Risk stratification and management of QuantiFERON-positive solid-organ living donors.

Abstract:

PURPOSE OF REVIEW:Donor-derived disease with Mycobacterium tuberculosis (MTB) is likely to become more common as donor pools expand due to increasing transplant volume coupled with patterns of migration and global mobility. Our article reviews the current literature and provides a rational approach for clinicians managing the scenario of a living donor who has epidemiologic risk factors for tuberculosis exposure. RECENT FINDINGS:Tuberculous bacilli, formerly thought to exist latently only in pulmonary granulomas, are now known reside dormant in nonpulmonary organs. Kidney and liver grafts are thus vectors for donor transmitted MTB disease. Donors with elevated risk for latent MTB disease can be identified with tuberculin skin testing or IFN-γ release assay screening in combination with a thorough history to identify risk factors for latent disease. SUMMARY:Living donors with an elevated risk for prior MTB exposure provide an opportunity to treat latent disease prior to organ procurement and reduce the risk of donor transmitted disease and secondary morbidity. Improved identification of these high-risk donors can reduce both the incidence of posttransplant MTB disease and the risk of allograft compromise associated with treatment of latent and active disease in posttransplant recipients.

authors

Gibb J,Wong D

doi

10.1097/MOT.0000000000000787

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

351-356

issue

4

eissn

1087-2418

issn

1531-7013

journal_volume

25

pub_type

杂志文章,评审
  • Conquering combined thoracic organ and liver transplantation: indications and outcomes for heart-liver and lung-liver transplantation.

    abstract:PURPOSE OF REVIEW:Combined thoracic organ and liver transplantation has been shown to be a viable treatment option for patients with end-stage disease lung or heart and disease. There are increasing number of cases reported in the literature, as the number of institutions utilizing this strategy is growing. Herein, we ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000509

    authors: Yi SG,Lunsford KE,Bruce C,Ghobrial RM

    更新日期:2018-04-01 00:00:00

  • Ethical and societal challenges in penis transplantation.

    abstract:PURPOSE OF REVIEW:To review the current understanding of the ethical and societal difficulties of penile transplantation. RECENT FINDINGS:Penile transplantation, as with other forms of vascularized composite allotransplantation, has increasing acceptance in society but is still not entirely accepted. Guidelines aiming...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章

    doi:10.1097/MOT.0000000000000820

    authors: van der Merwe A,Moosa MR,Barsdorf N

    更新日期:2020-12-01 00:00:00

  • Tolerance to noninherited maternal antigens in mice and humans.

    abstract:PURPOSE OF REVIEW:Exposure to noninherited maternal antigens (NIMAs) in fetal and neonatal life has life-long immunological consequences. Although there is a plethora of evidence of effects of mother on the immune responses of her offspring, there is very little knowledge available on how exposure to NIMA can result in...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32832d6683

    authors: Dutta P,Burlingham WJ

    更新日期:2009-08-01 00:00:00

  • Mechanical circulatory support challenges in pediatric and (adult) congenital heart disease.

    abstract:PURPOSE OF REVIEW:Increased miniaturization of ventricular assist devices (VADs) and new mechanical support strategies (MCS) has increased the use of MCS in the pediatric and congenital heart disease (CHD) population. This comes with the need for care providers specialized in this field to determine optimal patient and...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000522

    authors: Schweiger M,Lorts A,Conway J

    更新日期:2018-06-01 00:00:00

  • Ethical considerations in live donor transplantation: should complications be tolerated?

    abstract:PURPOSE OF REVIEW:Although living donor transplantation is considered an ethically acceptable undertaking for the purpose of saving another's life, its safety remains under investigation. RECENT FINDINGS:Although living donors undertake considerable medical risks for no direct medical benefit, the question remains whe...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32835f3f2c

    authors: Gordon EJ

    更新日期:2013-04-01 00:00:00

  • Lung re-transplantation: review.

