Sirolimus inhibits oxidative burst activity in transplant recipients.

Abstract:

:Increased susceptibility to bacterial infection is a recognized side-effect of sirolimus treatment after transplantation, which could be caused by inhibition of neutrophil activation. Blood from 24 healthy subjects was equilibrated with 0 to 50 ng/mL sirolimus or 60 microg/mL propofol. Blood was also collected from 23 transplant recipients (13 kidney, 10 liver) with renal impairment, randomized to remain on calcineurin inhibitors (n=12) or to be switched to sirolimus monotherapy (n=11). Phorbol myristate acetate (PMA)-stimulated oxidative burst was measured by flow cytometry at 0 and 3 months after randomization. There was a linear relationship between inhibition of neutrophil activation in vitro and sirolimus concentrations spanning the therapeutic range (P=0.01). Neutrophil activation was decreased significantly in transplant recipients 3 months after switching from calcineurin inhibitors to sirolimus therapy (mean percentage change -24.4%; 95% confidence interval -7.5, -41.2%, P=0.009), but no changes were observed in patients who remained on calcineurin inhibitors.

journal_name

Transplantation

journal_title

Transplantation

authors

Gee I,Trull AK,Charman SC,Alexander GJ

doi

10.1097/01.TP.0000093995.08240.49

subject

Has Abstract

pub_date

2003-12-27 00:00:00

pages

1766-8

issue

12

eissn

0041-1337

issn

1534-6080

journal_volume

76

pub_type

临床试验,杂志文章,随机对照试验
  • Pregnancy after donor nephrectomy.

    abstract::Potential female donors frequently ask whether unilateral nephrectomy will impair future childbearing capabilities. To address this question, we surveyed 220 women who underwent donor nephrectomy between 1985 and 1992. Of the 144 women who responded, 33 became pregnant after donation for a total of 45 pregnancies. Sev...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199612270-00044

    authors: Wrenshall LE,McHugh L,Felton P,Dunn DL,Matas AJ

    更新日期:1996-12-27 00:00:00

  • Use of donor beta 2-microglobulin-deficient transgenic mouse liver cells for isografts, allografts, and xenografts.

    abstract::Donor graft major histocompatibility complex class I antigens are targets for both allogeneic and xenogeneic rejection. Mice homozygous for beta 2-microglobulin gene disruption express reduced amounts of surface MHC class I antigens. Liver cells from such mutant mice were transplanted into isogeneic, allogeneic, and x...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199304000-00046

    authors: Li X,Faustman D

    更新日期:1993-04-01 00:00:00

  • Domino hepatic transplantation using the liver from a patient with familial amyloid polyneuropathy.

    abstract:BACKGROUND:In transplantation, novel methods are required to augment the supply of donor organs. We report the first domino liver transplant in which a patient with familial amyloid polyneuropathy (FAP) received an orthotopic split liver graft, and her explanted liver was donated to another patient. Three successful li...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199806150-00016

    authors: Stangou AJ,Heaton ND,Rela M,Pepys MB,Hawkins PN,Williams R

    更新日期:1998-06-15 00:00:00

  • Pancreatic islet transplantation: the radiographic approach.

    abstract:BACKGROUND:Successful pancreatic islet transplantation (PIT) has resulted in several transplant centers wanting to start PIT programs. PIT remains experimental and must be performed safely for its continued use. We describe the radiographic techniques used at our center and their results. METHODS:Between January 17, 2...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000073976.26604.96

    authors: Goss JA,Soltes G,Goodpastor SE,Barth M,Lam R,Brunicardi FC,Froud T,Alejandro R,Ricordi C

    更新日期:2003-07-15 00:00:00

  • Prevention of autoimmune diabetes by FTY720 in nonobese diabetic mice.

    abstract:BACKGROUND:FTY720 prevents allograft rejection with remarkable potency without inducing generalized immunosuppression. We determined the effect of FTY720 on development of autoimmune diabetes in nonobese diabetic (NOD) mice. METHODS:NOD mice were given FTY720 (0.5 mg/kg, orally) five times per week starting from 4 wee...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200212270-00006

    authors: Maki T,Gottschalk R,Monaco AP

    更新日期:2002-12-27 00:00:00

  • HLA matching and the United Network for Organ Sharing Allocation System: impact of HLA matching on African-American recipients of cadaveric kidney transplants.

    abstract:BACKGROUND:A recent proposal supports the elimination of allocation points for human leukocyte antigen (HLA) mismatches (MM) in cadaveric kidney transplantation. The intent is to increase access for some racial groups that might be disadvantaged by the representation of race-specific HLA in a largely white donor pool. ...

