Cerebrovascular events in renal transplant recipients.

Abstract:

BACKGROUND:The incidence of stroke and risk factors for different subtypes of cerebrovascular (CBV) events in renal transplant recipients have not been examined in any large prospective controlled trial. METHODS:The Assessment of Lescol in Renal Transplantation was a randomized, double-blind, placebo-controlled study of the effect of fluvastatin (40-80 mg) daily on cardiovascular, and renal outcomes in renal transplant recipients. Patients initially randomized to fluvastatin or placebo in the 5 to 6 year trial was offered open-label fluvastatin in a 2-year extension to the original study. We investigated the incidence of stroke and risk factors for ischemic and hemorrhagic CBV events in 2102 renal graft recipients participating in the Assessment of Lescol in Renal Transplantation core and extension trial with a mean follow-up of 6.7 years. RESULTS:The incidence and type of CBV events did not differ between the lipid lowering arm and the placebo arm. A total of 184 (8.8%, 95% confidence interval 4.6-12.9) of 2102 patients experienced a CBV event during follow-up, corresponding to an incidence of 1.3% CBV event per year. The mortality for patients experiencing a hemorrhagic stroke was 48% (13 of 27), whereas the mortality for ischemic strokes was 6.0% (8 of 133). Diabetes mellitus, previous CBV event, age, and serum creatinine were independent risk factors for cerebral ischemic events. The risk of a hemorrhagic cerebral event was increased by diabetes mellitus, polycystic kidney disease, left ventricular hypertrophy, and systolic blood pressure. INTERPRETATION:Risk factors for CBV events in renal transplant recipients differ according to subtype.

journal_name

Transplantation

journal_title

Transplantation

authors

Abedini S,Holme I,Fellström B,Jardine A,Cole E,Maes B,Holdaas H,ALERT Study Group.

doi

10.1097/TP.0b013e31818bfce8

subject

Has Abstract

pub_date

2009-01-15 00:00:00

pages

112-7

issue

1

eissn

0041-1337

issn

1534-6080

pii

00007890-200901150-00018

journal_volume

87

pub_type

杂志文章,随机对照试验
  • Antibodies to donor B lymphocytes and mixed lymphocyte culture blocking in cadaveric renal transplantation.

    abstract::In 33 renal allograft recipient-donor pairs, B and T lymphocyte complement-dependent cytotoxicity crossmatches and mixed lymphocyte culture (MLC) blocking experiments were performed and the results were correlated with graft outcome. MLC blocking particularly in the unidirectional culture against donor-stimulating cel...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197804000-00002

    authors: Ettenger RB,Opelz G,Walker J,Terasaki PI,Uittenbogaart C,Pennisi AJ,Malekzadeh MH,Fine RN

    更新日期:1978-04-01 00:00:00

  • Plasma polymerase chain reaction for cytomegalovirus DNA after allogeneic marrow transplantation: comparison with polymerase chain reaction using peripheral blood leukocytes, pp65 antigenemia, and viral culture.

    abstract::In a prospective longitudinal study, detection of cytomegalovirus (CMV) DNA in plasma (plasma polymerase chain reaction [PCR]) was compared with PCR of CMV DNA in peripheral blood leukocytes (PBL PCR), the CMV pp65 antigenemia assay, and viral cultures from blood, urine, and throat of 29 patients, 14 of whom received ...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-199707150-00020

    authors: Boeckh M,Gallez-Hawkins GM,Myerson D,Zaia JA,Bowden RA

    更新日期:1997-07-15 00:00:00

  • Outcomes After Declining Increased Infectious Risk Kidney Offers for Pediatric Candidates in the United States.

    abstract:BACKGROUND:Kidneys from infectious risk donors (IRD) confer substantial survival benefit in adults, yet the benefit of IRD kidneys to pediatric candidates remains unclear in the context of high waitlist prioritization. METHODS:Using 2010-2016 Scientific Registry of Transplant Recipients data, we studied 2417 pediatric...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0000000000002674

    authors: Bowring MG,Jackson KR,Wasik H,Neu A,Garonzik-Wang J,Durand C,Desai N,Massie AB,Segev DL

