Racial variation in the development of posttransplant lymphoproliferative disorders after renal transplantation.

Abstract:

BACKGROUND:We previously reported that posttransplant lymphoproliferative disorders (PTLD) occurred more frequently in non-African American (AF) kidney transplant recipients. An in-depth analysis of racial differences in the development of PTLD has not been reported. METHODS:We assessed Medicare claims for PTLD in a retrospective cohort of 53,719 patients who underwent transplantation from January 2000 to September 2006 and followed up through December 2007. RESULTS:There were 719 (1.3%) patients with claims for PTLD. Non-AF recipient race (including all races analyzed separately, adjusted hazard ratio [AHR] 1.38, 95% confidence interval [CI] 1.13-1.68), recipient Epstein-Barr virus (EBV) immunoglobulin G (IgG) seronegative status (AHR 1.88, 95% CI 1.53-2.34), and de novo sirolimus (AHR 1.22, 95% CI 1.03-1.45) were associated with an increased risk of PTLD. Furthermore, de novo sirolimus showed a significant interaction with EBV IgG; among EBV IgG-negative recipients, sirolimus use was significant (P = 0.003), but among EBV IgG-positive recipients, it was not significant (P = 0.18). EBV IgG-seronegative status was significant in all races except for AFs, and racial differences were a significant effect modifier for EBV IgG status and risk of PTLD. Mortality subsequent to PTLD did not differ by race. CONCLUSIONS.: AF kidney transplant recipients were at lower risk for PTLD, irrespective of the recipient EBV IgG serostatus. On the contrary, recipient EBV IgG-seronegative status was associated with a higher risk of PTLD in the non-AF population. De novo sirolimus therapy was associated with increased risk of PTLD in EBV IgG-negative recipients, regardless of race.

journal_name

Transplantation

journal_title

Transplantation

authors

Nee R,Hurst FP,Dharnidharka VR,Jindal RM,Agodoa LY,Abbott KC

doi

10.1097/TP.0b013e3182200e8a

subject

Has Abstract

pub_date

2011-07-27 00:00:00

pages

190-5

issue

2

eissn

0041-1337

issn

1534-6080

journal_volume

92

pub_type

杂志文章
  • Vascular endothelial growth factor c/vascular endothelial growth factor receptor 3 signaling regulates chemokine gradients and lymphocyte migration from tissues to lymphatics.

    abstract:BACKGROUND:Circulation of leukocytes via blood, tissue and lymph is integral to adaptive immunity. Afferent lymphatics form CCL21 gradients to guide dendritic cells and T cells to lymphatics and then to draining lymph nodes (dLN). Vascular endothelial growth factor C and vascular endothelial growth factor receptor 3 (V...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000561

    authors: Iwami D,Brinkman CC,Bromberg JS

    更新日期:2015-04-01 00:00:00

  • Bioequivalence of enteric-coated mycophenolate sodium and mycophenolate mofetil: a meta-analysis of three studies in stable renal transplant recipients.

    abstract:BACKGROUND:Mycophenolic acid (MPA) is an inhibitor of lymphocyte proliferation and is well established as an immunosuppressive agent in solid organ transplantation. The initial formulation of the drug was a prodrug formulation, mycophenolate mofetil (MMF, Cellcept), which is well absorbed and rapidly converted to mycop...

    journal_title:Transplantation

    pub_type: 杂志文章,meta分析

    doi:10.1097/01.tp.0000242137.68863.89

    authors: Johnston A,He X,Holt DW

    更新日期:2006-12-15 00:00:00

  • Focal acute tubular necrosis in a renal allograft.

    abstract::Nuclear imaging is used to evaluate renal allografts demonstrating delayed function after transplantation. Interpretation of the nuclear scan in the context of clinical data, provides helpful information in the management of the transplant recipient. The better quality of images obtained with technetium-99m mercaptoac...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199711270-00023

    authors: Mange KC,Scheff A,Brayman K,Mozley D,Grossman RA,Naji A,Aradhye S

    更新日期:1997-11-27 00:00:00

  • Influence of the hepatic drug-metabolizing enzyme-inducer phenobarbitone on cyclosporine nephrotoxicity and hepatotoxicity in renal-allografted rats.

    abstract::We have investigated the influence of phenobarbitone ([PB]; 40 mg/kg/day), an inducer of hepatic drug metabolism, on high-dose cyclosporine ([CsA] 40 mg/kg/day) nephrotoxicity in normal Lewis (Lew) and renal allografted (DA X Lew F1----Lew) rats of both sexes. In untreated normal animals, CsA nephrotoxicity, assessed ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198804000-00005

    authors: Duncan JI,Heys SD,Thomson AW,Simpson JG,Whiting PH

    更新日期:1988-04-01 00:00:00

  • Characterization of human xenoreactive antibodies in liver failure patients exposed to pig hepatocytes after bioartificial liver treatment: an ex vivo model of pig to human xenotransplantation.