    journal_title:Transplantation

    pub_type: 评论,杂志文章

    doi:10.1097/00007890-200212150-00024

    authors: Rebellato LM,Arnold AN,Bozik KM,Haisch CE

    更新日期:2002-12-15 00:00:00

  • Effect of timing of administration and quantity of blood transfusion on cadaver renal transplant survival.

    abstract::Graft and patient survival rates were analyzed in 239 consecutive first cadaver renal transplants as a function of time of administration of blood transfusion and the number of units given. There was no statistically significant difference in patient survival in comparing patients who were never transfused, patients n...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198012000-00008

    authors: Corry RJ,West JC,Hunsicker LG,Schanbacher BA,Lachenbruch PA

    更新日期:1980-12-01 00:00:00

  • Failure of in vitro assays to predict accurately the existence of neonatally induced H-2 tolerance.

    abstract::Tolerogen-specific alloreactivity, in the form of mixed lymphocyte responses and cell mediated lympholysis, was measured in vitro using lymphocytes from mice that received neonatal inoculations of H-2 semiallogeneic hematopoietic cells. It was found that depletion of specific alloreactivity, as detected by these assay...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Streilein JW,Strome P,Wood PJ

    更新日期:1989-10-01 00:00:00

  • Attenuation of ischemic liver injury by augmentation of endogenous adenosine.

    abstract::Hepatic grafts from non-heartbeating donors may alleviate the organ shortage, but they inherently suffer from warm ischemia. In the present study, we tested our hypothesis that augmentation of endogenous adenosine by inhibition of nucleoside transport with R75231 attenuates ischemic liver injury. Adult female beagle d...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199701270-00007

    authors: Todo S,Zhu Y,Zhang S,Jin MB,Ishizaki N,Tanaka H,Subbotin V,Starzl TE

    更新日期:1997-01-27 00:00:00

  • Factors influencing the patterns of T lymphocyte allorecognition.

    abstract:BACKGROUND:Strong alloreactive T cell responses are a menace in transplantation surgery and their menagement requires understanding the basis of alloreactivity. Alloantigen recognition can be peptide independent, peptide specific, or peptide dependent. The mechanisms influencing each recognition pattern are largely unk...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200203150-00024

    authors: Nesić D,Marić M,Santori FR,Vukmanović S

    更新日期:2002-03-15 00:00:00

  • Ethnic disparity in clinical outcome after heart transplantation is abrogated using tacrolimus and mycophenolate mofetil-based immunosuppression.

    abstract:BACKGROUND:Black American heart transplant recipients receiving cyclosporine-based primary immunoprophylaxis suffer higher rates of allograft rejection with hemodynamic compromise, infections, and posttransplant coronary artery disease. We examined the hypothesis that a combination of tacrolimus and mycophenolate mofet...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-200212150-00014

    authors: Mehra MR,Uber PA,Scott RL,Park MH

    更新日期:2002-12-15 00:00:00

  • Kidney transplant patients with long-term graft survival have altered expression of molecules associated with T-cell activation.

    abstract:BACKGROUND:Patients with long-term functioning organ allografts may have developed different mechanisms that explain the lack of graft rejection. However, it is not known how these mechanisms interplay or whether one of them predominates in such situations. METHODS:The authors analyzed the expression of T-cell surface...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000140968.17770.c1

    authors: Alvarez CM,Paris SC,Arango L,Arbelaez M,Garcia LF,RAD B201 study group.

    更新日期:2004-11-27 00:00:00

  • Repeat Kidney Transplantation After Failed First Transplant in Childhood: Past Performance Informs Future Performance.

    abstract:BACKGROUND AND OBJECTIVES:Kidney transplant graft survival is almost uniformly superior for initial transplants compared to repeat transplants. We investigate the association between first second kidney transplant graft survival in patients who underwent initial transplant during their pediatric years whether age at se...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000686

    authors: Gupta M,Wood A,Mitra N,Furth SL,Abt PL,Levine MH

    更新日期:2015-08-01 00:00:00

  • MicroRNA-155 Deficiency in Kupffer Cells Ameliorates Liver Ischemia-Reperfusion Injury in Mice.

    abstract:BACKGROUND:MicroRNA-155 (miR-155) is known to be involved in autoimmune diseases, inflammation, and transplantation. However, its role in a warm hepatic ischemia-reperfusion (IR) model has not been fully elucidated. METHODS:Partial hepatic IR was performed in wild-type and miR-155-deficient mice treated with or withou...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001765

    authors: Li Y,Ma D,Wang Z,Yang J

    更新日期:2017-07-01 00:00:00

  • Altered threshold for the induction of graft-versus-host immunodeficiency following murine cytomegalovirus infection. Host and donor contributions.

