Improving the prediction of donor kidney quality: deceased donor score and resistive indices.

Abstract:

BACKGROUND:The deceased donor score (DDS), expanded criteria donor (ECD) definition, and resistive index (RI) were developed for pretransplant evaluation of donors. DDS and ECD are determined by a calculation of risk from donor variables, while RI is determined from flow characteristics of kidneys during machine preservation (MP). This study was designed to compare DDS, ECD status, and RI as predictors of outcome after deceased donor transplantation. We were also interested to see if DDS or ECD could identify kidneys most likely to benefit from MP. METHODS:We retrospectively reviewed 48,952 deceased donor renal transplants reported to UNOS from 1997-2002. DDS (0-39 pts.), ECD status (+ or -), and preservation technique (MP vs. cold storage [CS]) were determined in all cases. RI during MP was studied in a single-center cohort of 425 transplants. RESULTS:DDS was superior to ECD status and RI in its correlation with early and late renal function after transplantation. DDS identified a subgroup of ECD- kidneys, those with DDS > or = 20 pts, that functioned significantly below expectation and similar to ECD+ kidneys. Benefits of MP, which include improved early graft function and a trend towards longer graft survival, were greatest in the group of kidneys with DDS > or = 20 pts. CONCLUSIONS:DDS was the best predictor of outcome after deceased donor renal transplantation and may be useful in identifying kidneys most likely to benefit from MP.

journal_name

Transplantation

journal_title

Transplantation

authors

Nyberg SL,Baskin-Bey ES,Kremers W,Prieto M,Henry ML,Stegall MD

doi

10.1097/01.tp.0000173798.04043.af

subject

Has Abstract

pub_date

2005-10-15 00:00:00

pages

925-9

issue

7

eissn

0041-1337

issn

1534-6080

pii

00007890-200510150-00009

journal_volume

80

pub_type

杂志文章
  • Frequency of kidney rejection in diabetic patients undergoing simultaneous kidney and pancreatic islet cell transplantation.

    abstract::An increased frequency of kidney rejection has been reported in diabetic patients who have simultaneous pancreas and kidney transplantation compared with patients who have a kidney transplant alone. Kidney graft outcome is similar in the two groups. The mechanism for increased kidney graft rejection with a simultaneou...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199304000-00015

    authors: Carroll PB,Ricordi C,Shapiro R,Rilo HR,Fontes P,Scantlebury V,Irish W,Tzakis AG,Starzl TE

    更新日期:1993-04-01 00:00:00

  • Racial Differences in Survival of Incident Home Hemodialysis and Kidney Transplant Patients.

    abstract:BACKGROUND:Previous studies have indicated that patients on maintenance hemodialysis have worse survival compared with kidney transplant (KTx) recipients. However, none of these studies have compared mortality of the US patients using alternative dialysis modalities such as home hemodialysis (HHD) with KTx recipients. ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001005

    authors: Molnar MZ,Ravel V,Streja E,Kovesdy CP,Mehrotra R,Kalantar-Zadeh K

    更新日期:2016-10-01 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

  • The pig analogue of CD59 protects transgenic mouse hearts from injury by human complement.

    abstract:BACKGROUND:It has been proposed that hyperacute rejection (HAR) of pig-to-primate vascularized xenografts is due in large part to ineffective regulation of recipient complement by pig complement regulatory proteins (CRPs), and indeed transgenic expression of human CRPs in pigs can prevent hyperacute rejection. However,...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200009270-00014

    authors: Fisicaro N,Aminian A,Hinchliffe SJ,Morgan BP,Pearse MJ,D'Apice AJ,Cowan PJ

    更新日期:2000-09-27 00:00:00

  • Crossreactivity between human and canine Ia antigens using a mouse monoclonal antibody (CIA).

    abstract::A mouse monoclonal antibody (CIA) produced against human Ia antigens that reacts with 20-30% of human peripheral blood lymphocytes was found to react with more than 90% of dog lymphocytes. Less than 41% of the Ia-positive dog lymphocytes expressed surface immunoglobulins. Immunoprecipitation studies with 125I-labeled ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198308000-00016

    authors: Iwaki Y,Terasaki PI,Kinukawa T,Thai TH,Root T,Billing R

    更新日期:1983-08-01 00:00:00

  • Impact of recipient body mass index on short-term and long-term survival of pancreatic grafts.

