Red cell antigens and renal transplantation.

Abstract:

:Donor-specific transfusion was performed with and without cyclosporine between haplomismatched relatives prior to living-donor renal transplantation. Red cell antigen mismatching was not taken as a contraindication to DST. Of 80 patients included in the trial; eleven were ABO-mismatched, 15 were Rh(D)-mismatched, and a further 11 were transfused in the presence of atypical red cell antibodies (anti-D, -C, -Fya, -Kell -N, -H/I -I, -P1, -Wra). Patients were randomized to receive cyclosporine (10 mg/kg) daily during DST or not (control group). The presence of atypical red cell antibodies, with the exception of Rh anti-D, did not appear to influence DST or renal transplantation. DST did not act as a primary stimulus to Rh anti-D production but stimulated preexisting anti D levels. ABO mismatching did not appear to influence DST or subsequent renal transplantation except in one group A [corrected] patient who received group O [corrected] blood and cyclosporine. This patient developed a severe, but self-limiting, autoimmune hemolytic anemia due to auto-anti A antibodies. A similar group A patient in the control group developed an auto-antibody with no clinical sequelae. The influence of cyclosporine on the development of this auto-antibody is uncertain. We conclude that, with the exception of preexisting anti-D antibodies, minor red cell antigen disparities should not preclude pretransplant conditioning with donor-specific transfusions.

journal_name

Transplantation

journal_title

Transplantation

authors

Duguid JK,Hillis AN,Bone JM

doi

10.1097/00007890-199008000-00019

subject

Has Abstract

pub_date

1990-08-01 00:00:00

pages

265-7

issue

2

eissn

0041-1337

issn

1534-6080

journal_volume

50

pub_type

临床试验,杂志文章,随机对照试验
  • Evidence that cyclosporine prevents rejection and recurrent diabetes in pancreatic transplants in the BB rat.

    abstract::Cyclosporine prevents the development of diabetes in spontaneously diabetic BB rats and NOD mice. However, islet transplants have been shown to be subject to immunologic destruction in hosts treated with CsA and anti-CD4 antibody or those rendered tolerant to donor antigens. This study determines whether the minimum d...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199005000-00001

    authors: Dugoni WE Jr,Bartlett ST

    更新日期:1990-05-01 00:00:00

  • Pathophysiological Trends During Withdrawal of Life Support: Implications for Organ Donation After Circulatory Death.

    abstract:BACKGROUND:Donation after circulatory death (DCD) provides an alternative pathway to deceased organ transplantation. Although clinical DCD lung, liver, and kidney transplantation are well established, transplantation of hearts retrieved from DCD donors has reached clinical translation only recently. Progress has been l...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001396

    authors: Iyer A,Chew HC,Gao L,Villanueva J,Hicks M,Doyle A,Kumarasinghe G,Jabbour A,Jansz PC,Feneley MP,Harvey RP,Graham RM,Dhital KK,Macdonald PS

    更新日期:2016-12-01 00:00:00

  • Terminal sialic acid residues on human glycophorin A are recognized by porcine kupffer cells.

    abstract:BACKGROUND:We have previously shown that recognition of human erythrocytes by porcine Kupffer cells is mediated by a carbohydrate-dependent mechanism. The present study explores the possible ligands existing on human glycophorin A and tests their ability to inhibit erythrocyte rosette formation. METHODS:Human erythroc...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000162974.94890.9f

    authors: Burlak C,Twining LM,Rees MA

    更新日期:2005-08-15 00:00:00

  • Recipient RAS gene variants and renal allograft function.

    abstract:BACKGROUND:Genetic variants of the renin-angiotensin system (RAS) have been implicated in the progression of native kidney diseases. A decreased long-term renal allograft function has also been associated with increased activity of RAS, which may be genetically determined. METHODS:The effect of the angiotensinogen (AG...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200203270-00023

    authors: Nicod J,Richard A,Frey FJ,Ferrari P

    更新日期:2002-03-27 00:00:00

  • Venous thromboembolic complications after kidney and kidney-pancreas transplantation: a multivariate analysis.

    abstract:BACKGROUND:We reviewed the incidence of and risk factors for venous thromboembolic complications in our population of kidney (KTx) and simultaneous kidney-pancreas transplant (SPK) recipients. METHODS:Information was collected retrospectively from a database on 1833 KTx and 276 SPK recipients who underwent transplant ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199801270-00015

    authors: Humar A,Johnson EM,Gillingham KJ,Sutherland DE,Payne WD,Dunn DL,Wrenshall LE,Najarian JS,Gruessner RW,Matas AJ

    更新日期:1998-01-27 00:00:00

  • Clinical and economic impact of flow cytometry crossmatching in primary cadaveric kidney and simultaneous pancreas-kidney transplant recipients.

