Increasing hematocrit reduces early posttransplant cardiovascular risk in diabetic transplant recipients.

Abstract:

BACKGROUND:Cardiovascular disease remains epidemic in transplant recipients, despite aggressive treatment of cardiovascular risk factors. Thus, novel risk factors could play a role in the genesis of cardiovascular events in this population. METHODS:We evaluated the impact of early posttransplant anemia on cardiovascular events. We examined rolling average hematocrit values at 30-day intervals and determined the effect of increasing hematocrit on the risk for cardiovascular (CV) events in a single-center population of 404 type 1 diabetic end-stage renal disease patients who underwent either cadaveric kidney transplantation alone or simultaneous pancreas-kidney transplantation. RESULTS:Greater than 60% of the individuals in the study cohort had hematocrit less than or equal to 30% at least once during the first 30 days posttransplant. Forty-two individuals (10.4% of the study population) had at least one 30-day rolling hematocrit less than or equal to 30% and a CV event (myocardial infarction, CV death, angina, congestive heart failure) during the first 26 weeks of the posttransplant course. Increasing hematocrit (>30%) led to a reduction in the risk ratio (RR) for a CV event compared with hematocrit less than or equal to 30% (RR, 0.237; P=0.015). The association between anemia and CV events remained statistically significant in a multivariate analysis (RR, 0.65; P=0.022) that also included age and a history of pretransplant ischemic heart disease. CONCLUSIONS:These data suggest that anemia is an important risk factor for early posttransplant CV events in a high-risk population. Prospective studies of anemia management therapy in this setting are warranted to determine whether this will reduce early posttransplant CV risk.

journal_name

Transplantation

journal_title

Transplantation

authors

Djamali A,Becker YT,Simmons WD,Johnson CA,Premasathian N,Becker BN

doi

10.1097/01.TP.0000084872.26360.C5

subject

Has Abstract

pub_date

2003-09-15 00:00:00

pages

816-20

issue

5

eissn

0041-1337

issn

1534-6080

journal_volume

76

pub_type

杂志文章
  • Growth factor-induced mobilization of dendritic cells in kidney and liver of rhesus macaques: implications for transplantation.

    abstract::Hematopoietic growth factors (HGF) mobilize potential tolerogenic cells in transplant donors. Fms-like tyrosine kinase 3 ligand (Flt3L) mobilizes stem cells and dendritic cells (DCs) in human and nonhuman primate blood. Blood and renal and liver biopsies were obtained from untreated and Flt3L-mobilized rhesus macaques...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000255320.00061.e9

    authors: Morelli AE,Coates PT,Shufesky WJ,Barratt-Boyes SM,Fung JJ,Demetris AJ,Thomson AW

    更新日期:2007-03-15 00:00:00

  • Inhibition of the pig to human xenograft reaction, using soluble Gal alpha 1-3Gal and Gal alpha 1-3Gal beta 1-4GlcNAc.

    abstract::Natural anti-carbohydrate antibodies are central to hyperacute rejection in ABO-incompatible allotransplantation and in discordant xenotransplantation. ABO-incompatible rejection has been inhibited successfully using intravenous soluble carbohydrates as antibody inhibitors. The approach has been less successful previo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Cairns T,Lee J,Goldberg L,Cook T,Simpson P,Spackman D,Palmer A,Taube D

    更新日期:1995-12-15 00:00:00

  • Lung transplantation after allogeneic marrow transplantation in pediatric patients: the Memorial Sloan-Kettering experience.

    abstract:BACKGROUND:Chronic lung disease and pulmonary failure are complications that can occur after bone marrow transplantation (BMT) and are associated with severe morbidity and mortality. METHODS:We report on four patients who developed chronic, progressive, and irreversible lung disease 1 to 3 years after allogeneic BMT i...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200112270-00020

    authors: Heath JA,Kurland G,Spray TL,Kernan NA,Small TN,Brochstein JA,Gillio AP,Boklan J,O'Reilly RJ,Boulad F

    更新日期:2001-12-27 00:00:00

  • Reduction of fatal graft-versus-host disease by 3H-thymidine suicide of donor cells cultured with host cells.

    abstract::The effect of the tritiated thymidine (3H-TdR) suicide technique on the ability of donor cells to induce fatal graft-versus-host disease (GVHD) was studied. C57BL/6 (H-2b) spleen cells were stimulated in vitro with irradiated BALB/c (H-2d) Moloney lymphoma cells in mixed culture and 3H-TdR of high-specific activity ad...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197704000-00001

    authors: Cheever MA,Einstein AB Jr,Kempf RA,Fefer A

    更新日期:1977-04-01 00:00:00

  • Financial Feasibility Analysis of a Culturally and Linguistically Competent Hispanic Kidney Transplant Program.