    abstract:BACKGROUND:There are limited experimental data on the nature of the humoral response elicited in humans against pig antigens. In this study, we have examined the xenoantibody (XAb) response in eight patients with acute liver failure exposed to pig hepatocytes after treatment with the bioartificial liver (BAL). METHODS...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199901150-00003

    authors: Baquerizo A,Mhoyan A,Kearns-Jonker M,Arnaout WS,Shackleton C,Busuttil RW,Demetriou AA,Cramer DV

    更新日期:1999-01-15 00:00:00

  • Induction of allograft nonresponsiveness after intrathymic inoculation with donor class I allopeptides. II. Evidence for persistent chronic rejection despite high levels of donor microchimerism.

    abstract::We have recently demonstrated that three synthetic peptides corresponding to the donor class I RT1.Aa molecule induce long-term survival of cardiac allografts in the PVG.R8-to-PVG.1U rat strain combination (disparate for one isolated class I, RT1.A, molecule) when presented to the recipient immune system in the thymus...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199712270-00007

    authors: Shirwan H,Wu GD,Barwari L,Liu A,Cramer DV

    更新日期:1997-12-27 00:00:00

  • In vitro propagation and homing of liver-derived dendritic cell progenitors to lymphoid tissues of allogeneic recipients. Implications for the establishment and maintenance of donor cell chimerism following liver transplantation.

    abstract::Dendritic cell (DC) progenitors were propagated in liquid culture from nonparenchymal cells resident in normal mouse (B10.BR; H-2k, I-E+) liver in response to granulocyte-macrophage colony stimulating factor (GM-CSF). The liver-derived DC progenitors were MHC class II-/dim and did not express counter receptors for CTL...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199502270-00019

    authors: Thomson AW,Lu L,Subbotin VM,Li Y,Qian S,Rao AS,Fung JJ,Starzl TE

    更新日期:1995-02-27 00:00:00

  • Early enteral supply of lactobacillus and fiber versus selective bowel decontamination: a controlled trial in liver transplant recipients.

    abstract:BACKGROUND:Early enteral nutrition with solutions containing prebiotics (fiber) and probiotics (Lactobacillus) is suggested to reduce bacterial translocation and minimize the incidence of infections after liver transplantation. METHODS:In a prospective, randomized placebo-controlled trial consisting of 95 patients, we...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-200207150-00021

    authors: Rayes N,Seehofer D,Hansen S,Boucsein K,Müller AR,Serke S,Bengmark S,Neuhaus P

    更新日期:2002-07-15 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

  • 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

  • Vanishing bile-duct syndrome following liver transplantation--is it reversible?

    abstract::Loss of bile ducts is a characteristic feature of chronic rejection in the liver allograft (also known as irreversible rejection and vanishing bile-duct syndrome). Typically, this occurs as a progressive lesion resulting in irreversible damage and graft failure requiring retransplantation. In this study, we describe 6...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199105000-00014

    authors: Hubscher SG,Buckels JA,Elias E,McMaster P,Neuberger J

    更新日期:1991-05-01 00:00:00

  • A novel sulphate conjugate of cyclosporine occurring in high concentrations in vivo.

    abstract::A novel, water-soluble metabolite of cyclosporine, a sulphate conjugate, present in high concentrations in human bile and plasma was evaluated for its immunosuppressive properties. The direct binding of the conjugate to surface molecules on lymphocytes was studied. The effect of the metabolite was tested in several in...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199003000-00027

    authors: Johansson A,Henricsson S,Möller E

    更新日期:1990-03-01 00:00:00

  • Urinary connective tissue growth factor is associated with human renal allograft fibrogenesis.

    abstract:BACKGROUND:Connective tissue growth factor (CTGF) is a key mediator of tissue fibrogenesis in kidney disease. Its involvement in renal allograft fibrosis was recently demonstrated in a mouse model. METHODS:We prospectively studied the association between urinary CTGF (CTGFu) levels and renal allograft fibrosis during ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31829b07e1

    authors: Metalidis C,van Vuuren SH,Broekhuizen R,Lerut E,Naesens M,Bakker SJ,Wetzels JF,Goldschmeding R,Kuypers DR

    更新日期:2013-09-15 00:00:00

  • Exposure of vascular allografts to insulin-like growth factor-I (IGF-I) increases vascular expression of IGF-I ligand and receptor protein and accelerates arteriosclerosis in rats.

