Late-onset cytomegalovirus disease in liver transplant recipients despite antiviral prophylaxis.

Abstract:

BACKGROUND:The incidence and impact of cytomegalovirus (CMV) disease that occurs despite CMV prophylaxis among liver transplant recipients have been incompletely defined. METHODS:The incidence and risk factors for CMV disease during the first posttransplant year in a cohort of liver transplant recipients who received antiviral prophylaxis with oral ganciclovir were retrospectively analyzed using Cox proportional-hazard regression models. RESULTS:CMV disease developed in 19 of 259 recipients (7% [95% confidence interval 0.04-0.11]) at a median of 4.5 months posttransplant, included syndrome (63%) or tissue-invasive disease (37%), and was independently associated with an increased risk of mortality during the first posttransplant year (hazard ratio 14 [95% confidence interval 3.8-54], P=0.0007). The incidence was higher (10/38 [26%] vs. 8/180 [4.5%], P<0.0001) in seronegative recipients (R-) of an organ from a seropositive donor (D+) compared with seropositive (R+) patients, respectively. D+R- status was the only variable significantly associated with CMV disease in multivariate analysis. CONCLUSIONS:Late CMV disease develops in a substantial proportion of D+R- recipients after prophylaxis is discontinued, is not accurately predicted by patient factors, and is associated with increased mortality. New strategies to identify D+R- patients at risk and to reduce the incidence and impact of late CMV disease in this group are warranted.

journal_name

Transplantation

journal_title

Transplantation

authors

Limaye AP,Bakthavatsalam R,Kim HW,Kuhr CS,Halldorson JB,Healey PJ,Boeckh M

doi

10.1097/01.tp.0000145989.22373.03

subject

Has Abstract

pub_date

2004-11-15 00:00:00

pages

1390-6

issue

9

eissn

0041-1337

issn

1534-6080

pii

00007890-200411150-00023

journal_volume

78

pub_type

杂志文章
  • Fractionation of feline bone marrow with the soybean agglutinin lectin yields populations enriched for erythroid and myeloid elements: transplantation of soybean agglutinin-negative cells into lethally irradiated recipients.

    abstract::Feline bone marrow cells treated with the soybean agglutinin (SBA) lectin are separated into two populations, the agglutinated SBA(+) fraction containing predominantly cells of myeloid origin and the nonagglutinated SBA(-) fraction consisting of cells primarily of the erythroid lineage. FACScan analyses revealed a cle...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199708150-00022

    authors: Gengozian N,Reyes L,Pu R,Homer BL,Bova FJ,Yamamoto JK

    更新日期:1997-08-15 00:00:00

  • Treatment of hypercholesterolemia in the Watanabe rabbit using allogeneic hepatocellular transplantation under a regeneration stimulus.

    abstract::Numerous studies have reported successful allotransplantation of hepatocytes. However, none have shown long-term correction of a liver-related metabolic defect. In this study, we used a method of regional hepatocyte transplantation and subsequent induction of transplanted cell proliferation by regeneration response in...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199609150-00008

    authors: Eguchi S,Rozga J,Lebow LT,Chen SC,Wang CC,Rosenthal R,Fogli L,Hewitt WR,Middleton Y,Demetriou AA

    更新日期:1996-09-15 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

  • Posttransplant major histocompatibility complex class I chain-related gene A antibodies and long-term graft outcomes in a multicenter cohort of 779 kidney transplant recipients.

    abstract:BACKGROUND:The impact of major histocompatibility class I chain-related A (MICA) antibodies on renal graft outcomes is unclear. The goal of this work was to assess the impact of posttransplant MICA antibodies, assayed at 1 year, with two commercially available kits, on long-term renal graft outcomes. METHODS:We retros...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0b013e31824fd8f1

    authors: Lemy A,Andrien M,Lionet A,Labalette M,Noel C,Hiesse C,Delahousse M,Suberbielle-Boissel C,De Meyer M,Latinne D,Mourad M,Delsaut S,Racapé J,Wissing KM,Toungouz M,Abramowicz D

    更新日期:2012-06-27 00:00:00

  • Genes associated with progression and recurrence of hepatocellular carcinoma in hepatitis C patients waiting and undergoing liver transplantation: preliminary results.

    abstract:BACKGROUND:Liver transplantation (LT) represents a curative treatment for small hepatocellular carcinoma (HCC). Potentially curable higher-stage HCC patients are denied LT due to the lack of cancer markers that predict progression and recurrence. METHODS:Thirty-eight candidates for LT with hepatitis C virus (HCV) cirr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000258643.05294.0b

    authors: Mas VR,Fisher RA,Archer KJ,Yanek KC,Williams B,Dumur CI,Maluf DG

    更新日期:2007-04-15 00:00:00

  • Characterization of B cell antibodies in kidney transplant recipients.