    abstract:PURPOSE OF REVIEW:Re-transplantation of the lung has come of age. Here, we wish to review the recent literature on the topic and discuss clinical implications. RECENT FINDINGS:Many large volume transplant centres routinely perform lung re-transplantation with satisfactory outcomes. The main indication is bronchiolitis...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e328357d8ba

    authors: Warnecke G,Haverich A

    更新日期:2012-10-01 00:00:00

  • The coagulation barrier in xenotransplantation: incompatibilities and strategies to overcome them.

    abstract:PURPOSE OF REVIEW:Dysregulated coagulation is now recognized as a major contributor to graft loss in xenotransplantation. This review summarizes recent data on putative mechanisms of pathogenic coagulation in xenotransplantation and discusses progress on strategies to overcome them. RECENT FINDINGS:Evidence continues ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e3282f63c74

    authors: Cowan PJ,d'Apice AJ

    更新日期:2008-04-01 00:00:00

  • Role of B cells in tolerance induction.

    abstract:PURPOSE OF REVIEW:B cells are known to play a central role in humoral immunity and to boost cellular immunity, however, in a variety of experimental models, B-cell subsets ameliorate inflammation and autoimmune disease, indicating that they can also play a regulatory role. Here, we highlight the advances in regulatory ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000204

    authors: Kim JI,Rothstein DM,Markmann JF

    更新日期:2015-08-01 00:00:00

  • Hepatitis E viral infection in solid organ transplant patients.

    abstract:PURPOSE OF REVIEW:The purpose of this chapter is to review the literature published in the past 10 years with focus to the best literatures published since 2015 regarding chronic hepatitis E virus (HEV) infection in patients who received solid organ transplantation. RECENT FINDINGS:Diagnosis of this disease relies pri...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000432

    authors: Fang SY,Han H

    更新日期:2017-08-01 00:00:00

  • Mesenchymal stromal (stem) cells to improve solid organ transplant outcome: lessons from the initial clinical trials.

    abstract:PURPOSE OF REVIEW:Discuss the recent progress on the clinical use of mesenchymal stromal (stem) cells (MSC) in solid organ transplantation (SOT). RECENT FINDINGS:Tissue repair and immunomodulatory properties have been recognized for MSC obtained from different human tissues. MSC-based therapy has been proposed to redu...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000029

    authors: Pileggi A,Xu X,Tan J,Ricordi C

    更新日期:2013-12-01 00:00:00

  • Antibody-mediated rejection after intestinal transplantation.

    abstract:PURPOSE OF REVIEW:In spite of impressive improvements in short-term outcomes for intestine transplant recipients, late allograft loss continues to plague the field. Attention has mostly been focused on T-cell-mediated cellular mechanisms of allograft rejection to explain these losses; however, as in other forms of soli...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e3283533847

    authors: Dick AA,Horslen S

    更新日期:2012-06-01 00:00:00

  • Intestinal transplantation: current outcomes and opportunities.

    abstract:PURPOSE OF REVIEW:This review highlights current outcomes in intestinal transplantation and summarizes advances that have recently occurred in five interrelated areas: progress in intestinal rehabilitation, immunologic and technical modifications, awareness of opportunities for improved allograft monitoring, and better...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e328330680d

    authors: Mazariegos GV

    更新日期:2009-10-01 00:00:00

  • The role of intraoperative hemodialysis in liver transplant patients.

    abstract:PURPOSE OF REVIEW:Orthotopic liver transplant (OLT) is a major surgical procedure that can be both challenging and lengthy. One of the common findings in end-stage liver disease is renal failure, whether acute or chronic, which may complicate the intraoperative course. RECENT FINDINGS:The use of intraoperative hemodia...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e328346c8a2

    authors: Sedra AH,Strum E

    更新日期:2011-06-01 00:00:00

  • Preservation strategies to reduce ischemic injury in kidney transplantation: pharmacological and genetic approaches.

