Unrelated donor marrow transplantation between 1977 and 1987 at four centers in the United Kingdom.

Abstract:

:Retrospectively we analyzed the histocompatibility data and clinical results of bone marrow transplantation in 51 patients who received marrow from unrelated donors (UD) from 1977 to 1987 at one of four UK BMT centers. We compared the results with those obtained in 51 transplants carried out at the same centers using HLA-identical (ID) sibling donors. Of the UD/recipient pairs 32 (63%) were serologically identical for HLA A, B, and DR antigens, and 37% showed varying degrees of mismatch. UD-BMT primary diagnoses were: severe aplastic anemia or Fanconi's anemia (n = 17), acute leukemia (n = 11), chronic myeloid leukemia (n = 21), and other conditions (n = 2). T cell depletion of the graft was associated with a significant improvement in survival in both UD and ID-BMT. Graft failure was more common in recipients of UD than of ID transplants (13 [25%] vs. 5 [10%] P = 0.05) but there was no significant difference in the frequency of acute or chronic graft-versus-host disease. Actuarial survival was superior for recipients of ID transplants (UD vs. ID: 49% vs. 78%, respectively, at 3 months; 32% vs. 63% at one year). Reduced survival for recipients of UD-BMT was confirmed in case control regression analysis (relative risk 3.0, P = 0.01). Nevertheless in patients whose only alternative is a partially mismatched family donor we think that UD-BMT is justified.

journal_name

Transplantation

journal_title

Transplantation

authors

Howard MR,Hows JM,Gore SM,Barrett J,Brenner MK,Goldman JM,Gordon-Smith EC,Poynton C,Prentice HG,Whittaker JA

doi

10.1097/00007890-199003000-00015

subject

Has Abstract,Author List Incomplete

pub_date

1990-03-01 00:00:00

pages

547-53

issue

3

eissn

0041-1337

issn

1534-6080

journal_volume

49

pub_type

临床试验,杂志文章,多中心研究
  • Primary integumentary allograft reactivity in the American cockroach, Periplaneta americana.

    abstract::Previous reports have failed to demonstrate integumentary allograft rejection in insects. We realized however, that these studies may not have fully appreciated the structure of the insect exoskeleton. Since the subcuticlar epidermal layer constitutes the only living tissue associated with insect integument, its destr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198704000-00012

    authors: George JF,Howcroft TK,Karp RD

    更新日期:1987-04-01 00:00:00

  • Treatment of established bone loss after renal transplantation with etidronate.

    abstract:BACKGROUND:Osteoporosis is a well-documented complication of organ transplantation. Bisphosphonates have been shown to be effective in preventing corticosteroid-induced osteoporosis in renal transplant recipients, but data are lacking for treatment of established osteoporosis. This study reports our clinical experience...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200103150-00017

    authors: Arlen DJ,Lambert K,Ioannidis G,Adachi JD

    更新日期:2001-03-15 00:00:00

  • Outcomes of Liver Transplantation for Hepatocellular Carcinoma Beyond the University of California San Francisco Criteria: A Single-center Experience.

    abstract:BACKGROUND:Hepatocellular carcinoma (HCC) is the most common primary malignant liver tumor. Currently, liver transplantation may be the optimal treatment for HCC in cirrhotic patients. Patient selection is currently based on tumor size. We developed a program to offer liver transplantation to selected patients with HCC...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002835

    authors: Victor DW 3rd,Monsour HP Jr,Boktour M,Lunsford K,Balogh J,Graviss EA,Nguyen DT,McFadden R,Divatia MK,Heyne K,Ankoma-Sey V,Egwim C,Galati J,Duchini A,Saharia A,Mobley C,Gaber AO,Ghobrial RM

    更新日期:2020-01-01 00:00:00

  • Murine cytomegalovirus infection leads to increased levels of transplant arteriosclerosis in a murine aortic allograft model.

    abstract:INTRODUCTION:Cytomegalovirus infection after heart transplantation is considered as risk factor for the development of transplant arteriosclerosis. Therefore, the aim of this study was to investigate the effect of murine cytomegalovirus (MCMV) as a single risk factor on transplant arteriosclerosis in an experimental ao...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181e8a699

    authors: Heim C,Abele-Ohl S,Eckl S,Ramsperger-Gleixner M,Mahmoudian S,Weyand M,Stamminger T,Ensminger SM

    更新日期:2010-08-27 00:00:00

  • Induction of vascular adhesion molecules during rejection of human cardiac allografts.