    abstract::We retrospectively compared the clinical and financial impact of a final cross-match by T cell flow cytometry (FXM) versus conventional complement-dependent cytotoxicity (CXM) in consecutive primary cadaveric kidney (K) and primary simultaneous cadaveric pancreas-kidney (SPK) transplant recipients. Mean follow-up was ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199706150-00018

    authors: Pelletier RP,Orosz CG,Adams PW,Bumgardner GL,Davies EA,Elkhammas EA,Henry ML,Ferguson RM

    更新日期:1997-06-15 00:00:00

  • Normothermic Ex Vivo Kidney Perfusion Improves Early DCD Graft Function Compared With Hypothermic Machine Perfusion and Static Cold Storage.

    abstract:BACKGROUND:Better preservation strategies for the storage of donation after circulatory death grafts are essential to improve graft function and to increase the kidney donor pool. We compared continuous normothermic ex vivo kidney perfusion (NEVKP) with hypothermic anoxic machine perfusion (HAMP) and static cold storag...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003066

    authors: Urbanellis P,Hamar M,Kaths JM,Kollmann D,Linares I,Mazilescu L,Ganesh S,Wiebe A,Yip PM,John R,Konvalinka A,Mucsi I,Ghanekar A,Bagli DJ,Robinson LA,Selzner M

    更新日期:2020-05-01 00:00:00

  • Prevention of late renal changes after initial ischemia/reperfusion injury by blocking early selectin binding.

    abstract:BACKGROUND:Increasing clinical evidence suggests that delayed initial function secondary to ischemia/reperfusion injury alone, and particularly in combination with early episodes of acute rejection, reduces kidney allograft survival over time. METHODS:We investigated changes developing over the long term following a s...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199712150-00003

    authors: Takada M,Nadeau KC,Shaw GD,Tilney NL

    更新日期:1997-12-15 00:00:00

  • Analysis of T cell subpopulations and cyclosporine levels in the blood of two neonates born to immunosuppressed heart-lung transplant recipients.

    abstract::The influence of continuous immunosuppression on the immune system of 2 neonates born to heart-lung transplant recipients was analyzed. T cells, T cell subpopulations, B cells and cyclosporine levels were measured in maternal and cord blood at the time of delivery. Cyclosporine, both parent compound, and metabolites w...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198908000-00008

    authors: Rose ML,Dominguez M,Leaver N,Lachno R,Yacoub MH

    更新日期:1989-08-01 00:00:00

  • The prognostic significance of positive CMV cultures during surveillance of renal transplant recipients.

    abstract::Renal transplant recipients are at risk of severe morbidity and mortality from CMV disease. We have undertaken routine surveillance for CMV shedding on 133 transplant recipients, using a rapid culture technique, in order to assess the incidence of CMV infection and disease in these patients and to assess the prognosti...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-199307000-00019

    authors: Pillay D,Ali AA,Liu SF,Kops E,Sweny P,Griffiths PD

    更新日期:1993-07-01 00:00:00

  • Complement inhibition with an anti-C5 monoclonal antibody prevents hyperacute rejection in a xenograft heart transplantation model.

    abstract:BACKGROUND:The present study was undertaken to determine whether anti-complement 5 (C5) monoclonal antibodies (mAb) prevent hyperacute rejection (HAR) in a rat-to-presensitized mouse heart transplantation model and whether these mAb, combined with cyclosporine (CsA) and cyclophosphamide (CyP), can achieve long-term gra...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199912150-00007

    authors: Wang H,Rollins SA,Gao Z,Garcia B,Zhang Z,Xing J,Li L,Kellersmann R,Matis LA,Zhong R

    更新日期:1999-12-15 00:00:00

  • Sensitization with xenogeneic tissues alters the heavy chain repertoire of human anti-Galalpha1-3Gal antibodies.

    abstract:BACKGROUND:Antigen sensitization alters the use of genes encoding the variable and constant regions of immunoglobulin, changing avidity, and function. Alterations in variable region genes induced by carbohydrate antigens have been studied extensively in animals but are incompletely characterized in humans. We asked how...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000162976.07023.6d

    authors: Yu PB,Parker W,Nayak JV,Platt JL

    更新日期:2005-07-15 00:00:00

  • MELD score less than 15 predicts prolonged survival after transjugular intrahepatic portosystemic shunt for refractory ascites after liver transplantation.

    abstract:BACKGROUND:Transjugular intrahepatic portosystemic shunt (TIPS) is used in the management of refractory ascites (RA) and variceal bleeds. Little data exist on TIPS safety, efficacy, and survival after liver transplantation (LT). METHODS:We conducted a retrospective analysis of patients who underwent TIPS placement aft...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31820e014e

    authors: Feyssa E,Ortiz J,Grewal K,Azhar A,Parsikia A,Tufail K,Hashemi N,Brady P,Araya V