    更新日期:2019-12-01 00:00:00

  • Failure of cyclosporine-treated renal allograft recipients to increase glomerular filtration rate following an amino acid infusion.

    abstract::Renal allograft recipients treated with cyclosporine (CsA) have increased renal vascular resistance that falls when CsA is stopped. With the aim of identifying whether CsA-treated patients with excellent renal function also have an alteration in renal vascular tone and to investigate which vessels are affected, we hav...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198807000-00014

    authors: Cairns HS,Raval U,Neild GH

    更新日期:1988-07-01 00:00:00

  • Immunohistochemical study of actin binding protein (p55) in the human kidney.

    abstract:BACKGROUND:In clinical transplantation, "passenger" dendritic cells (DCs) in the allograft have been thought to induce allograft rejection. However, the presence of DCs in the normal human kidney is controversial. Most reports have relied on the examination of MHC class I and II antigen expression in combination with D...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199804150-00025

    authors: Sonderbye L,Meehan S,Palsson R,Ahsan N,Ladefoged J,Langhoff E

    更新日期:1998-04-15 00:00:00

  • Detection of cardiac allograft rejection and myocyte necrosis by monoclonal antibody to cardiac myosin.

    abstract::Indium 111-labeled monoclonal antibody to cardiac myosin was examined for efficacy in the detection of cardiac graft rejection and rejection-related myocyte necrosis. Heterotopic heart transplants were performed in isogenic and allogenic groups of rats (n = 56). At selected intervals posttransplant, uptake of injected...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198912000-00006

    authors: Allen MD,Tsuboi H,Togo T,Eary JF,Gordon D,Thomas R,Reichenbach DD

    更新日期:1989-12-01 00:00:00

  • Donor age affects fibrosis progression and graft survival after liver transplantation for hepatitis C.

    abstract:BACKGROUND:The use of liver allografts from an older donor (OD) (age>50 years) is a widespread strategy to manage the disparity between supply and demand of organs for liver transplantation. This study determines the effect of OD allografts on fibrosis progression and graft survival after liver transplantation in patie...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000095896.07048.BB

    authors: Machicao VI,Bonatti H,Krishna M,Aqel BA,Lukens FJ,Nguyen JH,Rosser BG,Satyanarayana R,Grewal HP,Hewitt WR,Harnois DM,Crook JE,Steers JL,Dickson RC

    更新日期:2004-01-15 00:00:00

  • Antibody-suppressor CD8+ T Cells Require CXCR5.

    abstract:BACKGROUND:We previously reported the novel activity of alloprimed CD8 T cells that suppress posttransplant alloantibody production. The purpose of the study is to investigate the expression and role of CXCR5 on antibody-suppressor CD8 T-cell function. METHODS:C57BL/6 mice were transplanted with FVB/N hepatocytes. All...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002683

    authors: Zimmerer JM,Ringwald BA,Elzein SM,Avila CL,Warren RT,Abdel-Rasoul M,Bumgardner GL

    更新日期:2019-09-01 00:00:00

  • Induction of delayed hypersensitivity to alloantigens coinjected with Langerhans cells into the anterior chamber of the eye. Abrogation of anterior chamber-associated immune deviation.

    abstract::Inoculation of P815 tumor cells (DBA/2 origin) into the anterior chamber of eyes of BALB/c mice normally produces anterior chamber-associated immune deviation (ACAID) whereby delayed hypersensitivity (DH) responses to the minor H alloantigens of the tumor cells are suppressed. Based on our previous work showing an ass...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198903000-00024

    authors: Williamson JS,Streilein JW

    更新日期:1989-03-01 00:00:00

  • Alterations in rat pulmonary macrophage function by the immunosuppressive agents cyclosporine, azathioprine, and prednisolone.