    abstract::Adhesion of leukocytes to vascular endothelium is a necessary step leading to the migration of cells into underlying tissues. Vascular adhesion molecules regulate this process and may play an important role in graft rejection. Immunocytochemical studies have been used to investigate the expression of vascular adhesion...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199209000-00013

    authors: Taylor PM,Rose ML,Yacoub MH,Pigott R

    更新日期:1992-09-01 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

  • Extensively drug-resistant Pseudomonas aeruginosa bacteremia in solid organ transplant recipients.

    abstract:BACKGROUND:We sought to determine the risk factors, molecular epidemiology, antibiotic therapy, and outcomes of bacteremia because of extensively drug-resistant (XDR) Pseudomonas aeruginosa in solid organ transplant (SOT) recipients. METHODS:All episodes of bacteremia occurring in SOT recipients were prospectively doc...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000366

    authors: Bodro M,Sabé N,Tubau F,Lladó L,Baliellas C,González-Costello J,Cruzado JM,Carratalà J

    更新日期:2015-03-01 00:00:00

  • The Meaning Behind the Scar: Anonymous Live Liver Donors' Perceptions of Their Surgical Scars.

    abstract:BACKGROUND:Scarring can greatly impact quality of life for individuals (ie, causing depression posttraumatic stress disorder, body image issues). Those who wish to be anonymous live liver donors are warned of the potential negative psychological impacts associated with the large scar left from liver donation surgery. G...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003333

    authors: Krause S,Pritlove C,Abbey S,Jung J

    更新日期:2020-05-25 00:00:00

  • Conversion from cyclosporine A to tacrolimus in pediatric kidney transplant recipients with chronic rejection: changes in the immune responses.

    abstract:BACKGROUND:Tacrolimus (Tac) has immunosuppressant properties similar to those of cyclosporine A (CsA), but it is more potent. At present, however, its immunosuppressive activity in renal transplant recipients with ongoing chronic rejection has not been clarified. METHODS:We studied changes in kidney function, mixed ly...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.tp.0000112438.46472.38

    authors: Ferraris JR,Tambutti ML,Cardoni RL,Prigoshin N

    更新日期:2004-02-27 00:00:00

  • The effect of acute rejection and cyclosporin A-treatment on induction of platelet-derived growth factor and its receptors during the development of chronic rat renal allograft rejection.

    abstract:BACKGROUND:In the development of chronic kidney allograft rejection acute rejection (AR) is the single most important risk factor. Although Cyclosporin A (CsA) medication has decreased the incidence of AR, chronic rejection (CR) is still the major reason for late allograft loss. Platelet-derived growth factor (PDGF) is...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200202270-00003

    authors: Savikko J,Kallio EA,Taskinen E,von Willebrand E

    更新日期:2002-02-27 00:00:00

  • Pediatric kidney transplantation using a novel protocol of rapid (6-day) discontinuation of prednisone: 2-year results.

    abstract:BACKGROUND:There are few prospective studies of prednisone-free immunosuppression (IS) in pediatric kidney transplant (KTx) recipients. We studied the outcomes of a protocol using rapid discontinuation of prednisone (RDP, <1 week) and thymoglobulin induction. METHODS:Twenty-one RDP recipients (mean age 14+/-3 years) r...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181ac6833

    authors: Chavers BM,Chang YC,Gillingham KJ,Matas A

    更新日期:2009-07-27 00:00:00

  • Comparison of pulsatile perfusion and cold storage for paired kidney allografts.

    abstract::Use of pulsatile perfusion to optimize outcomes in deceased donor kidney transplantation remains controversial. This study is a retrospective analysis of all cadaveric renal allografts procured locally by our center over a 3-year period. Kidney pairs were identified in which one kidney underwent pulsatile perfusion an...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318187b978

    authors: Shah AP,Milgrom DP,Mangus RS,Powelson JA,Goggins WC,Milgrom ML

    更新日期:2008-10-15 00:00:00

  • Donor bone marrow potentiates the effect of tacrolimus on nonvascularized heart allograft survival: association with microchimerism and growth of donor dendritic cell progenitors from recipient bone marrow.

    abstract:BACKGROUND:The influence of donor hematopoietic cell microchimerism on organ allograft survival has been studied largely in vascularized transplant models. Here, we examine the impact of donor bone marrow (BM) cells administered intravenously together with transient systemic tacrolimus therapy on microchimerism, the su...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199802270-00005

    authors: Khanna A,Steptoe RJ,Antonysamy MA,Li W,Thomson AW

    更新日期:1998-02-27 00:00:00

  • Increasing the donor pool using en bloc pediatric kidneys for transplant.