    abstract:BACKGROUND:Accelerated arteriosclerosis limits the survival of transplanted hearts. We hypothesized that insulin-like growth factor-I (IGF-I) is crucial in accelerating transplant arteriosclerosis. Recently, we reported that exposure to IGF-I prior to transplantation accelerates transplant arteriosclerosis in the rat a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199804270-00003

    authors: Motomura N,Lou H,Orskov H,Ramwell PW,Foegh ML

    更新日期:1998-04-27 00:00:00

  • Induction of donor-specific T-cell hyporesponsiveness using dexamethasone-treated dendritic cells in two fully mismatched rat kidney transplantation models.

    abstract:BACKGROUND:Dendritic cells (DC) can exert powerful immune stimulatory as well as regulatory functions and are therefore important tools for therapeutic strategies. Dexamethasone (Dex) was previously shown to inhibit DC maturation and to induce regulatory properties both in vitro and in vivo. Here, we investigated the i...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31818a6682

    authors: Stax AM,Gelderman KA,Schlagwein N,Essers MC,Kamerling SW,Woltman AM,van Kooten C

    更新日期:2008-11-15 00:00:00

  • Improved outcomes of combined liver and kidney transplants in small children (

    abstract:BACKGROUND:Combined liver and kidney transplantation (CLKT) is a surgical challenge in small children because of technical aspects, lack of pediatric donors, and restrictions related to the size of the abdominal cavity. We report outcomes after CLKT in this challenging group of smaller children. METHOD:A review of pro...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181b29f0c

    authors: Perera MT,Silva MA,Sharif K,McKiernan PJ,Kelly DA,Lloyd C,Milford DV,Mayer DA,Mirza DF

    更新日期:2009-09-15 00:00:00

  • An effective solution for prolonged preservation of cultured human pulmonary artery endothelial cells.

    abstract::Pulmonary endothelium is considered the compartment most susceptible to preservation damage. This investigation was designed to analyze the efficacy of an original, University of Parma low-potassium-albumin solution (SPAL UP) on cultured human pulmonary artery endothelial cells (HPAEC) and to compare its effects with ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199611150-00036

    authors: Spaggiari L,Rusca M,Carbognani P,Alfieri R,Urbani S,Cattelani L,Petronini P,Solli P,Borghetti AF,Bobbio P

    更新日期:1996-11-15 00:00:00

  • Evidence that liposome incorporation of cyclosporine reduces its toxicity and potentiates its ability to prolong survival of cardiac allografts in mice.

    abstract::Using liposomes, multilamellar lipid vesicles (MLV), we have found that liposome-incorporated cyclosporine is not only less toxic but also more effective in prolonging survival of cardiac allografts in mice. Following intravenous injection of liposome-incorporated drug, cyclosporine levels in blood were shown to decre...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199111000-00002

    authors: Górecki DC,Jakóbisiak M,Kruszewski A,Lasek W

    更新日期:1991-11-01 00:00:00

  • Therapeutic Hypothermia in Organ Donors: Follow-up and Safety Analysis.

    abstract:BACKGROUND:In a recent trial, targeted mild hypothermia in brain-dead organ donors significantly reduced the incidence of delayed graft function after kidney transplantation. This trial was stopped early for efficacy. Here, we report long-term graft survival for all organs along with donor critical care end points. ME...

    journal_title:Transplantation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/TP.0000000000002890

    authors: Malinoski D,Patel MS,Axelrod DA,Broglio K,Lewis RJ,Groat T,Niemann CU

    更新日期:2019-11-01 00:00:00

  • Donor treatment with mycophenolate mofetil: protection against ischemia-reperfusion injury in the rat.

    abstract:BACKGROUND:Mycophenolic acid, the active metabolite of mycophenolate mofetil, inhibits the glycosylation of cell membrane glycoproteins. We hypothesized that impaired glycosylation of cell adhesion molecules on endothelial cells in vivo results in decreased susceptibility to inflammation or immunogenicity after allogen...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200002150-00006

    authors: Valentin JF,Bruijn JA,Paul LC

    更新日期:2000-02-15 00:00:00

  • Urinary matrix metalloproteinases and their endogenous inhibitors predict hepatic regeneration after murine partial hepatectomy.

    abstract:BACKGROUND:Matrix metalloproteinases (MMPs) play a key role in extracellular matrix remodeling events associated with hepatic regeneration after partial hepatectomy. We therefore hypothesized that urinary MMPs and their endogenous tissue inhibitors of matrix metalloproteinases (TIMPs) might also provide important infor...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000137935.81103.a2

    authors: Greene AK,Puder M,Roy R,Kilroy S,Louis G,Folkman J,Moses MA

    更新日期:2004-10-27 00:00:00

  • Overall and cause-specific mortality in transplant recipients with a pretransplantation cancer history.

