Plasminogen activator inhibitor-1 polymorphism is associated with progressive renal dysfunction after acute rejection in renal transplant recipients.

Abstract:

BACKGROUND:Plasma level of plasminogen activator inhibitor (PAI)-1 is genetically determined by a polymorphism in the promoter region, involving two alleles, 4G and 5G. Plasma PAI-1 concentrations are higher in subjects homozygous for the 4G allele than other genotypes (5G/5G and 4G/5G). Such genetic variation in fibrinolytic system may affect the long-term renal transplant outcome. METHODS:We determined PAI-1 4G/5G-promoter genotype polymorphism among our renal transplant recipients between 1985 and 2001. Primary event was defined as doubling of baseline serum-creatinine level. RESULTS:Over a median period of 79 months, 130 patients with 132 kidney grafts were assessed. Baseline clinical variables were comparable among three genotype groups. There was no association between primary event and PAI-1 genotype among the entire cohort. However, among subjects with prior acute rejection episodes, those homozygous for 4G had significantly higher risk of serum creatinine doubling than the other two genotypes (relative risk 2.45, 95% confidence interval 1.19-5.04). PAI-1 genotype does not predict primary events in patients without rejection (relative risk 0.57, 95% confidence interval 0.07-4.17). CONCLUSIONS:PAI-1 4G/5G-promoter polymorphism modulates the risk of renal transplant outcomes after acute rejection(s). Recipients homozygous for PAI-1 4G allele have a higher risk of progressive renal damage after acute rejection episode(s). PAI-1 promoter polymorphisms are potentially important determinants of renal response to rejection.

journal_name

Transplantation

journal_title

Transplantation

authors

Chow KM,Szeto CC,Szeto CY,Poon P,Lai FM,Li PK

doi

10.1097/00007890-200212270-00026

subject

Has Abstract

pub_date

2002-12-27 00:00:00

pages

1791-4

issue

12

eissn

0041-1337

issn

1534-6080

journal_volume

74

pub_type

杂志文章
  • Hepatitis C virus and nonliver solid organ transplantation.

    abstract::: Hepatitis C virus (HCV) infection is common in solid organ allograft recipients and is a significant cause of morbidity and mortality after transplantation, so effective management will improve outcomes. In this review, we discuss the extent of the problem associated with HCV infection in donors and kidney, heart, a...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0b013e318273fec4

    authors: Carbone M,Mutimer D,Neuberger J

    更新日期:2013-03-27 00:00:00

  • Correction of decreased guanylate cyclase activity in diabetic rats by pancreatic islet transplantation.

    abstract::We have previously demonstrated that streptozotocin-induced diabetic rats have decreased guanylate cyclase (EC 4.6.1.2) activity in liver and other tissues which was returned to normal by the administration of exogenous insulin. Since successful pancreatic islet transplants have been shown to lower basal hepatic gluco...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Vesely DL,Selawry H,Levey GS

    更新日期:1979-06-01 00:00:00

  • Molecular Imaging of Acute Cardiac Transplant Rejection: Animal Experiments and Prospects.

    abstract::Acute rejection (AR) remains the biggest challenge during the first year after heart transplantation despite advances in immunosuppressive therapy. The early detection and curbing of AR are crucial to the survival of transplant recipients. However, as the criterion standard for AR, endomyocardial biopsy has several li...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000001780

    authors: Chen Y,Zhang L,Liu J,Zhang P,Chen X,Xie M

    更新日期:2017-09-01 00:00:00

  • Time-dependent impairment of mitochondrial function after storage and transplantation of rabbit kidneys.

    abstract:BACKGROUND:The mitochondrial respiratory chain is implicated as a major target of kidney damage after ischemia-reperfusion. This study measures changes in integrated mitochondrial function and in the activity of enzymes of the respiratory chain after cold storage and transplantation-reperfusion in vivo. METHODS:Mitoch...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200004150-00011

    authors: Sammut IA,Burton K,Balogun E,Sarathchandra P,Brooks KJ,Bates TE,Green CJ

    更新日期:2000-04-15 00:00:00

  • Clinical presentation of hepatic artery thrombosis after liver transplantation in the cyclosporine era.

    abstract::Hepatic artery thrombosis is a dreadful complication of orthotopic liver transplantation. It should be suspected in cases of fulminant liver failure, delayed bile leak, or intermittent sepsis of unknown cause after liver transplantation. Accurate diagnosis is assisted by ultrasound and computerized tomography scans, b...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198512000-00019

    authors: Tzakis AG,Gordon RD,Shaw BW Jr,Iwatsuki S,Starzl TE

    更新日期:1985-12-01 00:00:00

  • Induction of specific allograft immunity by soluble class I MHC heavy chain protein produced in a baculovirus expression system.