    abstract:PURPOSE OF REVIEW:In the current graft shortage, it is paramount to improve the quality of transplanted organs. Organ preservation represents an underused therapeutic window with great potential to reduce ischaemia-reperfusion injury (IRI) and improve graft quality. Herein, we review strategies using this window as wel...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e3283446b1d

    authors: Chatauret N,Thuillier R,Hauet T

    更新日期:2011-04-01 00:00:00

  • Prevention and treatment of coronary artery vasculopathy.

    abstract:PURPOSE OF REVIEW:Cardiac allograft vasculopathy (CAV) is still one of the major causes of death following heart transplantation. Here, we review the recent advances in its prevention and treatment. RECENT FINDINGS:Preventive measures comprise control of classical risk factors, prophylaxis against cytomegalovirus, avo...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e3283577fd9

    authors: Crespo-Leiro MG,Marzoa-Rivas R,Barge-Caballero E,Paniagua-Martín MJ

    更新日期:2012-10-01 00:00:00

  • An interdisciplinary approach to the older transplant patient: strategies for improving clinical outcomes.

    abstract:PURPOSE OF REVIEW:To describe the latest investigations into the role of frailty and assessment of other aging-related issues in the solid organ transplant candidate and recipient. This information is relevant for all involved in the care of transplant patients, but is especially relevant in infectious diseases, given ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000662

    authors: Schaenman J,Goldwater D,Malinis M

    更新日期:2019-08-01 00:00:00

  • Rethinking clinical endpoints in kidney transplant trials.

    abstract:PURPOSE OF REVIEW:Clinical trials testing novel kidney transplant therapies are challenged by low rates of long-term clinical outcomes such as death and graft loss. Herein, we critically review traditional and more recent strategies to expedite new therapies by minimizing sample size and follow-up duration using surrog...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000719

    authors: Maggiore U,Leventhal J,Cravedi P

    更新日期:2020-02-01 00:00:00

  • Current status of pediatric intestinal transplant in Europe.

    abstract:PURPOSE OF REVIEW:This review features articles published during 2018 and 2019 regarding pediatric visceral transplantation in Europe. In this biannual review, the authors identify and summarize key articles pertinent to clinical and research areas. RECENT FINDINGS:There is a trend to a lower use of intestinal transpl...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000736

    authors: Andres AM,Ramos E,Hernandez F

    更新日期:2020-04-01 00:00:00

  • Update on ischemia-reperfusion injury in lung transplantation.

    abstract:PURPOSE OF REVIEW:Primary graft failure, which represents one of the most frequent causes of early mortality, is mostly caused by ischemia-reperfusion injury (IRI). IRI may also induce rejection, which is the principal cause of mortality after transplantation. It is essential to understand the mechanism of pulmonary IR...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000234

    authors: Chen F,Date H

    更新日期:2015-10-01 00:00:00

  • The lung microbiome and transplantation.

    abstract:PURPOSE OF REVIEW:Lung transplantation survival is still limited compared with other solid organ transplant modalities, due to a range of factors that are continuing to be elucidated. However, new research is emerging which indicates that the microbiome of the lungs, and of other organs, may have important implications...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000631

    authors: Mitchell AB

    更新日期:2019-06-01 00:00:00

  • Proliferation signal inhibitors and cardiac allograft vasculopathy.

    abstract:PURPOSE OF REVIEW:Cardiac allograft vasculopathy (CAV) is the leading cause of late morbidity and mortality in heart transplant patients and limits long-term survival. Immunosuppression following cardiac transplantation has traditionally comprised a calcineurin inhibitor in combination with mycophenolate mofetil or aza...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32830fdf70

    authors: Raichlin E,Kushwaha SS

    更新日期:2008-10-01 00:00:00

  • Are geographic differences in transplantation inherently wrong?