    abstract:BACKGROUND:It is unclear to what extent cancer history affects posttransplantation mortality in solid organ transplant recipients. METHODS:We identified a Swedish population-based cohort of solid organ transplant recipients in the National Patient Register 1970 to 2008 and linked it to the Cancer and Cause-of-Death Re...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31829854b7

    authors: Brattström C,Granath F,Edgren G,Smedby KE,Wilczek HE

    更新日期:2013-08-15 00:00:00

  • The role of T suppressor cells in the maintenance of spontaneously accepted orthotopic rat liver allografts.

    abstract::Orthotopic liver allografts from BN donors to LEW recipients are spontaneously accepted, and the recipients develop donor-specific immunological unresponsiveness. This unresponsiveness may be mediated by suppressor T cells. Immunomagnetically purified splenic T cells from LEW rats bearing BN liver grafts were shown to...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199212000-00019

    authors: Gassel HJ,Hutchinson IV,Engemann R,Morris PJ

    更新日期:1992-12-01 00:00:00

  • Current status of clinical islet transplantation.

    abstract::Islet transplantation is currently being explored as a treatment for patients with type 1 diabetes. At present, the number of patients becoming insulin-independent is rapidly increasing world-wide applying the transplantation protocol originally described by the group in Edmonton. A hallmark in this procedure is repea...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.tp.0000157273.60147.7c

    authors: Korsgren O,Nilsson B,Berne C,Felldin M,Foss A,Kallen R,Lundgren T,Salmela K,Tibell A,Tufveson G

    更新日期:2005-05-27 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

  • Coronary calcifications detected by computed tomography are not markers of cardiac allograft vasculopathy.

    abstract:BACKGROUND:Cardiac allograft vasculopathy (CAV) still limits survival after heart transplantation. Currently available noninvasive tests are of inferior value to detect CAV, and thus invasive coronary angiography (ICA) is frequently performed. Cardiac dual-source computed tomography calcium scoring (DSCTCS) offers the ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318225281d

    authors: von Ziegler F,Kaczmarek I,Knez A,Greif M,Rümmler J,Meiser B,Reichart B,Becker C,Steinbeck G,Becker A

    更新日期:2011-08-27 00:00:00

  • Studies into the transplantation biology of ultraviolet light-induced tumors.

    abstract::The majority of skin tumors induced in mice by ultraviolet (UV) light are rejected when implanted into normal syngeneic recipients. Subcarcinogenic levels of UV light exposure render the normally resistant mice susceptible to tumor challenge. The immunoregulatory effect of UV light appears to be additive, since the gr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197704000-00008

    authors: Daynes RA,Spellman CW,Woodward JG,Stewart DA

    更新日期:1977-04-01 00:00:00

  • Prevention of complement-mediated activation of xenogeneic endothelial cells in an in vitro model of xenograft hyperacute rejection by C1 inhibitor.

    abstract::The complement system plays a major role in hyperacute rejection of discordant xenografts. In an immediately vascularized xenograft of a porcine organ to a primate, natural antibodies bind to the vascular endothelium of the graft, triggering activation of complement via the classical pathway. One consequence of antibo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199311000-00024

    authors: Dalmasso AP,Platt JL

    更新日期:1993-11-01 00:00:00

  • Cyclosporine formulation and Kaposi's sarcoma after renal transplantation.

    abstract:BACKGROUND:Transplantation enhances the risk of malignancies, due to the chronic use of antirejection medication. In the case of Kaposi's sarcoma (KS) the permissive effect of immunosuppression has been extensively studied, and cyclosporine (CsA) appears to play a key role. Here we have compared the incidence of KS in ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000173803.97398.31

    authors: Cattaneo D,Gotti E,Perico N,Bertolini G,Kainer G,Remuzzi G

    更新日期:2005-09-27 00:00:00

  • Fast appearance of donor dendritic cells in human skin: dynamics of skin and blood dendritic cells after allogeneic hematopoietic cell transplantation.

    abstract:BACKGROUND:Both number and origin (donor vs. host) of dendritic cells (DC) are associated with acute graft-versus-host disease (aGvHD), relapse and graft failure after human allogeneic hematopoietic cell transplantation (aHCT). METHODS:We prospectively and simultaneously investigated skin and blood DC subtypes, their ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000203318.16224.57

    authors: Auffermann-Gretzinger S,Eger L,Bornhäuser M,Schäkel K,Oelschlaegel U,Schaich M,Illmer T,Thiede C,Ehninger G

    更新日期:2006-03-27 00:00:00