    abstract::Antibodies against B lymphocytes were found in the serum of the majority of 59 kidney transplant recipients and of 22 eluates obtained from kidney allografts undergoing rejection. To characterize these B cell lymphocytotoxins we have used a mouse monoclonal anti-DR antibody (L227) that inhibits cytotoxicity of antibod...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198305000-00011

    authors: Nunez G,McPhaul JJ Jr,Stastny P

    更新日期:1983-05-01 00:00:00

  • Selection of a suitable internal control gene for expression studies in pancreatic islet grafts.

    abstract::The use of real-time reverse transcription polymerase chain reaction to compare gene expression in different tissues and conditions requires normalization to an internal control that must be expressed at a constant level. Although a previous validation step is required to confirm that an internal control is appropriat...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000173790.12227.7b

    authors: Rodriguez-Mulero S,Montanya E

    更新日期:2005-09-15 00:00:00

  • DCD Renal Transplantation from donors with Acute Kidney Injury.

    abstract:BACKGROUND:Deceased donor kidneys with acute kidney injury (AKI) and deceased after circulatory death kidneys are viable sources of organs. The outcomes of renal transplantation from deceased after circulatory death (DCD) donors with AKI are not known. METHODS:A retrospective review of deceased donor renal transplants...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003317

    authors: Lia D,Singer P,Nair V,Yang J,Teperman L,Grodstein E

    更新日期:2020-05-15 00:00:00

  • Expression of MRP2 and MRP3 during liver regeneration after 90% partial hepatectomy in rats.

    abstract:BACKGROUND:Small-for-size grafts often cause persistent conjugated hyperbilirubinemia in the recipient after adult-to-adult living donor liver transplantation, but the cause has not yet been clarified. In physiologic status, bilirubin is excreted from hepatocytes to the bile canaliculus by means of multidrug resistance...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000089234.93366.6D

    authors: Chang TH,Hakamada K,Toyoki Y,Tsuchida S,Sasaki M

    更新日期:2004-01-15 00:00:00

  • Immunoregulatory abnormalities in patients with Epstein-Barr virus-associated B cell lymphoproliferative disorders.

    abstract::EBVirus-associated B cell lymphoproliferative disorder (BLPD) is a recognized complication of primary immunodeficiency and organ as well as bone marrow transplantation. Although the nature of the immune defects that predispose to the development of BLPD are unknown, it is postulated that aberrant T cell responses are ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Mathur A,Kamat DM,Filipovich AH,Steinbuch M,Shapiro RS

    更新日期:1994-04-15 00:00:00

  • Neighborhood Poverty and Sex Differences in Live Donor Kidney Transplant Outcomes in the United States.

    abstract:BACKGROUND:Neighborhood poverty has been associated with worse outcomes after live donor kidney transplantation (LDKT), and prior work suggests that women with kidney disease may be more susceptible to the negative influence of poverty than men. As such, our goal was to examine whether poverty differentially affects wo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002654

    authors: Purnell TS,Luo X,Crews DC,Bae S,Ruck JM,Cooper LA,Grams ME,Henderson ML,Waldram MM,Johnson M,Segev DL

    更新日期:2019-10-01 00:00:00

  • Endoscopic evaluation of small intestine transplant grafts.

    abstract:BACKGROUND:The management of small bowel transplantation is unique because signs of rejection can be obtained visually by endoscopy. The aim of this study was to evaluate the accuracy of endoscopic appearance in assessing histologic evidence of acute cellular rejection (ACR). METHODS:Endoscopies were performed in 66 a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31825f4410

    authors: O'Keefe SJ,El Hajj II,Wu T,Martin D,Mohammed K,Abu-Elmagd K

    更新日期:2012-10-15 00:00:00

  • The prevalence of coronary artery disease in liver transplant candidates over age 50.

    abstract::The prevalence of angiographically proven coronary artery disease (CAD) in adults with end-stage liver disease who undergo evaluation for liver transplantation is unknown; also it is unclear if cholestatic liver disease represents an independent risk factor. Patients with end-stage liver disease over age 50 having liv...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Carey WD,Dumot JA,Pimentel RR,Barnes DS,Hobbs RE,Henderson JM,Vogt DP,Mayes JT,Westveer MK,Easley KA

    更新日期:1995-03-27 00:00:00

  • Role of polymorphic Fc receptor Fc gammaRIIa in cytokine release and adverse effects of murine IgG1 anti-CD3/T cell receptor antibody (WT31).