    abstract::Acute murine cytomegalovirus (MCMV) infection enhances the ability of parental spleen cells to induce graft-vs.-host immunodeficiency (GVHID) in F1 hybrid mice when the two processes occur simultaneously in the recipient. The present study assessed GVHID as the ability of spleen cells to generate in vitro cytotoxic T ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198808000-00021

    authors: Via CS,Shanley JD,Weatherly BR,Lang P,Shearer GM

    更新日期:1988-08-01 00:00:00

  • Multicenter randomized trial comparing tacrolimus (FK506) and cyclosporine in the prevention of renal allograft rejection: a report of the European Tacrolimus Multicenter Renal Study Group.

    abstract:BACKGROUND:To confirm the results of a number of studies conducted in Europe, the United States, and Japan, this multicenter, randomized trial compared the 12-month efficacy and safety of tacrolimus- and cyclosporine-based immunosuppressive regimens in the prevention of renal allograft rejection. METHODS:A total of 44...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00007890-199708150-00012

    authors: Mayer AD,Dmitrewski J,Squifflet JP,Besse T,Grabensee B,Klein B,Eigler FW,Heemann U,Pichlmayr R,Behrend M,Vanrenterghem Y,Donck J,van Hooff J,Christiaans M,Morales JM,Andres A,Johnson RW,Short C,Buchholz B,Rehmert N

    更新日期:1997-08-15 00:00:00

  • Outcomes in diabetic patients after simultaneous pancreas-kidney versus kidney alone transplantation.

    abstract:BACKGROUND:Previous studies have identified more morbidity in simultaneous pancreas-kidney (SPK) transplant recipients compared with kidney alone (KA) recipients. With the development of novel immunosuppressive drugs, studies are needed to determine optimal treatment regimens in specific patient populations. METHODS:W...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-199711150-00010

    authors: Lee CM,Scandling JD,Krieger NR,Dafoe DC,Alfrey EJ

    更新日期:1997-11-15 00:00:00

  • CD4 lymphocytopenia as a risk factor for skin cancers in renal transplant recipients.

    abstract:BACKGROUND:Renal transplant recipients are at increased risk of developing skin cancer. It remains difficult to establish the actual influence of overimmunosuppression in the development of skin cancers. We investigated whether lymphocyte subset count may predict the risk of developing skin cancer in long-term renal tr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199805150-00022

    authors: Ducloux D,Carron PL,Rebibou JM,Aubin F,Fournier V,Bresson-Vautrin C,Blanc D,Humbert P,Chalopin JM

    更新日期:1998-05-15 00:00:00

  • Infection of human endothelium in vitro by cytomegalovirus causes enhanced expression of purinergic receptors: a potential virus escape mechanism?

    abstract:BACKGROUND:Human cytomegalovirus (CMV) uses different strategies to escape from human host defense reactions. Previously we have observed that infection of endothelial cells with CMV in vitro leads to enhanced activity of endothelial ectonucleotidases. These ectoenzymes are responsible for hydrolysis of extracellular a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000287598.25493.a5

    authors: Zandberg M,van Son WJ,Harmsen MC,Bakker WW

    更新日期:2007-11-27 00:00:00

  • Evidence for the erythrocyte as the principal antigenic cell type that triggers primary IgM antibody responses to H-2D alloantigens.

    abstract::Antigenic requirements for the induction of T cell-independent primary splenic IgM antibody responses (plaque-forming cell responses) to H-2Dd alloantigens were studied. Results show that some functional activity or structural property of the donor cells is required for immunogenicity, because antigens are not active ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198302000-00014

    authors: Nakashima I,Clark EA,Lake P,Kato N,Nagase F,Mizoguchi K,Isobe KI,Saito M

    更新日期:1983-02-01 00:00:00

  • Recovery of warm ischemic rat liver grafts by normothermic extracorporeal perfusion.

    abstract::Liver transplantation is currently the only established treatment of end-stage liver disease, but it is limited by a severe shortage of viable donor livers. Donors after cardiac death (DCD) are an untapped source that could significantly increase the pool of available livers. Preservation of these DCD livers by conven...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318192df6b

    authors: Tolboom H,Pouw RE,Izamis ML,Milwid JM,Sharma N,Soto-Gutierrez A,Nahmias Y,Uygun K,Berthiaume F,Yarmush ML

    更新日期:2009-01-27 00:00:00

  • Intact pancreatic islet function despite humoral xenorecognition in the pig-to-monkey combination.

    abstract:BACKGROUND:The aim of this study was to analyze humoral xenoreactivity of various Old World primate species sera against pig islets and the effects of these sera on pig islet viability and function after culture. METHODS:Freshly isolated or cultured adult pig islets were analyzed by immunohistology or by cytofluorimet...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199812150-00012

    authors: Mirenda V,Le Mauff B,Boeffard F,Cassard A,Jugeau N,Soulillou JP,Anegon I

