Neutrophilic tubulitis as a marker for urinary tract infection in renal allograft biopsies with C4d deposition.

Abstract:

BACKGROUND:Neutrophilic tubulitis accompanied by intratubular neutrophil clusters in the renal allograft is a surrogate marker for urinary tract infection (UTI). Overlapping histologic findings can occur in antibody-mediated rejection, which is characterized by peritubular capillary (PTC) deposition of C4d. This study evaluated the incidence of UTI in biopsies with concurrent neutrophilic tubulitis and PTC C4d staining. METHODS:Thirty-three allograft biopsies from 27 patients selected for the presence of simultaneous C4d staining and neutrophilic tubulitis were correlated with urine culture (U/C) results. RESULTS:U/C obtained on the same day as the biopsy confirmed UTI in 13 of 33 (39%) biopsies. Among 20 patients with negative U/C; prior culture results within 10 days of the biopsy were available for nine patients, and 5 of 9 (55%) were positive. Thus, UTI was confirmed in 18 of 33 (54%) biopsies. Biopsy interpretation and clinical management was confounded by changes of concurrent acute cellular rejection and antibody-mediated rejection confirmed by demonstration of donor-specific antibodies. Combined therapy with antibiotics and antirejection medications (ART) was administered to 12 of 18 (67%) patients. CONCLUSIONS:Neutrophilic tubulitis accompanied by neutrophil clusters in the tubular lumen is a useful marker of UTI, even in the presence of PTC C4d deposition. Therapeutic response to antibiotics is limited by co-existent T-cell or antibody-mediated rejection and underlying chronic allograft nephropathy.

journal_name

Transplantation

journal_title

Transplantation

authors

Gupta G,Shapiro R,Girnita A,Batal I,McCauley J,Basu A,Tan H,Randhawa P

doi

10.1097/TP.0b013e31819ca304

subject

Has Abstract

pub_date

2009-04-15 00:00:00

pages

1013-8

issue

7

eissn

0041-1337

issn

1534-6080

pii

00007890-200904150-00010

journal_volume

87

pub_type

杂志文章
  • Surgical site infection in liver transplant recipients: impact of the type of perioperative prophylaxis.

    abstract::Surgical site infection (SSI) is an important cause of morbidity after orthotopic liver transplantation (OLT). Perioperative antibiotic prophylaxis is one of the main modifiable risk factors. We prospectively investigated the epidemiology, risk factors, and prognosis of SSI in a cohort of 167 OLT. Two different schedu...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181735407

    authors: García Prado ME,Matia EC,Ciuro FP,Díez-Canedo JS,Sousa Martín JM,Porras López FM,de la Casa AC,Cisneros Herreros JM

    更新日期:2008-06-27 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 development and specificity of antiidiotypic antibodies in renal transplant recipients receiving single-donor blood transfusions.

    abstract::Multiple pretransplant sera obtained from alloimmunized renal transplant recipients were tested for the presence of antiidiotypic-like antibodies (AB2) that inhibit donor-specific HLA antibodies in the microlymphocytotoxicity assay. Fourteen patients received repetitive single-donor blood transfusions (SDT). In this p...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198907000-00013

    authors: Phelan DL,Rodey GE,Anderson CB

    更新日期:1989-07-01 00:00:00

  • Posttransplant Lymphoproliferative Disorder in Pediatric Patients: Characteristics of Disease in EBV-seropositive Recipients.

    abstract:BACKGROUND:Patients at greatest risk of posttransplant lymphoproliferative disorder (PTLD) are those who acquire primary Epstein-Barr virus (EBV) infection after solid organ transplantation. The incidence of PTLD among patients who are EBV-seropositive before transplant is lower, and little is known about the differenc...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002898

    authors: L'Huillier AG,Dipchand AI,Ng VL,Hebert D,Avitzur Y,Solomon M,Ngan BY,Yeung S,Stephens D,Punnett AS,Barton M,Allen UD

    更新日期:2019-11-01 00:00:00

  • Significant reduction of acute cardiac allograft rejection by selective janus kinase-1/3 inhibition using R507 and R545.

    abstract:BACKGROUND:Selective inhibition of lymphocyte activation through abrogation of signal 3-cytokine transduction emerges as a new strategy for immunosuppression. This is the first report on the novel Janus kinase (JAK)1/3 inhibitors R507 and R545 for prevention of acute allograft rejection. METHODS:Pharmacokinetic and in...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182660496

    authors: Deuse T,Hua X,Taylor V,Stubbendorff M,Baluom M,Chen Y,Park G,Velden J,Streichert T,Reichenspurner H,Robbins RC,Schrepfer S

    更新日期:2012-10-15 00:00:00

  • Endothelial chimerism in transplantation: Looking for needles in a haystack.