    abstract:BACKGROUND:The impact of recipient body mass index on graft and patient survival after pancreas transplantation is not well known. METHODS:We have analyzed data from all pancreas transplant recipients reported in the Scientific Registry of Transplant Recipients between 1987 and 2011. Recipients were categorized into B...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000226

    authors: Bédat B,Niclauss N,Jannot AS,Andres A,Toso C,Morel P,Berney T

    更新日期:2015-01-01 00:00:00

  • Malignant disease in renal transplant patients.

    abstract::The incidence of malignant disease (renal cancer and skin cancer excluded) was analyzed in 934 renal transplant patients from one center, transplanted between 1965 and 1981, and followed through 1983. National Cancer Registry data were used for statistical comparison. Cancers of the lip, vulva, and anus and malignant ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Blohmé I,Brynger H

    更新日期:1985-01-01 00:00:00

  • Detection of donor-derived cells by polymerase chain reaction in neonatally tolerant mice. Microchimerism fails to predict tolerance.

    abstract::Although it has long been appreciated that establishment of chimerism is important in the acquisition and maintenance of allograft tolerance, the importance of this relationship has been reemphasized recently. Using the exquisite sensitivity of the polymerase chain reaction we have studied qualitatively and quantitati...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199511270-00012

    authors: Alard P,Matriano JA,Socarras S,Ortega MA,Streilein JW

    更新日期:1995-11-27 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

  • Denuded bowel after recovery from graft-versus-host disease.

    abstract::Graft-versus-host disease (GVHD) is a common complication of bone marrow transplantation and often involves the gastrointestinal system. It is unclear whether there can be severe enough damage by GVHD to permanently injure the bowel and thereby prevent mucosal regeneration. We describe a patient who had successful tre...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199612150-00028

    authors: Fox RJ,Vogelsang GB,Beschorner WE

    更新日期:1996-12-15 00:00:00

  • A delay in bone marrow transplantation after partial conditioning improves engraftment.

    abstract:BACKGROUND:In the present study we examined the effect of the timing of marrow infusion on engraftment in nonmyeloablatively conditioned mice. METHODS:B10 mice were conditioned with decreasing doses of total body irradiation (TBI) and reconstituted with bone marrow cells (BMCs) from major histocompatibility complex-di...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000116414.66171.81

    authors: Xu H,Exner BG,Chilton PM,Tanner MK,Mueller YM,Rezzoug F,Ildstad ST

    更新日期:2004-03-27 00:00:00

  • Anti-CD3 F(ab')2 fragments are immunosuppressive in vivo without evoking either the strong humoral response or morbidity associated with whole mAb.

    abstract::The use of anti-CD3 monoclonal antibodies to treat organ allograft rejection has been complicated by (1) the morbidity associated with the initial dose, (2) the humoral response of the patients against the mAbs, and (3) the generalized immunosuppression induced by the mAbs. We investigated the potential of F(ab')2 fra...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199006000-00018

    authors: Hirsch R,Bluestone JA,DeNenno L,Gress RE

    更新日期:1990-06-01 00:00:00

  • Successful prevention of autoimmune disease by transplantation of adequate number of fully allogeneic hematopoietic stem cells.

    abstract:BACKGROUND:We have previously shown successful engraftment of allogeneic hematopoietic stem cells (HSCs) when transplanted across the major histocompatibility antigen barriers if transplanted along with a preparation of facilitator cells (osteoblasts). We have investigated whether or not fully allogeneic HSCs from heal...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200009270-00004

    authors: El-Badri NS,Wang BY,Steele A,Cherry,Marikar Y,Mizobe K,Good RA

    更新日期:2000-09-27 00:00:00

  • Evidence of intragraft interleukin-2-activated killer cells and allospecific cytolytic T lymphocytes in rejecting lung allografts.

    abstract::In vivo cell-mediated effector mechanisms of allograft destruction were investigated in a canine single-lung transplantation model. This large animal model permits direct longitudinal studies of immune effector cells from the grafts of individual recipients by bronchoalveolar lavage (BAL). Evidence was obtained that t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198911000-00026

    authors: Norin AJ,Kamholz SL

    更新日期:1989-11-01 00:00:00

  • Severe acute renal failure after exposure to sirolimus-tacrolimus in two living donor kidney recipients.

    abstract:BACKGROUND:We began a clinical trial in African Americans comparing sirolimus-tacrolimus to standard immunosuppression. We report two African American male living donor kidney recipients who developed acute renal failure after exposure to sirolimus-tacrolimus. METHODS:Both patients received similar doses of sirolimus ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200301150-00029

    authors: Lawsin L,Light JA

    更新日期:2003-01-15 00:00:00

  • Human hepatic stellate cells inhibit T-cell response through B7-H1 pathway.