    abstract::Spodoptera frugiperda (Sf9) insect cells secreted a class I MHC RT1.Aa heavy chain protein when infected with baculovirus that bore a construct that contained a honeybee melittin secretion (ms) signal attached to RT1.Aa cDNA. The RT1.Aa heavy chain protein in the culture supernatant and cell lysate immunoprecipitated ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199602150-00024

    authors: Wang M,Stepkowski SM,Wang ME,Tian L,Qu X,Tu Y,He G,Kahan BD

    更新日期:1996-02-15 00:00:00

  • H-2 complex and Ia antigens on cells dissociated from mouse thyroid glands and islets of Langerhans.

    abstract::Mouse thyroid tissue was dissociated with collagenase, fixed in periodate-lysine-paraformaldehyde (PLP), and further dissociated with EDTA and trypsin to yield cell suspensions containing mainly follicle epithelial cells and vascular endothelial cells. H-2 complex antigens were detected on the vascular endothelial cel...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198008000-00013

    authors: Parr EL,Lafferty KJ,Bowen KM,McKenzie IF

    更新日期:1980-08-01 00:00:00

  • Significant reduction of acute cardiac allograft rejection by selective janus kinase-1/3 inhibition using R507 and R545.

    abstract:BACKGROUND:Selective inhibition of lymphocyte activation through abrogation of signal 3-cytokine transduction emerges as a new strategy for immunosuppression. This is the first report on the novel Janus kinase (JAK)1/3 inhibitors R507 and R545 for prevention of acute allograft rejection. METHODS:Pharmacokinetic and in...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182660496

    authors: Deuse T,Hua X,Taylor V,Stubbendorff M,Baluom M,Chen Y,Park G,Velden J,Streichert T,Reichenspurner H,Robbins RC,Schrepfer S

    更新日期:2012-10-15 00:00:00

  • Section 2. Small-for-size liver graft and hepatocellular carcinoma recurrence.

    abstract::Liver transplantation (LT) is the most effective treatment for small and unresectable hepatocellular carcinomas (HCCs). With scarcity of deceased donor livers, living donor LT (LDLT) is the alternative to deceased donor LT (DDLT). Animal studies have suggested that regeneration of the partial liver graft encourages HC...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.tp.0000446266.42019.28

    authors: Chan SC

    更新日期:2014-04-27 00:00:00

  • FK506 treatment in combination with leflunomide in hamster-to-rat heart and liver xenograft transplantation.

    abstract:BACKGROUND:In the experiment described here, we investigated the effects of the immunosuppressants FK506 and leflunomide (Lef) on the survival of hamster hearts and liver xenografts in Lewis rats. METHODS:Lewis rats were used as recipients of hamster heart or liver grafts using different regimens of FK506 and Lef. Don...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199810150-00004

    authors: Sankary HN,Yin DP,Chong AS,Ma LL,Blinder L,Shen JK,Foster P,Williams JW

    更新日期:1998-10-15 00:00:00

  • Reasons for long-term use of steroid in primary adult liver transplantation under tacrolimus.

    abstract:BACKGROUND:Tacrolimus is a potent immunosuppressive agent that provides higher freedom from acute and chronic rejection than cyclosporine after liver transplantation (LTx). Initially, a steroid-free state was observed in about 70% of patients at 1 year; this did not change over the next 5 years. The present study ident...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200104270-00016

    authors: Jain A,Kashyap R,Marsh W,Rohal S,Khanna A,Fung JJ

    更新日期:2001-04-27 00:00:00

  • Sirolimus (rapamycin)-based therapy in human renal transplantation: similar efficacy and different toxicity compared with cyclosporine. Sirolimus European Renal Transplant Study Group.

    abstract:BACKGROUND:Sirolimus (rapamycin) is a potent immunosuppressant with a mechanism of action different from cyclosporine (CsA) or tacrolimus. METHODS:In 11 European centers, first cadaveric renal allograft recipients were randomized to CsA (n=42) or sirolimus (n=41). Dosing of these agents was concentration-controlled an...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-199904150-00017

    authors: Groth CG,Bäckman L,Morales JM,Calne R,Kreis H,Lang P,Touraine JL,Claesson K,Campistol JM,Durand D,Wramner L,Brattström C,Charpentier B

    更新日期:1999-04-15 00:00:00

  • Relationship between ABO blood group and levels of Gal alpha,3Galactose-reactive human immunoglobulin G.

    abstract:BACKGROUND:The terminal Gal alpha1,3Galactose (alphaGal) determinant is present on all porcine glycoproteins and glycolipids, but is not expressed by human cells. Consequently human sera contain anti-alphaGal natural antibodies. The human blood group B antigen [Gal alpha1,3(Fuc1,2)Galactose] is differentiated from the ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199708150-00032

    authors: McMorrow IM,Comrack CA,Nazarey PP,Sachs DH,DerSimonian H

    更新日期:1997-08-15 00:00:00

  • Late-onset hemorrhagic cystitis associated with urinary excretion of polyomaviruses after bone marrow transplantation.