    abstract::Endothelial chimerism in transplanted organs is a fascinating phenomenon, indicative of a mechanism by which progenitor recipient cells replace the donor endothelium. It has been hypothesized that this replacement could lead to a decrease in alloreactivity and thus would positively influence graft outcome. However, re...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.tp.0000231446.41051.98

    authors: Koopmans M,Kremer Hovinga IC,Baelde HJ,de Heer E,Bruijn JA,Bajema IM

    更新日期:2006-07-15 00:00:00

  • Evaluation of pretransplant immunologic status in kidney-transplant recipients by panel reactive antibody and soluble CD30 determinations.

    abstract:OBJECTIVES:To retrospectively compare the accuracy of pretransplant panel of reactivity antibodies (PRA) and serum level of soluble CD30 (sCD30) in predicting early (<6 months) acute rejection (AR) in living-donor and deceased-donor kidney-transplant (KT) patients. METHODS:Pretransplant sera of 24 KT recipients were r...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Cinti P,Pretagostini R,Arpino A,Tamburro ML,Mengasini S,Lattanzi R,De Simone P,Berloco P,Molajoni ER

    更新日期:2005-05-15 00:00:00

  • Skin allograft rejection in mice lacking inducible nitric oxide synthase.

    abstract:BACKGROUND:During allograft rejection, up-regulation of cytokine-inducible nitric oxide synthase (iNOS) leads to the production of large amounts of nitric oxide (NO). The net effect of NO on the alloimmune response is, however, difficult to predict because of its diverse biological effects, which include potentially op...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199708270-00007

    authors: Casey JJ,Wei XQ,Orr DJ,Gracie JA,Huang FP,Bolton EM,Liew FY,Bradley JA

    更新日期:1997-08-27 00:00:00

  • HLA-G is a crucial immunosuppressive molecule secreted by adult human mesenchymal stem cells.

    abstract::Adult bone marrow-derived mesenchymal stem cells (MSCs) are multipotential cells capable of regenerating injured tissues. In addition to their multipotency, MSCs inhibit natural killer cell cytotoxicity and T-lymphocyte alloproliferation. Several immunosuppressive mechanisms have been described, including indoleamine ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181a2a4b3

    authors: Selmani Z,Naji A,Gaiffe E,Obert L,Tiberghien P,Rouas-Freiss N,Carosella ED,Deschaseaux F

    更新日期:2009-05-15 00:00:00

  • Comparison of University of Wisconsin and St Thomas' Hospital solutions on endothelium-derived hyperpolarizing factor-mediated function in coronary micro-arteries.

    abstract:BACKGROUND:It is controversial whether coronary endothelial function is impaired after cold exposure to University of Wisconsin (UW) or St. Thomas' Hospital (ST) solution during heart transplantation. We therefore examined the effects of cold storage of coronary micro-arteries with UW or ST solution on endothelium-deri...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Ge ZD,He GW

    更新日期:2000-07-15 00:00:00

  • Transesophageal echocardiography during orthotopic liver transplantation in patients with esophagoastric varices.

    abstract:BACKGROUND:Hemodynamic monitoring using transesophageal echocardiography (TEE) in patients with signs of portal hypertension undergoing orthotopic liver transplantation (OLT) carries potential risk of esophageal and gastric variceal hemorrhage. The aim of our retrospective analysis was to evaluate the safety of intraop...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31825475c2

    authors: Burger-Klepp U,Karatosic R,Thum M,Schwarzer R,Fuhrmann V,Hetz H,Bacher A,Berlakovich G,Krenn CG,Faybik P

    更新日期:2012-07-27 00:00:00

  • Long-term follow-up of recipients of combined human leukocyte antigen-matched bone marrow and kidney transplantation for multiple myeloma with end-stage renal disease.

    abstract:BACKGROUND:Specific tolerance after combined kidney and bone marrow transplantation for multiple myeloma with end-stage renal disease through mixed lymphohematopoietic chimerism has been achieved, as evidenced by prolonged normal renal function without ongoing immunosuppression. METHODS:To achieve potent antimyeloma r...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31820a3068

    authors: Spitzer TR,Sykes M,Tolkoff-Rubin N,Kawai T,McAfee SL,Dey BR,Ballen K,Delmonico F,Saidman S,Sachs DH,Cosimi AB

    更新日期:2011-03-27 00:00:00

  • OKT3 rescue for steroid-resistant rejection in adult liver transplantation.

    abstract::The results of OKT3 use for steroid-resistant rejection rescue in adult liver transplantation were analyzed retrospectively from a single transplant center. Comparison was made with concurrent patients who had no rejection (NR) or steroid-responsive rejections (SR). The records of 290 patients who underwent 323 liver ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199301000-00017

    authors: Solomon H,Gonwa TA,Mor E,Holman MJ,Gibbs J,Watemberg I,Netto G,Goldstein RM,Husberg BS,Klintmalm GB