    abstract:BACKGROUND:The liver is an immunologic privileged organ; liver allografts are accepted across major histocompatibility complex barriers in many species. However, hepatocyte transplants are acutely rejected, suggesting a role for liver nonparenchymal cells in regulating the immunoresponse. We have shown potent immunoreg...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318294caae

    authors: Charles R,Chou HS,Wang L,Fung JJ,Lu L,Qian S

    更新日期:2013-07-15 00:00:00

  • Knockdown of intraislet IKKβ by spherical nucleic acid conjugates prevents cytokine-induced injury and enhances graft survival.

    abstract:BACKGROUND:The efficiency of islet graft survival after intraportal implantation is compromised by host innate immune responses and the production of proinflammatory cytokines that cause acute cellular injury. This reaction activates intraislet nuclear factor-κB (NF-κB), causing production of gene products that have de...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182a4190e

    authors: Rink JS,McMahon KM,Zhang X,Chen X,Mirkin CA,Thaxton CS,Kaufman DB

    更新日期:2013-11-27 00:00:00

  • Insulin-heparin infusions peritransplant substantially improve single-donor clinical islet transplant success.

    abstract:BACKGROUND:Successful islet transplantation can result in insulin independence in many patients with type 1 diabetes mellitus, but it often requires more than one islet infusion. The ability to achieve insulin independence with a single donor is an important goal in clinical islet transplantation due to the limited org...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181c478fd

    authors: Koh A,Senior P,Salam A,Kin T,Imes S,Dinyari P,Malcolm A,Toso C,Nilsson B,Korsgren O,Shapiro AM

    更新日期:2010-02-27 00:00:00

  • Differential immune response of congenic mice to ultraviolet-treated major histocompatibility complex class II-incompatible skin grafts.

    abstract::The influence of ultraviolet (UVB) irradiation on the survival of H-2 class II-disparate skin grafts was studied in congenic mouse strains. Isolated skin was UVB irradiated in vitro at a dose of 40 mJ/cm2 from both sides to remove Ia immunogenicity. Immediately after irradiation the skin was transplanted onto the flan...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198803000-00020

    authors: Vermeer BJ,Santerse B,Van De Kerckhove BA,Schothorst AA,Claas FH

    更新日期:1988-03-01 00:00:00

  • A comparison of gene expression in murine cardiac allografts and isografts by means DNA microarray analysis.

    abstract:BACKGROUND:Acute rejection of allografts remains a significant problem in clinical transplantation, and the fundamental mechanism underlying this rejection are as yet only poorly elucidated. Recently, DNA microarrays have come into use for the study of gene expression profiles, and we have taken advantage of this new t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200107270-00027

    authors: Saiura A,Mataki C,Murakami T,Umetani M,Wada Y,Kohro T,Aburatani H,Harihara Y,Hamakubo T,Yamaguchi T,Hasegawa G,Naito M,Makuuchi M,Kodama T

    更新日期:2001-07-27 00:00:00

  • Evidence that portal tract microvascular destruction precedes bile duct loss in human liver allograft rejection.

    abstract::In liver allograft rejection, interlobular bile ducts are thought to be the main target of rejection. In contrast, in other organ allografts the capillary bed of the graft appears to be the primary target. To determine whether portal tract microvasculature is destroyed in liver allografts during rejection, we have ide...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199307000-00012

    authors: Matsumoto Y,McCaughan GW,Painter DM,Bishop GA

    更新日期:1993-07-01 00:00:00

  • Protein synthesis and gene expression in transplanted and postischemic livers.

    abstract::The expression of some genes has been comparatively studied in transplanted rat liver and in liver reperfused after ischemia in situ. Experiments on protein synthesis by tissue slices from cold-stored or transplanted livers show that rat livers that retain a good capacity for protein synthesis during storage undergo a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199305000-00004

    authors: Schiaffonati L,Cairo G,Tacchini L,Pappalardo C,Gatti S,Piazzini-Albani A,Bernelli-Zazzera A

    更新日期:1993-05-01 00:00:00

  • A prospective study of human herpesvirus type 6 detected by polymerase chain reaction after liver transplantation.