    abstract::Disturbances of the immune response of the lung induced by the action of immunosuppressive agents on the functional abilities of rat pulmonary alveolar macrophages (PAM) were analyzed following in vitro incubation or in vivo administration (for 30 days) of cyclosporinea, (CsA) azathioprine (Az) or prednisolone (Pr). T...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198306000-00014

    authors: Drath DB,Kahan BD

    更新日期:1983-06-01 00:00:00

  • Urine cytologic profile in renal allograft recipients determined by monoclonal antibodies. Diagnosis of allograft rejection.

    abstract::Controversy exists as to the type of cells present in the urine during renal allograft rejection. In order to resolve this controversy as well as to evaluate the value of urine sediment examination as a means of detecting AR, we quantitated the different cells present in urine during AR using an immunoperoxidase techn...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198903000-00017

    authors: Segasothy M,Birch DF,Fairley KF,Kincaid-Smith P

    更新日期:1989-03-01 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

  • Cyclosporine--relationship of side effects to mode of action.

    abstract::Although cyclosporine has high specificity for the immune system, immunosuppressive therapy with CsA is often complicated by nephrotoxicity. The main morphologic targets of CsA nephrotoxicity include the tubular epithelial and endothelial cells. These cells were investigated in vitro. CsA caused a dose- and time-depen...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198808001-00017

    authors: Ryffel B,Foxwell BM,Gee A,Greiner B,Woerly G,Mihatsch MJ

    更新日期:1988-08-01 00:00:00

  • Impact of early conversion from tacrolimus to sirolimus on chronic allograft changes in kidney recipients on rapid steroid withdrawal.

    abstract:BACKGROUND:Calcineurin-inhibitor therapy is a contributing factor to the origin of interstitial fibrosis and tubular atrophy (IFTA). METHODS:We conducted a prospective randomized trial of conversion of tacrolimus to sirolimus at 1-month posttransplant in kidney transplant recipients on rapid steroid withdrawal. We com...

    journal_title:Transplantation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/TP.0b013e3182394cb3

    authors: Heilman RL,Cortese C,Geiger XJ,Younan K,Wadei HM,Mai ML,Reddy KS,Gonwa TA

    更新日期:2012-01-15 00:00:00

  • The effect of agents which modulate levels of the cyclic nucleotides on human lymphotoxin secretion and activity in vitro.

    abstract::The ability of concanavalin-A (Con-A) to activate lymphocytes to secrete human lymphotoxin (LT) was tested in the presence of agents known to modify the intracellular levels of cyclic nucleotides (cAMP and cGMP). Lymphocytes were treated with these agents at different stages of activation: (1) during the first encount...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197510000-00010

    authors: Prieur AM,Granger GA

    更新日期:1975-10-01 00:00:00

  • Biopsy diagnosis and clinical outcome of persistent focal pulmonary lesions after marrow transplantation.

    abstract::We reviewed the results of all percutaneous fine needle aspirations (FNA) and open lung biopsies (OLB) after bone marrow transplantation at our center (1984-1987) for the evaluation of focal lung lesions that developed or persisted despite antibiotic administration. We sought to determine the prevalence and types of i...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198908000-00017

    authors: Crawford SW,Hackman RC,Clark JG

    更新日期:1989-08-01 00:00:00

  • Influenza vaccine antibody response and 6-month persistence in lung transplant recipients using two definitions of seroprotection.

    abstract:BACKGROUND:Lung transplant recipients are among those with the highest risk of influenza infection and complications each year. A few studies show adequate responses after influenza immunization; no studies examined the season-long protection. METHODS:Influenza antibody concentrations were measured using hemagglutinat...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000391

    authors: Long AJ,Worzella SL,Moran JJ,Hayney MS

    更新日期:2015-04-01 00:00:00

  • Expression of transforming growth factor-beta1 and hypoxia-inducible factor-1alpha in an experimental model of kidney transplantation.