    更新日期:2011-04-15 00:00:00

  • Long-term outcomes of kidney transplantation across a positive complement-dependent cytotoxicity crossmatch.

    abstract:BACKGROUND:More than 30% of potential kidney transplant recipients have pre-existing anti-human leukocyte antigen antibodies. This subgroup has significantly lower transplant rates and increased mortality. Desensitization has become an important tool to overcome this immunological barrier. However, limited data is avai...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000442782.98131.7c

    authors: Riella LV,Safa K,Yagan J,Lee B,Azzi J,Najafian N,Abdi R,Milford E,Mah H,Gabardi S,Malek S,Tullius SG,Magee C,Chandraker A

    更新日期:2014-06-27 00:00:00

  • Effects of combination cyclosporine/mizoribine immunosuppression on canine renal allograft recipients.

    abstract::Heterotopic renal allografts following bilateral nephrectomies were placed in 21 healthy mongrel dogs. One group of 11 dogs received cyclosporine (5 mg/kg/24 hr, orally), and 1 group of 10 dogs received cyclosporine and mizoribine (5 mg/kg and 3 mg/kg/24 hr, orally). Body weights, blood cell counts, serum chemistry pr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198805000-00003

    authors: Gregory CR,Gourley IM,Cain GR,Broaddus TW,Cowgill LD,Willits NH,Patz JD,Ishizaki G

    更新日期:1988-05-01 00:00:00

  • A dual mechanism of immunosuppression by FK-506. Differential suppression of IL-4 and IL-10 levels in T helper 2 cells.

    abstract::FK-506 is known to suppress the transcription of several genes encoding cytokines (e.g., IL-2, IFN-gamma) thought to play an important role in the allograft response. This general inhibition of cytokine gene transcription and protein production was previously thought to be the main mechanism by which FK-506 suppressed...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199310000-00038

    authors: Wang SC,Morel PA,Wang Q,Jordan ML,Simmons RL,Tweardy DJ

    更新日期:1993-10-01 00:00:00

  • Pretransplant dialysis duration and risk of death after kidney transplantation in the current era.

    abstract:BACKGROUND:Although longer pretransplant dialysis has been associated with poor kidney transplant outcome, no data about this association exist from the current era or from Europe. We studied the association of pretransplant dialysis duration on outcomes after kidney transplantation across two different time periods. ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000085

    authors: Helanterä I,Salmela K,Kyllönen L,Koskinen P,Grönhagen-Riska C,Finne P

    更新日期:2014-08-27 00:00:00

  • Effect of cyclosporine, cyclosporine metabolite 17, and other cyclosporine-related compounds on T lymphocyte clones derived from rejected human kidney grafts. I. Inhibition of proliferation.

    abstract::The effect of cyclosporine and metabolite 17 (M17) as well as other CsA-related compounds (CsG, dihydro-CsC, dihydro-CsD, CsH, B5.49, and H7.94) was tested on T lymphocyte clone proliferation. In these experiments, antigen and interleukin 2 (IL-2) dependent long-term T lymphocyte clones derived from a rejected human k...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198712000-00019

    authors: Chabannes D,Moreau JF,Soulillou JP

    更新日期:1987-12-01 00:00:00

  • Results of renal transplantation in patients with renal cell carcinoma and von Hippel-Lindau disease.

    abstract:BACKGROUND:Patients with von Hippel-Lindau (VHL) disease are at risk for the development of end-stage renal failure from the treatment of localized renal cell carcinoma. Transplantation with its attendant immunosuppression may predispose patients to tumor recurrence; however, there is little information regarding the o...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199712270-00017

    authors: Goldfarb DA,Neumann HP,Penn I,Novick AC

    更新日期:1997-12-27 00:00:00

  • Shorter Height Is Associated With Lower Probability of Liver Transplantation in Patients With Hepatocellular Carcinoma.

    abstract:BACKGROUND:The effect of height and sex on liver transplantation (LT) for hepatocellular carcinoma (HCC) remains unclear. METHODS:Using United Network for Organ Sharing (UNOS) data, 14 844 HCC patients listed for LT from 2005 to 2015 were identified. Cumulative incidence of waitlist events (LT and dropout for death or...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0000000000002975

    authors: Lee E,Sarkar M,Dodge J,Kohi M,Mehta N

    更新日期:2020-05-01 00:00:00

  • Synergistic effects of mycophenolate mofetil and losartan in a model of chronic cyclosporine nephropathy.