    abstract::Human herpesvirus type 6 (HHV-6) causes roseola infantum (exanthema subitum) upon primary infection in young children. Thereafter it persists lifelong in the organism. Like other herpesviruses, HHV-6 can be reactivated in periods of immunosuppression - e.g., after organ transplantation. In order to study the incidence...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199602270-00027

    authors: Schmidt CA,Wilbron F,Weiss K,Brinkmann V,Oettle H,Lohmann R,Langrehr JM,Neuhaus P,Siegert W

    更新日期:1996-02-27 00:00:00

  • Lymphoma and hypercalcemia in a pediatric orthotopic liver transplant patient.

    abstract::We present a case report of a pediatric orthotopic liver transplant recipient who developed lymphoma with hypercalcemia on cyclosporine and prednisone immunosuppression. This is the first reported posttransplant lymphoproliferative disorder complicated by hypercalcemia, with a finding of an elevated 1,25 dihydroxyl vi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198912000-00022

    authors: Nakazato P,Esquivel CO,Urbach AH,Makowka L,Scantlebury V,Jaffe R,Starzl TE

    更新日期:1989-12-01 00:00:00

  • Deoxyspergualin in lethal murine graft-versus-host disease.

    abstract::The beneficial effect of deoxyspergualin (DSG, NKT-01) on lethal graft-versus-host disease in mice has been studied in a major histoincompatible donor-recipient combination. Suppression of the effector mechanisms responsible for the lethal outcome in this GVHD model is also noted. This study reveals: (1) DSG has a mar...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199103000-00032

    authors: Nemoto K,Hayashi M,Ito J,Sugawara Y,Mae T,Fujii H,Abe F,Fujii A,Takeuchi T

    更新日期:1991-03-01 00:00:00

  • A quantitative survey of Western Muslim attitudes to solid organ donation.

    abstract:BACKGROUND:It is imperative for healthcare providers to examine Western Muslim attitudes on organ donation, because they are reluctant donors. We explored such opinion with the aid of a quantitative survey. METHODS:Voluntary completion of an anonymous survey was promoted (online and paper sampling). For a population t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318231ea17

    authors: Sharif A,Jawad H,Nightingale P,Hodson J,Lipkin G,Cockwell P,Ball S,Borrows R

    更新日期:2011-11-27 00:00:00

  • Alterations in chemokine receptor CCR5 expression on blood dendritic cells correlate with acute graft-versus-host disease.

    abstract:BACKGROUND:Dendritic cells (DC) are important in the development of acute graft-versus-host disease (GVHD) after allogeneic hemopoietic cell transplantation (alloHCT). The trafficking of immature DC from blood to GVHD target organs is likely to be regulated by chemokine receptors. METHODS:We performed flow cytometry t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31829e6d5b

    authors: Shahin K,Sartor M,Hart DN,Bradstock KF

    更新日期:2013-10-27 00:00:00

  • Leflunomide in experimental transplantation. Control of rejection and alloantibody production, reversal of acute rejection, and interaction with cyclosporine.

    abstract::Leflunomide is a compound recently shown to reduce T and B cell-mediated responses in a number of experimental rat, mouse, and human systems. To explore its potential as an immunosuppressant, we studied leflunomide in 128 Brown-Norway/Lewis cardiac transplants and in 48 unoperated Lewis rats. At doses ranging from 0.6...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Williams JW,Xiao F,Foster P,Clardy C,McChesney L,Sankary H,Chong AS

    更新日期:1994-04-27 00:00:00

  • Prevalence and risk factors of noncontrolled and resistant arterial hypertension in renal transplant recipients.

    abstract:BACKGROUND:Arterial hypertension (HT) is common in renal transplant recipients (RTRs). Control of HT is not optimal in this high-risk population despite recommendations for target blood pressure levels under 130/80 mm Hg. METHODS:We performed a cross-sectional analysis of the prevalence of uncontrolled HT, and using a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000467

    authors: Vetromile F,Pernin V,Szwarc I,Garrigue V,Delmas S,Mourad G,Fesler P

    更新日期:2015-05-01 00:00:00

  • In vitro depletion of tissue-derived dendritic cells by CMRF-44 antibody and alemtuzumab: implications for the control of Graft-versus-host disease.

    abstract::Graft-versus-host disease (GvHD), a life-threatening complication of bone marrow transplantation, is initiated by donor T cells reacting to recipient dendritic cells (DC). GvHD can be controlled by attenuating donor T cells, but few strategies exist to target DC, particularly resident tissue DC, despite recent evidenc...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000149321.86104.c4

    authors: Collin MP,Munster D,Clark G,Wang XN,Dickinson AM,Hart DN

    更新日期:2005-03-27 00:00:00