    abstract:BACKGROUND:In 2006, Northwestern Medicine implemented a culturally targeted and linguistically congruent Hispanic Kidney Transplant Program (HKTP). The HKTP has been associated with a reduction in Hispanic/Latino disparities in live donor kidney transplantation. This paper assessed the financial feasibility of implemen...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003269

    authors: Wang A,Caicedo JC,McNatt G,Abecassis M,Gordon EJ

    更新日期:2020-04-09 00:00:00

  • Induction of transplantation tolerance in rats by spleen allografts. II. Evidence that W3/25+ T suppressor/inducer and OX8+ T suppressor/effector cells are required to mediate specific unresponsiveness.

    abstract::The results presented in this report demonstrate that T cells, isolated from AGUS rats bearing long-term (WAG X AGUS)F1 spleen allografts adoptively transferred to irradiated AGUS recipients could not mediate the rejection of WAG hearts but rejected PVG. A hearts in acute fashion. Further, unresponsive T cells were ab...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198709000-00024

    authors: Stepkowski SM,Bitter-Suermann H,Duncan WR

    更新日期:1987-09-01 00:00:00

  • Evidence that cyclosporine prevents rejection and recurrent diabetes in pancreatic transplants in the BB rat.

    abstract::Cyclosporine prevents the development of diabetes in spontaneously diabetic BB rats and NOD mice. However, islet transplants have been shown to be subject to immunologic destruction in hosts treated with CsA and anti-CD4 antibody or those rendered tolerant to donor antigens. This study determines whether the minimum d...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199005000-00001

    authors: Dugoni WE Jr,Bartlett ST

    更新日期:1990-05-01 00:00:00

  • Detection of Complement-binding Donor-specific Antibodies, Not IgG-antibody Strength Nor C4d Status, at Antibody-mediated Rejection Diagnosis Is an Independent Predictor of Kidney Graft Failure.

    abstract:BACKGROUND:Antibody-mediated rejection (AMR) remains associated with reduced kidney graft survival and no clear prognostic marker is available. METHODS:We investigated whether donor-specific antibodies (DSA) ability to bind C1q in comparison with AMR C4d status, both indirect signs of complement activation, improve ri...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002265

    authors: Malheiro J,Santos S,Tafulo S,Dias L,Martins S,Fonseca I,Almeida M,Pedroso S,Beirão I,Castro-Henriques A,Cabrita A

    更新日期:2018-11-01 00:00:00

  • 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 ...

    journal_title:Transplantation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/TP.0b013e31818bfce8

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

    更新日期:2009-01-15 00:00:00

  • Cell transplantation of genetically altered cells on biodegradable polymer scaffolds in syngeneic rats.

    abstract::Many severe metabolic deficiencies in children are caused by a single gene defect with a resultant single gene product deficiency. These diseases may be amenable to permanent cure using new techniques of gene transfer and cell transplantation. In many in vivo models of retroviral mediated gene therapy, a significant l...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199308000-00033

    authors: Gilbert JC,Takada T,Stein JE,Langer R,Vacanti JP

    更新日期:1993-08-01 00:00:00

  • Guillain-Barre syndrome in organ and bone marrow transplant patients.

    abstract:BACKGROUND:Guillain-Barre Syndrome (GBS) is believed to be caused by autoimmune mechanisms that are predominantly T-cell mediated. We report GBS in organ transplant patients and bone marrow transplant patients, both of whom have iatrogenically suppressed T-cell function. METHODS:We reviewed the Duke University Medical...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200104270-00026

    authors: Bulsara KR,Baron PW,Tuttle-Newhall JE,Clavien PA,Morgenlander J

    更新日期:2001-04-27 00:00:00

  • Functional abnormalities of sinusoidal endothelial cells in rats with acute liver rejection.

    abstract::The purpose of this study was to determine the changes of hepatic sinusoidal endothelial cell (SEC) function in acute liver rejection with respect to receptor-mediated endocytosis. Orthotopic rat liver transplantation was performed in Lewis rats grafted with DA livers and in Lewis rats grafted with Lewis livers as rej...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199401000-00006

    authors: Yokoi Y,Nakamura S,Muro H,Baba S

    更新日期:1994-01-01 00:00:00

  • C1q-fixing human leukocyte antigen antibodies are specific for predicting transplant glomerulopathy and late graft failure after kidney transplantation.

    abstract:BACKGROUND:Human leukocyte antigen (HLA) antibodies, especially those that fix complement, are associated with antibody-mediated rejection and graft failure. The C1q assay on single antigen beads detects a subset of HLA antibodies that can fix complement and precede C4d deposition. The aim of this study was to determin...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318203fd26

    authors: Yabu JM,Higgins JP,Chen G,Sequeira F,Busque S,Tyan DB

    更新日期:2011-02-15 00:00:00

  • Clinical relevance of pretransplant donor-specific HLA antibodies detected by single-antigen flow-beads.