    abstract::Anti-CD3 monoclonal antibody (mAb) OKT3 is immunosuppressive, but causes severe adverse effects during the first administration ("first-dose reaction"). These adverse effects are presumably caused by cytokine release that results from T-cell activation. In vitro, T-cell activation by anti-CD3 mAb requires interaction ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199701150-00020

    authors: Tax WJ,Tamboer WP,Jacobs CW,Frenken LA,Koene RA

    更新日期:1997-01-15 00:00:00

  • Prediction of the Development of Persistent Massive Ascites After Living Donor Liver Transplantation Using a Perioperative Risk Score.

    abstract:BACKGROUND:Persistent massive ascites (PMAS) longer than 14 days after living donor liver transplantation is not uncommon and associated with worse outcome. A predictive risk scoring system was constructed after analysis of recipient, graft, and surgery-related factors. METHODS:We retrospectively reviewed adult living...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002174

    authors: Wu YJ,Wang SH,Elsarawy AM,Chan YC,Chen CL,Cheng BC,Li LC,Chiu CH,Lee YW,Lin YC,Wee SY,Pan CC,Kao YY,Chen YH,Lin HW,Lin LM,Lin CC

    更新日期:2018-06-01 00:00:00

  • Family Over Rules? An Ethical Analysis of Allowing Families to Overrule Donation Intentions.

    abstract::Millions of people want to donate their organs after they die for transplantation, and many of them have registered their wish to do so or told their family and friends about their decision. For most of them, however, this wish is unlikely to be fulfilled, as only a small number of deaths (1% in the United Kingdom) oc...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000001536

    authors: Shaw D,Georgieva D,Haase B,Gardiner D,Lewis P,Jansen N,Wind T,Samuel U,McDonald M,Ploeg R,ELPAT Working Group on Deceased Donation.

    更新日期:2017-03-01 00:00:00

  • Long-term lung preservation with the PAF antagonist BN 52021.

    abstract::Platelet activating factor (PAF, 1-alkyl-2(R)-acetyl-glycero-3- phosphorylcholine) is a phospholipid that is released by a variety of cells. The similarity between the pathophysiological effects of PAF and posttransplant pulmonary dysfunction led to an evaluation of a PAF antagonist as an adjunct to lung preservation....

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199106000-00002

    authors: Conte JV Jr,Katz NM,Wallace RB,Foegh ML

    更新日期:1991-06-01 00:00:00

  • 3-[(dodecylthiocarbonyl)methyl]-glutarimide attenuates graft arterial disease by suppressing alloimmune responses and vascular smooth muscle cell proliferation.

    abstract:BACKGROUND:Graft arterial disease (GAD) is a major cause of late graft loss after organ transplantation. Alloimmune responses and vascular remodeling eventually cause the transplant organ to develop GAD. In this study, we aimed to limit the development of GAD by inhibiting alloimmune responses and vascular smooth muscl...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000576

    authors: Zaitsu M,Yamashita K,Shibasaki S,Tsunetoshi Y,Fukai M,Ogura M,Yoshida T,Igarashi R,Kobayashi N,Umezawa K,Todo S

    更新日期:2015-05-01 00:00:00

  • Immunologic pathways in a quantitative model of immunosuppression based on rejection of an allogeneic or xenogeneic tumor graft.

    abstract:BACKGROUND:A quantitative model of immunosuppression was previously developed based on the rejection of the allogeneic A/J murine tumor sarcoma 1 (Sa1) in immunocompetent mice. Here, the model is used to evaluate the immunologic mechanisms of graft rejection and to determine the potential of this model to detect synerg...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000157361.50830.22

    authors: Hammond-McKibben D,Saulnier M,Zhang J,Risher N,Lake P,Weetall M

    更新日期:2005-04-27 00:00:00

  • Immunosenescence does not abrogate engraftment of murine allogeneic bone marrow.

    abstract:BACKGROUND:Allogeneic bone marrow transplantation is under investigation for a range of nonmalignant indications, including tolerance induction through mixed chimerism. This strategy has so far been tested experimentally only in young recipients. Due to immunosenescence, older patients have an increase in memory T cell...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182954618

    authors: Hock K,Oberhuber R,Lee YL,Wrba F,Wekerle T,Tullius SG

    更新日期:2013-06-27 00:00:00

  • Reduced dose rabbit anti-thymocyte globulin induction for prevention of acute rejection in high-risk kidney transplant recipients.