    abstract:BACKGROUND:Combined treatments of mycophenolate mofetil (MMF) and losartan (LSRT) have synergistic effects on various renal diseases through their hemodynamic and anti-inflammatory effects. This study investigated whether MMF treatment is effective in inhibiting inflammatory processes in chronic cyclosporine A (CsA) ne...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000045034.48833.51

    authors: Yang CW,Ahn HJ,Kim WY,Li C,Jung JY,Yoon SA,Kim YS,Cha JH,Kim J,Bang BK

    更新日期:2003-02-15 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

  • 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

  • Effect of HLA matching on organ distribution among whites and African-Americans.

    abstract::A total of 159 patients received renal cadaveric grafts under 2 different allocation systems. System 1, a local variance (i.e., a point system different from that of United Network for Organ Sharing [UNOS]), and system 2, the current UNOS point system, differed in the relative emphasis on waiting time and HLA match. T...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Zachary AA,Braun WE,Hayes JM,McElroy JB,Novick AC,Schulak JA,Sharp WV

    更新日期:1994-04-15 00:00:00

  • A recent decrease in the time to development of monomorphous and polymorphous posttransplant lymphoproliferative disorder.

    abstract::We have noted a decrease in the time to development of posttransplant lymphoproliferative disorder (PTLD) over the last two and one-half years in our multiorgan transplant program. From February 1965 until December 1990, 1622 transplants were performed including 1489 kidneys (KTxp), 87 livers (LTxp), and 46 pancreata....

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199208000-00012

    authors: Alfrey EJ,Friedman AL,Grossman RA,Perloff LJ,Naji A,Barker CF,Montone KT,Tomaszewski JE,Chmielewski C,Holland T

    更新日期:1992-08-01 00:00:00

  • Long-term culture of islets abrogates cytokine-induced or lymphocyte-induced increase of antigen expression on beta cells.

    abstract:BACKGROUND:Immunogenicity of a graft depends on its expression of major histocompatability complex (MHC) antigens and adhesion molecules and on the amount of intragraft leukocytes, the so-called passenger leukocytes. Although long-term culture reduces passenger leukocytes, permanent acceptance is not necessarily observ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200208270-00003

    authors: Kuttler B,Hartmann A,Wanka H

    更新日期:2002-08-27 00:00:00

  • Differential regulation of calcineurin isoforms in transplant patients: a new look at an old problem.

    abstract:BACKGROUND:Calcineurin is a ubiquitously expressed calcium-dependent phosphatase that is inhibited by the immunosuppressant drugs cyclosporine and tacrolimus. Measuring calcineurin activity in transplant patients has been complicated by a lack of consistent correlation between drug level and enzyme activity, particular...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31829acb64

    authors: Pena JA,Titus L,Jackson J,Kirk AD,Gooch JL

    更新日期:2013-08-15 00:00:00

  • Acute rejection after renal transplantation is reduced by approximately 50% by prior therapeutic blood transfusions, even in tacrolimus-treated patients.

    abstract:BACKGROUND:The authors investigated the relationship between therapeutic blood transfusion before renal transplantation and rejection rates in cyclosporine- and tacrolimus-treated patients. METHODS:In one center, 265 consecutive recipients were studied. Protocol induction was with azathioprine, prednisolone, and cyclo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000111756.83834.A7

    authors: Higgins RM,Raymond NT,Krishnan NS,Veerasamy M,Rahmati M,Lam FT,Kashi H,West N

    更新日期:2004-02-15 00:00:00

  • Cytokines, adhesion molecules, and the pathogenesis of chronic rejection of rat renal allografts.

    abstract::Little is known of the host immune mechanisms responsible for initiation and progression of chronic rejection. We describe immunopathologic features associated with progressively deteriorating function of kidney allografts in the F344-to-Lewis rat strain combination, which differ at MHC and non-MHC loci. Initial rejec...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199309000-00028

    authors: Hancock WH,Whitley WD,Tullius SG,Heemann UW,Wasowska B,Baldwin WM 3rd,Tilney NL

    更新日期:1993-09-01 00:00:00

  • Association of cytomegalovirus DNA concentration in epithelial lining fluid and symptomatic cytomegalovirus infection in lung transplant recipients.

    abstract:BACKGROUND:The authors have investigated the effectiveness of virus detection from bronchoalveolar lavage (BAL) samples for the identification of symptomatic cytomegalovirus (CMV) infection in lung transplant recipients. METHODS:Thus, 275 BAL samples taken from 105 lung transplant recipients during follow-up were anal...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000131154.79019.41

    authors: Zedtwitz-Liebenstein K,Jaksch P,Bauer C,Popow T,Klepetko W,Hofmann H,Puchhammer-Stöckl E

    更新日期:2004-06-27 00:00:00