    abstract:BACKGROUND:Defining the clinical relevance of donor-specific HLA-antibodies detected by single-antigen flow-beads (SAFB) is important because these assays are increasingly used for pretransplant risk assessment and organ allocation. The aims of this study were to investigate to which extent HLA-DSA detected by SAFB rep...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181a5e034

    authors: Amico P,Hönger G,Mayr M,Steiger J,Hopfer H,Schaub S

    更新日期:2009-06-15 00:00:00

  • Immunological Determinants of Liver Transplant Outcomes Uncovered by the Rat Model.

    abstract::For many individuals suffering from end-stage liver disease (ESLD), the only treatment option is liver transplantation. However, liver transplant rejection is observed in 24-80% of transplant patients and lifelong drug regimens that follow the transplant procedure lead to serious side effects. Furthermore, the pool of...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003598

    authors: Wang X,MacParland SA,Perciani CT

    更新日期:2021-01-06 00:00:00

  • Genetic determinants of delayed graft function after kidney transplantation.

    abstract:BACKGROUND:Intracellular concentration of reactive oxygen species is held within tight physiological limits by enzymes with scavenging and repair functions. Under extreme conditions such as prolonged cold ischemia, these enzymes may be unable to adequately protect the organ, resulting in reperfusion injury that renders...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200209270-00013

    authors: St Peter SD,Imber CJ,Jones DC,Fuggle SV,Watson CJ,Friend PJ,Marshall SE

    更新日期:2002-09-27 00:00:00

  • Effects of high-dose intravenous methylprednisolone on circulation in humans.

    abstract::We describe four patients who suffered asystole, myocardial infarction (in two cases) and supraventricular tachycardia at the time of high-dose methylprednisolone infusion. One patient died during infusion. We measured the effects of methylprednisolone and placebo infusion on heart rate, blood pressure, and cardiac ou...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-198304000-00017

    authors: Smith RS,Warren DJ

    更新日期:1983-04-01 00:00:00

  • In vivo immunoadsorption of antipig antibodies in baboons using a specific Gal(alpha)1-3Gal column.

    abstract::The major role of anti-alphaGal antibodies in the hyperacute rejection of pig organs by humans and baboons has been clearly demonstrated. Spacered alpha-galactose disaccharide (Gal(alpha1)-3Gal) hapten was produced by chemical synthesis and covalently attached to a flexible, hydrophilic polymer (PAA), which in turn wa...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199611270-00001

    authors: Taniguchi S,Neethling FA,Korchagina EY,Bovin N,Ye Y,Kobayashi T,Niekrasz M,Li S,Koren E,Oriol R,Cooper DK

    更新日期:1996-11-27 00:00:00

  • Induction of donor-specific T-cell hyporesponsiveness using dexamethasone-treated dendritic cells in two fully mismatched rat kidney transplantation models.

    abstract:BACKGROUND:Dendritic cells (DC) can exert powerful immune stimulatory as well as regulatory functions and are therefore important tools for therapeutic strategies. Dexamethasone (Dex) was previously shown to inhibit DC maturation and to induce regulatory properties both in vitro and in vivo. Here, we investigated the i...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31818a6682

    authors: Stax AM,Gelderman KA,Schlagwein N,Essers MC,Kamerling SW,Woltman AM,van Kooten C

    更新日期:2008-11-15 00:00:00

  • Reconstitution of cytotoxic T lymphocyte activity following allogeneic bone marrow transplantation in man.

    abstract::Longitudinal studies over an eight-month period have been performed to follow the T killer response restoration after allogeneic bone marrow transplantation (BMT). The capacity of the patient's peripheral blood mononuclear cells (PBM) to develop cytotoxic effector cells directed either against allogeneic cells or agai...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198708000-00024

    authors: Tilkin AF,Bagot M,Dreyfus F,Kayibanda M,Cordonnier C,Vernant JP,Levy JP

    更新日期:1987-08-01 00:00:00

  • Evidence for the involvement of host-derived OKT8-positive T cells in the rejection of T-depleted, HLA-identical bone marrow grafts.

    abstract::The recent introduction of a variety of techniques for removing T cells from bone marrow grafts has reduced the incidence of graft-versus-host disease (GVHD)-associated morbidity and mortality. Whether this advance will be translated into improved patient survival is unclear at present, mainly because these procedures...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198704000-00009

    authors: Bunjes D,Heit W,Arnold R,Schmeiser T,Wiesneth M,Carbonell F,Porzsolt F,Raghavachar A,Heimpel H

    更新日期:1987-04-01 00:00:00

  • Efficacy of caspofungin addition to trimethoprim-sulfamethoxazole treatment for severe pneumocystis pneumonia in solid organ transplant recipients.