    abstract:OBJECTIVES:En bloc pediatric kidney transplants (EBPKT) are still a subject of controversy. The aim of this study was to determine whether acceptable long-term graft survival and function can be achieved in EBPKT compared with the transplant of single, cadaveric, adult donor kidneys. METHODS:A retrospective review was...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000090395.98045.09

    authors: Sánchez-Fructuoso AI,Prats D,Pérez-Contín MJ,Marques M,Torrente J,Conesa J,Grimalt J,Del Rio F,Núñez JR,Barrientos A

    更新日期:2003-10-27 00:00:00

  • Molecular Imaging of Acute Cardiac Transplant Rejection: Animal Experiments and Prospects.

    abstract::Acute rejection (AR) remains the biggest challenge during the first year after heart transplantation despite advances in immunosuppressive therapy. The early detection and curbing of AR are crucial to the survival of transplant recipients. However, as the criterion standard for AR, endomyocardial biopsy has several li...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000001780

    authors: Chen Y,Zhang L,Liu J,Zhang P,Chen X,Xie M

    更新日期:2017-09-01 00:00:00

  • Postoperative oral glucose tolerance and stimulated insulin secretion: a predictor of endocrine graft function more than 10 years after pancreas-kidney transplantation.

    abstract:BACKGROUND:After pancreas transplantation, endocrine function is determined by the insulin secretory capacity of the transplanted pancreas. The authors evaluated the predictive value of postoperative oral glucose tolerance test (OGTT) and stimulated insulin secretion on long-term endocrine function. METHODS:Forty-one ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000098821.26466.DE

    authors: Pfeffer F,Nauck MA,Drognitz O,Benz S,von Dobschuetz E,Hopt UT

    更新日期:2003-11-27 00:00:00

  • Cytotoxic and agglutinating H-Y antibodies in multiparous female mice.

    abstract::Pregnancy in inbred mice is associated with long-term accceptance of H-Y-incompatible skin grafts (in some "rejector" strain females) and with the formation of cytotoxic and agglutinating H-Y antibodies (in females generally). Yet there is no evident correlation between the two phenomena; postpartum females of nonreje...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Krupen-Brown K,Wachtel SS

    更新日期:1979-06-01 00:00:00

  • The influence of conventional and cross-reactive group HLA matching on cardiac transplant outcome: an analysis from the United Network of Organ Sharing Scientific Registry.

    abstract:BACKGROUND:The short tolerable cold ischemia time and the importance of other risk factors have generally superseded the role of HLA matching in the allocation of donor hearts. Recent advances in the accuracy and time required to perform HLA typing and crossmatching, however, have led us to re-examine the United Networ...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/00007890-200005270-00038

    authors: Thompson JS,Thacker LR 2nd,Takemoto S

    更新日期:2000-05-27 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

  • Absorption of shed I-Ak and H-2Kk antigens by lymphoid cells.

    abstract::The fate of cell surface I-Ak and H-2Kk antigens shed by murine spleen cells in culture was studied by incubation of nonlabeled spleen cells or splenic T or B cells with culture fluids containing shed radiolabeled alloantigens. Approximately 30 to 40% of the shed alloantigens could be absorbed by syngeneic or allogene...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198201000-00008

    authors: Emerson SG,Cone RE

    更新日期:1982-01-01 00:00:00

  • Rejection of murine cardiac allografts. II. Evidence that splenocytes bearing Lyt2 inhibit responsiveness in long-term heart graft recipients.

    abstract::Mixed lymphocyte culture--lymphocyte-mediated cytotoxicity (MLC-LMC) reactions by recipient spleen cells were strongly and specifically increased shortly after primarily vascularized heart grafts were placed in mice. Subsequently, in strain combinations in which eventual long-term graft survival occurred, the MLC-LMC ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Burdick JF,Clow LW

    更新日期:1987-04-01 00:00:00

  • Blocking the CD28-B7 T-cell costimulatory pathway abrogates the development of obliterative bronchiolitis in a murine heterotopic airway model.

    abstract:BACKGROUND:CTLA4IgG that binds to B7 effectively inhibits the signaling of CD28/B7 pathway and induces antigen-specific T-cell unresponsiveness in vitro and in vivo. We examined whether the development of obliterative bronchiolitis in a murine heterotopic airway transplantation model is T cell dependent and whether CTL...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200003150-00012

    authors: Yamada A,Konishi K,Cruz GL,Takehara M,Morikawa M,Nakagawa I,Murakami M,Abe T,Todo S,Uede T