    更新日期:1993-01-01 00:00:00

  • The use of marginal heart beating donor livers for transplantation in the United kingdom.

    abstract:BACKGROUND:This study investigated the use of deceased heart-beating donor livers offered for transplantation during a 10-year period, during which there has been an increasing disparity between organ supply and demand in the United Kingdom. METHODS:Summary data from the National Transplant Database were analyzed on a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000268072.04260.69

    authors: Devey LR,Friend PJ,Forsythe JL,Mumford LL,Wigmore SJ

    更新日期:2007-07-15 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

  • Magnetic resonance-defined perinephric edema after clinical islet transplantation: a benign finding associated with mild renal impairment.

    abstract::Immunosuppression with sirolimus and low-dose tacrolimus has facilitated successful clinical islet transplantation (CIT). Because the long-term effects on the kidney are unknown and immunosuppressant drugs can be nephrotoxic, CIT is currently restricted to patients with preserved renal function or a functioning renal ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000134971.15093.07

    authors: Senior PA,Shapiro AM,Ackerman TE,Ryan EA,Paty BW,Bhargava R

    更新日期:2004-09-27 00:00:00

  • Parenchymal liver injury in orthotopic liver transplantation.

    abstract:BACKGROUND:A 35-year period of clinical development resulted in orthotopic liver transplantation (OLT) becoming a standardized surgical procedure. Despite this progress, the rate of technical complications is still high. Although the main problem in most analyses is vascular or bile duct failure, we observed a remarkab...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200005270-00018

    authors: Soliman T,Langer F,Puhalla H,Pokorny H,Grunberger T,Berlakovich GA,Langle F,Muhlbacher F,Steininger R

    更新日期:2000-05-27 00:00:00

  • Increased hyaluronan in acutely rejecting human kidney grafts.

    abstract::The glycosaminoglycan hyaluronan is not only involved in cellular differentiation and migration but may also play a role in several inflammatory diseases. We have previously demonstrated an increased local production of hyaluronan in chronically rejected kidneys and the correspondingly affected renal vessels. In this ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199306000-00025

    authors: Wells A,Larsson E,Hanás E,Laurent T,Hällgren R,Tufveson G

    更新日期:1993-06-01 00:00:00

  • Financial Burden Borne by Laparoscopic Living Kidney Donors.

    abstract:BACKGROUND:Living kidney donors have donation-related out-of-pocket costs (direct costs) and/or ongoing daily expenses while losing income (indirect costs). Yet there is little information about how much of a subjective burden these constitute for the donors. METHODS:From December 2003 through December 2014, we survey...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001568

    authors: Wiseman JF,Jacobs CL,Larson DB,Berglund DM,Garvey CA,Ibrahim HN,Matas AJ

    更新日期:2017-09-01 00:00:00

  • Transient complement inhibition plus T-cell immunosuppression induces long-term survival of mouse-to-rat cardiac xenografts.

    abstract:BACKGROUND:The use of anti-B-cell and T-cell immunosuppressive agents leads to only a few weeks' survival of mouse-to-rat cardiac xenografts. METHODS:BALB/c cardiac xenografts were transplanted to Lewis rats treated with cyclosporine (CsA) and/or cobra venom factor (CVF). RESULTS:CsA alone did not prolong xenograft s...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199805150-00012

    authors: Koyamada N,Miyatake T,Candinas D,Mark W,Hechenleitner P,Hancock WW,Soares MP,Bach FH

    更新日期:1998-05-15 00:00:00

  • Active enhancement in the primate by bone marrow I. Ia-like determinants on nucleated bone marrow cells.

    abstract::This study investigates the possibility that the active enhancing properties of bone marrow (BM) cells may be related to Ia-like determinants on their surface membranes. Less chromium was released on a cell per cell basis from nucleated baboon BM cells used as targets in complement-dependent cytotoxicity than from lab...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197808000-00001

    authors: Smit JA,Myburgh JA,Gaillard VJ

    更新日期:1978-08-01 00:00:00

  • Use of alemtuzumab and tacrolimus monotherapy for cadaveric liver transplantation: with particular reference to hepatitis C virus.

    abstract::We have proposed that the mechanisms of alloengraftment and variable acquired tolerance can be facilitated by minimum posttransplant immunosuppression. It was further suggested that the efficacy of minimalistic treatment could be enhanced by preoperative recipient conditioning with an antilymphoid antibody preparation...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000142674.78268.01

    authors: Marcos A,Eghtesad B,Fung JJ,Fontes P,Patel K,Devera M,Marsh W,Gayowski T,Demetris AJ,Gray EA,Flynn B,Zeevi A,Murase N,Starzl TE