    abstract:BACKGROUND:Pneumocystis jiroveci pneumonia may be a life-threatening opportunistic infection in immunosuppressed solid organ transplant recipients. Despite effective treatment with high-dose trimethoprim-sulfamethoxazole and steroids, morbidity is often severe and lethality remains high. New therapeutic approaches are ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000280546.91617.6c

    authors: Utili R,Durante-Mangoni E,Basilico C,Mattei A,Ragone E,Grossi P

    更新日期:2007-09-27 00:00:00

  • Minimal blood loss living donor hepatectomy.

    abstract:BACKGROUND:Donor hepatectomy with maximal safety while preserving graft viability is of principal concern in living donor liver transplantation. There are compelling reasons for avoiding blood transfusion, even with autologous blood, to avoid the potential risks it imposes on healthy donors. This study aims to describe...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200006270-00018

    authors: Chen CL,Chen YS,de Villa VH,Wang CC,Lin CL,Goto S,Wang SH,Cheng YF,Huang TL,Jawan B,Cheung HK

    更新日期:2000-06-27 00:00:00

  • Reinnervation of syngeneic pancreatico-duodenal grafts in rats.

    abstract:BACKGROUND:Knowledge on the reinnervation of transplanted organs is scarce, and the aim of the study was therefore to evaluate to what degree syngeneic pancreas grafts were reinnervated in rats. METHODS:Syngeneic pancreatico-duodenal transplantations were performed in normoglycemic Wistar-Furth rats. Native and transp...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200101150-00002

    authors: Korsgren O,Jansson L,Ekblad E,Sundler F

    更新日期:2001-01-15 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

  • Tuberculosis in lung transplant recipients.

    abstract:BACKGROUND:Post-lung transplant infection is one of the leading causes of morbidity and mortality. The cause and incidence are similar in many series; however, infections such as Mycobacterium tuberculosis are influenced by the epidemiologic situation. The authors present a prospective and observational study to define...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000147784.53188.dc

    authors: Bravo C,Roldán J,Roman A,Degracia J,Majo J,Guerra J,Monforte V,Vidal R,Morell F

    更新日期:2005-01-15 00:00:00

  • Lack of GVHD across classical, single minor histocompatibiliTy (miH) locus barriers in mice.

    abstract::To determine whether a disparity at a single miH genetic loci are sufficient to generate GVHD in mice, we focused on well-known genetic alleleic differences at the miH gene loci, H3 and H4. For H3 congenic GVHD studies, C57BL/10 (H2b) mice were used as recipients of miH-disparate B10.LP-H3b donor cells. For H4 congeni...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199602270-00017

    authors: Blazar BR,Roopenian DC,Taylor PA,Christianson GJ,Panoskaltsis-Mortari A,Vallera DA

    更新日期:1996-02-27 00:00:00

  • Bone marrow transplantation with T-cell-depleted grafts. I. Reconstitution of immunohemopoietic functions in lethally irradiated mice transplanted with unseparated or T-cell-depleted syngeneic bone marrow grafts.

    abstract::The potential role of donor's mature T lymphocytes on the recovery of various immunological functions and hematopoiesis was investigated in lethally irradiated BALB/c mice by studying reconstitution with normal, as compared with T-cell-depleted, syngeneic marrow grafts. Recovery of total, as well as mononuclear, perip...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Shalit M,Ayalon M,Weiss L,Leshem B,Kedar E,Slavin S

    更新日期:1986-08-01 00:00:00

  • Transplantation of pediatric en bloc cadaver kidneys into adult recipients.

    abstract:BACKGROUND:To maximize the renal donor pool, cadaveric pediatric en bloc kidneys have been transplanted as a dual unit by some transplant centers. We compared the short- and long-term outcomes of adult recipients of cadaveric pediatric en bloc renal transplants versus those of matched recipients of cadaveric adult kidn...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199812270-00020

    authors: Hobart MG,Modlin CS,Kapoor A,Boparai N,Mastroianni B,Papajcik D,Flechner SM,Goldfarb DA,Fischer R,O'Malley KJ,Novick AC

    更新日期:1998-12-27 00:00:00

  • Pretransplant IgG subclasses of donor-specific human leukocyte antigen antibodies and development of antibody-mediated rejection.

    abstract:BACKGROUND:The subclass of IgG antibodies contributes to their capability to activate complement. It is currently unknown whether the pretransplant IgG subclass composition allows distinguishing harmful from presumably irrelevant donor-specific human leukocyte antigen (HLA) antibodies (HLA-DSA) detected by single-antig...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31821cdf0d

    authors: Hönger G,Hopfer H,Arnold ML,Spriewald BM,Schaub S,Amico P

    更新日期:2011-07-15 00:00:00