    abstract:BACKGROUND:Ischemia-reperfusion syndrome has been recognized as an important pathogenic factor in renal transplantation, not only in the development of delayed graft function but also in the development of acute and chronic rejection. Hypoxia-inducible factor (HIF)-1 activates transcription of several genes implicated ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000063128.86981.B2

    authors: Lario S,Mendes D,Bescós M,Iñigo P,Campos B,Alvarez R,Alcaraz A,Rivera-Fillat F,Campistol JM

    更新日期:2003-05-27 00:00:00

  • Increased incidence of chronic rejection in adult patients transplanted for autoimmune hepatitis: assessment of risk factors.

    abstract:BACKGROUND/AIM:It remains uncertain whether autoimmune hepatitis (AIH), as an original indication for orthotopic liver transplantation (OLTX), predisposes to the development of chronic rejection (CR) after surgery and published reports on heterogeneous groups of patients provided conflicting data. In this work we analy...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200008150-00014

    authors: Milkiewicz P,Gunson B,Saksena S,Hathaway M,Hubscher SG,Elias E

    更新日期:2000-08-15 00:00:00

  • Possible role of extracellularly released phagocyte proteinases in coagulation disorder during liver transplantation.

    abstract::Orthotopic liver transplantation is frequently associated with a complex coagulation disorder, influencing the outcome of the procedure. In this respect, disseminated intravascular coagulation (DIC) had been suggested to be of causative importance for bleeding complications after reperfusion of the liver graft. In 10 ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199109000-00018

    authors: Riess H,Jochum M,Machleidt W,Himmelreich G,Blumhardt G,Roissaint R,Neuhaus P

    更新日期:1991-09-01 00:00:00

  • Serum adiponectin levels and ambulatory blood pressure monitoring in pediatric renal transplant recipients.

    abstract::BACKGROUND.: Reduced levels of serum adiponectin, an adipokine, are associated with cardiovascular and obesity-related diseases; however, relations between adiponectin and hypertension are unclear. METHODS.: This cross-sectional study examined adiponectin and ambulatory blood pressure monitoring (ABPM) in 33 pediatric...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181b9e1ec

    authors: Sethna CB,Leonard MB,Gallagher PR,Meyers KE

    更新日期:2009-10-27 00:00:00

  • First in man renal transplantation after ex vivo normothermic perfusion.

    abstract:BACKGROUND:Normothermic perfusion is an alternative but little studied method of organ preservation. Herein, we report the first case of ex vivo normothermic renal transplant perfusion in man. METHODS:The 62-year-old extended criteria donor died of an intracranial hemorrhage and had undergone cardiopulmonary resuscita...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31822d4e04

    authors: Hosgood SA,Nicholson ML

    更新日期:2011-10-15 00:00:00

  • Male-restricted expression of H-Y antigen on preimplantation mouse embryos.

    abstract::The H-Y (male) antigen is detectable on 50% of eight-cell mouse embryos. We show that 82% of the offspring resulting from the transfer of (C57BL/6 X A/J)F1 embryos surviving treatment with H-Y antibody and complement to the uteruses of pseudopregnant mice are female. The increased ratio of female-to-male births indica...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198401000-00004

    authors: Shelton JA,Goldberg EH

    更新日期:1984-01-01 00:00:00

  • T cells receptor beta-chain repertoires are nonrandomly selected in responses to HLA-DR1.

    abstract::T cell receptor (TCR) beta-chain usage by HLA-DR1 alloreactive T cell lines was examined to determine whether common TCR gene segments were used preferentially. We have demonstrated previously that a DR1-specific, human renal allograft-derived T cell line and replicate, anti-DR1 mixed lymphocyte reactions (MLR), estab...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199604150-00017

    authors: Hand SL,Alter MD,Finn OJ

    更新日期:1996-04-15 00:00:00

  • Pretransplant immunologic risk assessment of kidney transplant recipients with donor-specific anti-human leukocyte antigen antibodies.

