 complex antigens were detected on the vascular endothelial cel...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198008000-00013

    authors: Parr EL,Lafferty KJ,Bowen KM,McKenzie IF

    更新日期:1980-08-01 00:00:00

  • Inhibition of inducible nitric oxide synthase ameliorates functional and histological changes of acute lung allograft rejection.

    abstract:BACKGROUND:We recently demonstrated that inhibition of inducible nitric oxide synthase (iNOS) ameliorated severe acute lung allograft rejection. This study used a rat lung transplant model to determine (1) the time course and cellular localization of iNOS expression during the histological progression of unmodified acu...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199704270-00008

    authors: Worrall NK,Boasquevisque CH,Botney MD,Misko TP,Sullivan PM,Ritter JH,Ferguson TB Jr,Patterson GA

    更新日期:1997-04-27 00:00:00

  • A 12-day course of FK506 allows long-term acceptance of semi-identical liver allograft in inbred miniature swine.

    abstract:BACKGROUND:Spontaneous tolerance to liver allograft has been reported previously in outbred pig models, but the lack of genetic background did not allow to analyze the impact of the major histocompatibility complex (MHC) on tolerance induction. A model of semi-identical liver allograft was therefore developed in inbred...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200006150-00014

    authors: Oike F,Talpe S,Otsuka M,Dehoux JP,Lerut J,Otte JB,Gianello P

    更新日期:2000-06-15 00:00:00

  • Thrombotic microangiopathy in living-donor liver transplantation.

    abstract:BACKGROUND:Thrombotic microangiopathy (TMA) is a fatal complication characterized by microvascular occlusive disorder resulting in systemic or intrarenal platelet aggregation, severe thrombocytopenia, and microangiopathic hemolytic anemia. Only sporadic case reports of TMA after cadaveric or living-donor liver transpla...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000165048.00487.8e

    authors: Tamura S,Sugawara Y,Matsui Y,Kishi Y,Akamatsu N,Kaneko J,Makuuchi M

    更新日期:2005-07-27 00:00:00

  • Validation study of peripheral blood diagnostic test for acute rejection in kidney transplantation.

    abstract:BACKGROUND:Diagnosing acute rejection (AR) in kidney transplant recipients typically requires an invasive kidney biopsy. A previous study has suggested that expression of five genes in peripheral blood can indicate the presence of AR in American pediatric kidney transplant recipients. This study aims to validate if the...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000138

    authors: Lee A,Jeong JC,Choi YW,Seok HY,Kim YG,Jeong KH,Moon JY,Lee TW,Ihm CG,Jeon HJ,Koo TY,Ahn C,Lim SJ,Yang J,Lee SH

    更新日期:2014-10-15 00:00:00

  • Circulating markers of endothelial dysfunction interact with proteinuria in predicting mortality in renal transplant recipients.

    abstract:BACKGROUND:Proteinuria is associated with endothelial dysfunction (ED) and increased mortality. We investigated whether urinary protein excretion (UPE) is correlated with markers of ED and whether these markers affect the association of proteinuria with mortality in renal transplant recipients (RTR). METHODS:Six hundr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181903d25

    authors: van Ree RM,Oterdoom LH,de Vries AP,Homan van der Heide JJ,van Son WJ,Navis G,Gans RO,Bakker SJ

    更新日期:2008-12-27 00:00:00

  • Efficacy of caspofungin addition to trimethoprim-sulfamethoxazole treatment for severe pneumocystis pneumonia in solid organ transplant recipients.

    abstract:BACKGROUND:Pneumocystis jiroveci pneumonia may be a life-threatening opportunistic infection in immunosuppressed solid organ transplant recipients. Despite effective treatment with high-dose trimethoprim-sulfamethoxazole and steroids, morbidity is often severe and lethality remains high. New therapeutic approaches are ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000280546.91617.6c

    authors: Utili R,Durante-Mangoni E,Basilico C,Mattei A,Ragone E,Grossi P

    更新日期:2007-09-27 00:00:00

  • A Feasible Method for Quantifying Living Pancreatic Human Islets in Murine Livers Posttransplantation by Confocal Laser Scanning Microscopy.

    abstract:BACKGROUND:Current histological methods cannot accurately determine the survival rate of human pancreatic islets following portal vein infusion. This is due, in part, to the low number of infused islets relative to the whole liver. In this study, we assessed the ability of confocal laser scanning microscopy (CLSM) to t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003191

    authors: Sui F,Tang W,Karunananthan J,Qi C,Li J,He N,Kandeel F,Li J

    更新日期:2020-06-01 00:00:00

  • Higher frequency of high-grade rejections in cardiac allograft patients after Quilty B lesions or grade 2/4 rejections.

    abstract:BACKGROUND:To better understand how different histologic patterns of allograft inflammation found on biopsies of human cardiac allografts progress to high-grade rejection, we undertook a statistical analysis of our institutional database to detect statistical patterns among different types of myocardial allograft infla...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200206270-00014

    authors: Smith RN,Chang Y,Houser S,Dec GW,Grazette L

    更新日期:2002-06-27 00:00:00

  • A New Life: Motherhood After Heart Transplantation. A Single-center Experience and Review of Literature.

    abstract:BACKGROUND:Pregnancy after heart transplantation (HTx) may expose the recipient to hemodynamic and immunologic risks and the newborn to toxic effects of immunosuppressive therapy. Adequate preconception counseling is crucial to identify optimal timing and to modify immunosuppressive therapy to minimize risks for both t...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000002281

    authors: Macera F,Occhi L,Masciocco G,Varrenti M,Frigerio M

    更新日期:2018-09-01 00:00:00

  • Urinary neutrophil gelatinase-associated lipocalin accurately detects acute allograft rejection among other causes of acute kidney injury in renal allograft recipients.

    abstract:BACKGROUND:Urinary neutrophil gelatinase-associated lipocalin (NGAL) has emerged an early marker protein, predicative of acute kidney injury (AKI) in various clinical settings. Here, we demonstrate urinary NGAL to allow for differential diagnosis of AKI, accurately discriminating acute allograft rejection from other ca...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/TP.0b013e31824fd892

    authors: Heyne N,Kemmner S,Schneider C,Nadalin S,Königsrainer A,Häring HU

    更新日期:2012-06-27 00:00:00

  • Characteristics of immunoglobulin gene usage of the xenoantibody binding to gal-alpha(1,3)gal target antigens in the gal knockout mouse.

    abstract:BACKGROUND:Natural antibodies that react with galactose-alpha(1,3)galactose [galalpha(1,3)gal] carbohydrate epitopes exist in humans and Old World primates because of the inactivation of the alpha1,3-galactosyltransferase (alpha1,3GT) gene in these species and the subsequent production of antibodies to environmental mi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200107150-00028

    authors: Nozawa S,Xing PX,Wu GD,Gochi E,Kearns-Jonker M,Swensson J,Starnes VA,Sandrin MS,McKenzie IF,Cramer DV

    更新日期:2001-07-15 00:00:00