    更新日期:2000-03-15 00:00:00

  • Management of posttransplant lymphoproliferative disease in pediatric liver transplant recipients receiving primary tacrolimus (FK506) therapy.

    abstract:BACKGROUND:Posttransplant lymphoproliferative disease (PTLD) after pediatric liver transplantation has been associated with high mortality rates. METHODS:The present study examined 282 consecutive pediatric liver transplant recipients from October 1989 to June 1996 who received primary tacrolimus immunosuppression. Th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199810270-00014

    authors: Cacciarelli TV,Green M,Jaffe R,Mazariegos GV,Jain A,Fung JJ,Reyes J

    更新日期:1998-10-27 00:00:00

  • T cells are necessary and critical for xenograft rejection in new concordant cardiac xenotransplant model.

    abstract:BACKGROUND:A new vascularized concordant xenotransplant model using the Chinese hamster as donor and mouse as recipient species is reported. This model takes advantage of the wealth of informative immune reagents and knockout and transgenic backgrounds available for the mouse. METHODS:Heterotopic auxillary cardiac tra...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199906150-00016

    authors: Obatake M,Kushida M,Kimmel S,Clarke ID,Kim PC

    更新日期:1999-06-15 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

  • The importance of static lung inflation during organ storage: the impact of varying ischemic intervals in a double lung rat transplantation model.

    abstract::To determine the importance of static lung inflation during storage, graft performance was evaluated at different levels of intratracheal pressure and varying ischemic intervals. Lewis rat lungs were perfused with low-potassium Euro-Collins and stored for 4 or 8 hr either in atelectasis (4 hr: group I; 8 hr: group IV,...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199612270-00004

    authors: Hausen B,Ramsamooj R,Hewitt CW,Schroder F,Beuke M,Poets CF,Schafers HJ

    更新日期:1996-12-27 00:00:00

  • Consistent absorption of cyclosporine from a microemulsion formulation assessed in stable renal transplant recipients over a one-year study period.

    abstract::To evaluate the pharmacokinetic properties of the new microemulsion formulation of cyclosporine (Sandimmun Neoral), a double-blind, prospective study in stable renal transplant recipients was performed. The patients were randomized on a 4:1 basis either to receive Sandimmun Neoral (n = 45) or continue on regular Sandi...

    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:10.1097/00007890-199510150-00005

    authors: Wahlberg J,Wilczek HE,Fauchald P,Nordal KP,Heaf JG,Olgaard K,Hansen JM,Lokkegaard H,Mueller EA,Kovarik JM

    更新日期:1995-10-15 00:00:00

  • Resource utilization associated with procurement of transplantable organs from donors that do not meet OPTN eligible death criteria.

    abstract:BACKGROUND:The strategy of evaluating every donation opportunity warrants an investigation into the financial feasibility of this practice. The purpose of this investigation is to measure resource utilization required for procurement of transplantable organs in an organ procurement organization (OPO). METHODS:Donors w...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000441093.32217.cb

    authors: DuBay DA,Redden DT,Bryant MK,Dorn DP,Fouad MN,Gray SH,White JA,Locke JE,Meeks CB,Taylor GC,Kilgore ML,Eckhoff DE

    更新日期:2014-05-27 00:00:00

  • Induction immunosuppression.

    abstract::Induction immunosuppression is intense, prophylactic therapy used at the time of transplantation based on the empiric observation that more powerful immunosuppression is required to prevent acute rejection early. In the past decade, there has been a growing trend towards the use of specialized agents such as antibody ...

    journal_title:Transplantation

    pub_type: 社论,评审

    doi:10.1097/01.tp.0000234905.56926.7f

    authors: Kirk AD

    更新日期:2006-09-15 00:00:00

  • Characterization of rabbit antithymocyte globulins-induced CD25+ regulatory T cells from cells of patients with end-stage renal disease.

    abstract::BACKGROUND.: Rabbit antithymocyte globulins (rATGs) are known to convert CD4CD25FoxP3 T cells from healthy individuals to CD4CD25FoxP3 T cells. In this study, we investigated the effect of rATG on the induction of regulatory T cells (Tregs) from blood cells of patients with end-stage renal disease who are candidates f...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181c9cc7a

    authors: Sewgobind VD,van der Laan LJ,Kho MM,Kraaijeveld R,Korevaar SS,van Dam T,Ijzermans JN,Weimar W,Baan CC

    更新日期:2010-03-27 00:00:00