    abstract:BACKGROUND:Patients with pretransplantation strong donor-specific anti-human leukocyte antigen (HLA) antibodies (DSA) are at higher risk for rejection. We aimed to study the safety of kidney transplantation in patients with lower strength DSAs in a prospective cohort study. METHODS:Three hundred and seventy-three cons...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000191

    authors: Marfo K,Ajaimy M,Colovai A,Kayler L,Greenstein S,Lubetzky M,Gupta A,Kamal L,de Boccardo G,Masiakos P,Kinkhabwala M,Akalin E

    更新日期:2014-11-27 00:00:00

  • De novo sirolimus-based immunosuppression after liver transplantation for hepatocellular carcinoma: long-term outcomes and side effects.

    abstract:BACKGROUND:We report long-term outcomes and side effects after transplantation for hepatocellular carcinoma (HCC) using de novo, sirolimus-based immunosuppression (IS). METHODS:A total of 70 patients with HCC (mean age: 54.4+/-7 years, female/male: 12/58) were transplanted and included in the study. Immunosuppression ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000262607.95372.e0

    authors: Toso C,Meeberg GA,Bigam DL,Oberholzer J,Shapiro AM,Gutfreund K,Ma MM,Mason AL,Wong WW,Bain VG,Kneteman NM

    更新日期:2007-05-15 00:00:00

  • Biochemical, pathological, and clinical response to transplantation of normal bone marrow cells into acid sphingomyelinase-deficient mice.

    abstract:BACKGROUND:Acid sphingomyelinase knock-out (ASMKO) mice are a model of types A and B Niemann-Pick disease. In the present study, we evaluated whether bone marrow transplantation (BMT) carried out on newborn ASMKO mice could prevent or alter the Niemann-Pick disease phenotype. METHODS:Previous work from our laboratory ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199804150-00005

    authors: Miranda SR,Erlich S,Friedrich VL Jr,Haskins ME,Gatt S,Schuchman EH

    更新日期:1998-04-15 00:00:00

  • DSA Are Associated With More Graft Injury, More Fibrosis, and Upregulation of Rejection-associated Transcripts in Subclinical Rejection.

    abstract:BACKGROUND:Subclinical T cell-mediated rejection (subTCMR) is commonly found after liver transplantation and has a good short-term prognosis, even when it is left untreated. Donor-specific antibodies (DSA) are putatively associated with a worse prognosis for recipient and graft after liver transplantation. METHODS:To ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003034

    authors: Höfer A,Jonigk D,Hartleben B,Verboom M,Hallensleben M,Hübscher SG,Manns MP,Jaeckel E,Taubert R

    更新日期:2020-03-01 00:00:00

  • Evidence that 15-deoxyspergualin inhibits natural antibody production but fails to prevent hyperacute rejection in a discordant xenograft model.

    abstract::Preventing hyperacute rejection (HAR) is a difficult and unsolved problem in xenotransplantation. This may be due, in part, to a lack of therapies that can suppress production of natural antibodies (NA), which are thought to be critical mediators of HAR. This study examined the effect of 15-deoxyspergualin (DSPG) and ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199207000-00004

    authors: Leventhal JR,Flores HC,Gruber SA,Figueroa J,Platt JL,Manivel JC,Bach FH,Matas AJ,Bolman RM 3rd

    更新日期:1992-07-01 00:00:00

  • Effect of a monoclonal anti-lyt-1.1 on the functional activity of precursor, effector, and regulatory cells specific for murine alloantigens.

    abstract::A monoclonal anti-Lyt-1.1 serum has been characterized in terms of its effect on various cell populations involved in cell-mediated immune responses. The monoclonal serum was compared to a conventionally prepared anti-Lyt-1.1 serum. Cytotoxic T cell precursors and effectors were found to be Lyt-1.1+. Helper T cells wh...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198101000-00013

    authors: Shaw J,Pilarski LM,Al Adra AR,Leigh JB,Wilkins J,Hogarth PM,McKenzie IF,Paetkau V

    更新日期:1981-01-01 00:00:00