    abstract:PURPOSE OF REVIEW:Geographic variation in liver transplantation has been the subject of extensive scrutiny, reflecting concerns that location is unfairly determinative for people needing organ transplantation. Drawing upon a number of established ethical approaches, we examine whether geographic differences in access t...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000400

    authors: Ladin K,Hanto DW

    更新日期:2017-04-01 00:00:00

  • Lung transplantation for cystic fibrosis.

    abstract:PURPOSE OF REVIEW:There have been several recent articles which have attempted to refine the appropriate timing of listing for lung transplantation and the identification of factors which increase the risk with particular emphasis on pretransplant microbiology in patients with cystic fibrosis. Moreover, there are sever...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32830fe6b8

    authors: Corris PA

    更新日期:2008-10-01 00:00:00

  • Liver transplantation and risk of bleeding.

    abstract:PURPOSE OF REVIEW:Blood loss in orthotopic liver transplantation has declined during the past decade. Recent papers addressed this issue and emphasized its importance, because there is a significant correlation between intraoperative blood transfusion requirements and postoperative morbidity. This review addresses chan...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章

    doi:10.1097/MOT.0b013e32814e6bb0

    authors: Groenland TH,Porte RJ,Metselaar HJ

    更新日期:2007-06-01 00:00:00

  • Defining kidney allograft benefit from successful pancreas transplant: separating fact from fiction.

    abstract:PURPOSE OF REVIEW:To define the natural history of kidney allograft loss related to recurrent diabetes following transplant, and to understand the potential benefit of pancreas transplantation upon kidney allograft survival. RECENT FINDINGS:A postulated benefit of simultaneous pancreas kidney transplant is that, unlik...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000547

    authors: Wiseman AC,Stites E,Kennealey P

    更新日期:2018-08-01 00:00:00

  • Mechanisms of lung ischemia-reperfusion injury.

    abstract:PURPOSE OF REVIEW:Lungs are extremely susceptible to injury, and despite advances in surgical management and immunosuppression, outcomes for lung transplantation are the worst of any solid organ transplant. The success of lung transplantation is limited by high rates of primary graft dysfunction because of ischemia-rep...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000304

    authors: Laubach VE,Sharma AK

    更新日期:2016-06-01 00:00:00

  • Multivisceral transplantation for diffuse splanchnic venous thrombosis.

    abstract:PURPOSE OF REVIEW:The development of diffuse splanchnic venous thrombosis continues to be a challenging undertaking for patients waiting for liver transplantation, requiring the utilization of highly complex surgical techniques. The aim of this article is to review the status of multivisceral transplantation (MVT) in t...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000298

    authors: Vianna R,Beduschi T

    更新日期:2016-04-01 00:00:00

  • Ethical dilemmas in psychiatric evaluations in patients with fulminant liver failure.

    abstract:PURPOSE OF REVIEW:Fulminant hepatic failure (FHF) is one of the more dramatic and challenging syndromes in clinical medicine. Time constraints and the scarcity of organs complicate the evaluation process in the case of patients presenting with FHF, raising ethical questions related to fairness and justice. The challeng...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000060

    authors: Appel J,Vaidya S

    更新日期:2014-04-01 00:00:00

  • Toll-like receptor signaling in transplantation.

    abstract:PURPOSE OF REVIEW:This review summarizes recent advances in the role of endogenous and exogenous Toll-like receptor ligands in the activation and inhibition of immune responses in transplantation. RECENT FINDINGS:During an alloresponse, Toll-like receptors can be engaged by both damage-induced endogenous ligands or mi...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e3283061149

    authors: Alegre ML,Goldstein DR,Chong AS

    更新日期:2008-08-01 00:00:00

  • State of the art: implantable ventricular assist devices.

    abstract:PURPOSE OF REVIEW:The first generation of implantable pulsatile ventricular assist devices (VADs) has proven to be successful as bridge to transplantation. Adverse events such as mechanical failure and infections, however, limit their use for long-term support (>1 year) or as alternative for heart transplantation. Newe...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e3283303750

    authors: Lahpor JR

    更新日期:2009-10-01 00:00:00