    更新日期:1998-12-15 00:00:00

  • Everolimus interferes with healing of experimental intestinal anastomoses.

    abstract:BACKGROUND:Although clinical data suggest its existence, little is known about the effect of rapamycin derivatives on wound repair. This study aims to delineate the influence of the mammalian target of rapamycin inhibitor everolimus on wound healing in the rat intestine. METHODS:Four groups of 26 male Wistar rats rece...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000246078.09845.9c

    authors: van der Vliet JA,Willems MC,de Man BM,Lomme RM,Hendriks T

    更新日期:2006-12-15 00:00:00

  • Immunologic and nonimmunologic factors: different risks for cadaver and living donor transplantation.

    abstract:BACKGROUND:There is a debate about the relative contribution of immunologic (rejection) and nonimmunologic (limited nephron mass) factors in long-term graft survival. METHODS:Using multivariate analysis, we studied the association of the following variables with outcome: delayed graft function (DGF), acute rejection, ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200001150-00011

    authors: Matas AJ,Gillingham KJ,Humar A,Dunn DL,Sutherland DE,Najarian JS

    更新日期:2000-01-15 00:00:00

  • Absence of c4d deposition in human composite tissue (hands and face) allograft biopsies: an immunoperoxidase study.

    abstract::Deposition of the C4d complement degradation product has been shown to be a marker of antibody-mediated rejection of solid organ allografts, including kidney, heart, liver, and lung. We investigated whether C4d deposition also would be useful in monitoring rejection in human composite tissue allografts. A total of 60 ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000266899.93315.52

    authors: Kanitakis J,McGregor B,Badet L,Petruzzo P,Morelon E,Devauchelle B,Dubernard JM

    更新日期:2007-07-27 00:00:00

  • Results of conversion from cyclosporine to azathioprine in cadaveric renal transplantation.

    abstract::Between December 1983 and August 1985, 110 cadaver transplants were performed at our institution. All were started on cyclosporine (CsA) and prednisone (P) for immunosuppressive therapy. Of the 110 patients, 46 were converted from CsA to azathioprine (AZA) for a variety of reasons (cost, toxicity, patient preference, ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198702000-00012

    authors: Gonwa TA,Nghiem DD,Schulak JA,Corry RJ

    更新日期:1987-02-01 00:00:00

  • Genetic polymorphisms of the transcription factor NFATc4 and development of new-onset diabetes after transplantation in Hispanic kidney transplant recipients.

    abstract::Transcription factors of the nuclear factor of activated T cells (NFAT) family regulate both immune activation and insulin production. Calcineurin inhibitors (CNIs) target NFAT activation. Hence, CNIs not only prevent organ transplant rejection but also contribute to the development of new-onset diabetes after transpl...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31823f7f26

    authors: Chen Y,Sampaio MS,Yang JW,Min D,Hutchinson IV

    更新日期:2012-02-15 00:00:00

  • Cardiac allograft vasculopathy: central role of endothelial injury leading to transplant "atheroma".

    abstract::Endothelial injury plays a central role in the pathophysiologic mechanisms underlying cardiac allograft vasculopathy (CAV). Although the accelerated course of CAV and its localization to the allograft support an important role for the alloimmune response, there is considerable evidence implicating lipoprotein abnormal...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.TP.0000080981.90718.EB

    authors: Valantine HA

    更新日期:2003-09-27 00:00:00

  • The risks, benefits, and costs of expanding donor criteria. A collaborative prospective three-year study.

    abstract::The study purpose was to identify risks, benefits and costs associated with an expanded donor protocol. The protocol design evaluated organs rescued using expanded donor criteria and weighed all costs associated with doing so. Costs were measured against conditions experienced with expanded and traditional criteria an...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199560120-00021

    authors: Jacobbi LM,McBride VA,Etheredge EE,McDonald JC,Cooper ES,Frey D,Boudreaux JP,Gonzalez F,Van Meter C,McMillan R

    更新日期:1995-12-27 00:00:00

  • An analysis of late deaths after liver transplantation.

    abstract::Late deaths (after more than 1 year) after liver transplantation were analyzed in a series of 464 consecutive patients who received liver grafts between 1982 and 1993. Recipients who survived the first posttransplant year (n = 365) had actuarial 5- and 10-year survival rates of 92% and 84%, respectively. Thirty-five p...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199605150-00016

    authors: Asfar S,Metrakos P,Fryer J,Verran D,Ghent C,Grant D,Bloch M,Burns P,Wall W

    更新日期:1996-05-15 00:00:00