    abstract:BACKGROUND:Despite the prevalent use of rabbit antithymocyte globulin (rATG) as an induction agent in kidney transplantation, the appropriate dose for preventing acute rejection in high-risk patients is not known. Few studies have examined total exposure of rATG less than 6 mg/kg, with fewer studies examining lower dos...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181b6f38c

    authors: Klem P,Cooper JE,Weiss AS,Gralla J,Owen P,Chan L,Wiseman AC

    更新日期:2009-10-15 00:00:00

  • Management of posttransplant lymphoproliferative disease in pediatric liver transplant recipients receiving primary tacrolimus (FK506) therapy.

    abstract:BACKGROUND:Posttransplant lymphoproliferative disease (PTLD) after pediatric liver transplantation has been associated with high mortality rates. METHODS:The present study examined 282 consecutive pediatric liver transplant recipients from October 1989 to June 1996 who received primary tacrolimus immunosuppression. Th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199810270-00014

    authors: Cacciarelli TV,Green M,Jaffe R,Mazariegos GV,Jain A,Fung JJ,Reyes J

    更新日期:1998-10-27 00:00:00

  • Acceptance of skin grafts between mice bearing different allelic forms of beta 2-microglobulin.

    abstract::Single amino acid disparities in MHC class I molecules can elicit transplantation responses. Since beta 2 microglobulin (beta 2m) is noncovalently associated with class I antigens on the cell membrane we investigated whether the single amino acid polymorphism at position 85 (Asp-->Ala) in the mouse beta 2m molecule ca...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199601270-00023

    authors: Hederer RA,Chandler PR,Dyson PJ,Antoniou AN,Millrain MM,Mellor AL,Simpson E,Robinson PJ

    更新日期:1996-01-27 00:00:00

  • Cyclosporine absorption in intestinal transplantation.

    abstract::The absorption of oral cyclosporine (CsA) was studied in a canine small intestinal transplantation model. Absorption of CsA was almost absent in bowel-resected dogs. Autotransplanted dogs showed a persisting malabsorption of CsA (mean peak of 687 +/- 348 ng/ml vs. 1683 +/- 154 ng/ml in control dogs). Allotransplanted ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198505000-00007

    authors: Wassef R,Cohen Z,Nordgren S,Langer B

    更新日期:1985-05-01 00:00:00

  • Requirement for help in the generation of alloantigen-specific helper cells.

    abstract::Control mechanisms that regulate the induction of T helper cells are a key component of conceptual schemes to understand the network of interactions controlling the immune response. In this work, using a sequential three-step culture system, we demonstrate that the generation of the T helper cells that participate in ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198509000-00017

    authors: Pilarski LM,McKenzie IF

    更新日期:1985-09-01 00:00:00

  • Experience with protocol biopsies after solitary pancreas transplantation.

    abstract::The early detection of allograft rejection remains elusive after solitary pancreas transplantation (PTX). We have previously described a modified technique of cystoscopic transduodenal PTX biopsy using the Biopty gun under ultrasound guidance. During the last 2 years, we performed 24 solitary PTXs with prospective pro...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199560120-00011

    authors: Stratta RJ,Taylor RJ,Grune MT,Sindhi R,Sudan D,Castaldo P,Cushing KA,Radio SJ,Wisecarver JL,Matamoros A

    更新日期:1995-12-27 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

  • 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

  • Safety and Risk Factors of Pure Laparoscopic Living Donor Right Hepatectomy: Comparison to Open Technique in Propensity Score-matched Analysis.

    abstract:BACKGROUND:The innovative pure laparoscopic living donor right hepatectomy (LLDRH) procedure for liver transplantation has never been fully compared to open living donor right hepatectomy (OLDRH). We aimed to compare the donor safety and graft results of pure LLDRH to those of OLDRH. METHODS:From May 2013 to July 2017...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002834

    authors: Park J,Kwon DCH,Choi GS,Kim SJ,Lee SK,Kim JM,Lee KW,Chung YJ,Kim KS,Lee JS,Rhu J,Kim GS,Gwak MS,Ko JS,Lee JE,Lee S,Joh JW

    更新日期:2019-10-01 00:00:00

  • Comparisons of alloreactive potential of clinical hematopoietic grafts.

    abstract:BACKGROUND:We sought to compare the immunoreactive potential of human cord blood (CB) versus normal adult bone marrow (BM) versus mobilized blood (peripheral blood stem cells; PBSC) from cancer patients. METHODS:Forty mice were randomized to receive a range of doses of T cell-replete cell preparations from one of the ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199909150-00006

    authors: Leung W,Ramírez M,Mukherjee G,Perlman EJ,Civin CI

    更新日期:1999-09-15 00:00:00