    更新日期:2004-10-15 00:00:00

  • Extracorporeal photopheresis after lung transplantation: a 10-year single-center experience.

    abstract::We report the largest single-center experience with extracorporeal photopheresis (ECP) for bronchiolitis obliterans syndrome (BOS) and recurrent acute rejection (AR) after lung transplantation. Lung transplant recipients undergoing ECP for BOS and recurrent AR were included (1997-2007). The rate of forced expiratory v...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31818bc024

    authors: Benden C,Speich R,Hofbauer GF,Irani S,Eich-Wanger C,Russi EW,Weder W,Boehler A

    更新日期:2008-12-15 00:00:00

  • Cytomegalovirus disease is not a major risk factor for ischemic heart disease after renal transplantation.

    abstract:BACKGROUND:It has been suggested that cytomegalovirus infection increases the risk of ischemic heart disease. Both cytomegalovirus and ischemic heart disease are common after renal transplantation, suggesting a possible causal association in this population. METHODS AND PATIENTS:We studied 1004 consecutive renal trans...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200110270-00011

    authors: Hernández D,Hanson E,Kasiske MK,Danielson B,Roel J,Kasiske BL

    更新日期:2001-10-27 00:00:00

  • Augmenter of liver regeneration enhances the success rate of fetal pancreas transplantation in rodents.

    abstract:BACKGROUND:Treatment of fetal pancreas (FP) isografts with insulin-like growth factor-I greatly improves the rate of conversion to euglycemia in diabetic rats. Complete knowledge of other factors that may facilitate the engraftment and function of FP in vivo is still embryonic. Augmenter of liver regeneration (ALR) is ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199801150-00007

    authors: Adams GA,Maestri M,Squiers EC,Alfrey EJ,Starzl TE,Dafoe DC

    更新日期:1998-01-15 00:00:00

  • Risk-stratified screening for ischemic heart disease in kidney transplant candidates.

    abstract:BACKGROUND:Few studies have examined the effectiveness of a risk-stratified approach to screening kidney transplantation candidates for ischemic heart disease (IHD). METHODS:We retrospectively reviewed records from all adult patients (n = 514) placed on the deceased donor kidney transplantation waiting list at a singl...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000173652.87417.ca

    authors: Kasiske BL,Malik MA,Herzog CA

    更新日期:2005-09-27 00:00:00

  • Characterization of immunoreactive trypsin as a means of differentiating graft pancreatitis and allograft rejection after porcine pancreatic transplantation.

    abstract::Graft pancreatitis and allograft rejection were both accompanied by increased serum levels of immunoreactive anionic trypsin (irAT) in a porcine pancreatic allograft transplantation model. Characterization of this immunoreactivity by gel filtration revealed different elution profiles in these conditions that can be he...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199201000-00004

    authors: Källén R,Borgström A

    更新日期:1992-01-01 00:00:00

  • Alpha-glutathione-S-transferase in acute rejection of liver transplant recipients.

    abstract:BACKGROUND:Alpha-glutathione-S-transferase (alphaGST) has been suggested as a sensitive marker of acute cellular rejection in liver transplantation. This study evaluated the usefulness of alphaGST as a marker of acute rejection in comparison with standard liver function tests. METHODS:Daily measurements of liver funct...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199802150-00019

    authors: Nagral A,Butler P,Sabin CA,Rolles K,Burroughs AK

    更新日期:1998-02-15 00:00:00

  • Improvement of donor myocardial function after treatment of autonomic storm during brain death.

    abstract:BACKGROUND:In experimental brain death models, autonomic storm (AS) triggers severe myocardial dysfunction, which can be attenuated by pharmacologic treatment. The aim of this study was to determine the incidence of AS in a cohort of human organ donors and to evaluate the potential interest of AS treatment on myocardia...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000235825.97538.d5

    authors: Audibert G,Charpentier C,Seguin-Devaux C,Charretier PA,Grégoire H,Devaux Y,Perrier JF,Longrois D,Mertes PM

    更新日期:2006-10-27 00:00:00

  • Effect of Institutional Case Volume on In-hospital Mortality After Living Donor Liver Transplantation: Analysis of 7073 Cases Between 2007 and 2016 in Korea.

    abstract:BACKGROUND:The relationship between institutional case volume and clinical outcomes after living donor liver transplantation is not clarified. METHODS:We conducted a nationwide retrospective cohort study using the database of Korean National Healthcare Insurance Service. Between January 2007 and December 2016, 7073 ad...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002394

    authors: Yoo S,Jang EJ,Yi NJ,Kim GH,Kim DH,Lee H,Jung CW,Ryu HG

    更新日期:2019-05-01 00:00:00