    abstract::Hemorrhagic cystitis is a well known complication of allogeneic bone marrow transplantation (BMT) and is normally attributed to the use of high-dose cyclophosphamide in the preparative regimen. Hemorrhagic cystitis occurring late after BMT is unlikely to be due to the effects of this conditioning, and probably has an ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198701000-00024

    authors: Apperley JF,Rice SJ,Bishop JA,Chia YC,Krausz T,Gardner SD,Goldman JM

    更新日期:1987-01-01 00:00:00

  • Effect of antithymocyte globulin on histocompatibility antigen recognition in man.

    abstract::Nonmajor histocompatibility complex (non-MHC) antigens are important targets of graft rejection and graft-versus-host disease in clinical transplantation. Little is known regarding immunity to non-MHC antigens. To study this problem we evaluated the effect of antihuman thymocyte globulin (ATG) on reactivity in autolog...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198102000-00001

    authors: Harada M,Gale RP

    更新日期:1981-02-01 00:00:00

  • Intact pig pancreatic islet function in the presence of human xenoreactive natural antibody binding and complement activation.

    abstract:BACKGROUND:The expression of xenogeneic epitopes and the activation of human complement by adult pig islets after prolonged culture have hitherto not been described. MATERIALS AND METHODS:Freshly isolated and cultured islets were analyzed by fluorescence-activated cell sorter analysis, fluorescence microscopy, and imm...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199705270-00015

    authors: Mirenda V,Le Mauff B,Cassard A,Huvelin JM,Boeffard F,Faivre A,Soulillou JP,Anegon I

    更新日期:1997-05-27 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

  • Faster immunological recovery after bone marrow transplantation in patients without cytomegalovirus infection.

    abstract::The following findings were noted among 45 bone marrow transplant recipients. The patients without cytomegalovirus (CMV) infection or chronic graft-versus-host disease (GVHD) showed normal lymphocyte stimulation in vitro by concanavalin A (Con A) more than 3 months after transplantation, and normal stimulation by phyt...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198504000-00008

    authors: Paulin T,Ringdén O,Lönnqvist B

    更新日期:1985-04-01 00:00:00

  • Variable allograft responses to pretreatment with donor splenocytes treated with mitomycin C in the rat.

    abstract::In an attempt to investigate the nonspecificity of the effect of administration of donor splenocytes treated with mitomycin C (MMC) 7 days before transplantation in inducing immunological unresponsiveness, the survival rates of liver, heart, small bowel, and skin allografts were compared in the RT1-incompatible ACI(RT...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198902000-00036

    authors: Yamaguchi Y,Harland R,Wyble C,Mori K,Bollinger RR

    更新日期:1989-02-01 00:00:00

  • Increased interleukin-10 production without expansion of CD4+CD25+ T-regulatory cells in early stable renal transplant patients on calcineurin inhibitors.

    abstract:BACKGROUND:Increasing long-term allograft survival is the main challenge in organ transplantation, and allograft loss due to chronic rejection has been found to correlate with episodes of early acute rejection. It is important to understand the mechanisms that maintain the donor-specific hyporesponsive state. This stud...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/TP.0b013e3181af20fd

    authors: Mittal SK,Sharma RK,Gupta A,Naik S

    更新日期:2009-08-15 00:00:00

  • Novel Therapeutic Approaches to Allosensitization and Antibody-mediated Rejection.

    abstract::Modification of pathogenic antibodies for autoimmune diseases illuminated the biologic relevance of B cells, plasma cells, and pathogenic antibodies in autoimmunity. They have also rejuvenated interest in how B cells mediate multiple effector functions that include antibody production, antigen presentation to T cells,...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000002462

    authors: Jordan SC,Ammerman N,Choi J,Huang E,Peng A,Sethi S,Najjar R,Toyoda M,Lim K,Louie S,Vo A

    更新日期:2019-02-01 00:00:00

  • Successful renal transplantation after endovascular bifurcated stent graft repair of an abdominal aortic aneurysm.

    abstract::Renal transplantation after repair of aortoiliac aneurysms with traditional prosthetic vascular grafts has been shown to be effective. Vascular surgery continues to rapidly evolve, most notably with the advancement of endovascular repair of abdominal aortic aneurysms. Controlled trials continue to support the trend to...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200108150-00031

    authors: George P,Tan HP,Beebe H,Ratner LE

    更新日期:2001-08-15 00:00:00

  • The Ethics of Penile Transplantation: Preliminary Recommendations.

    abstract:BACKGROUND:For men with significant genitourinary injury, penile transplantation is being considered as an option when reconstruction is not feasible or proves unacceptable to the injured patient. METHODS:A review of the literature was conducted to assess the current state of penile reconstruction and transplantation ...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000001352

    authors: Caplan AL,Kimberly LL,Parent B,Sosin M,Rodriguez ED

    更新日期:2017-06-01 00:00:00

  • Detection of Ia alloantigens on phytohemagglutinin-stimulated T blast cells.

    abstract::The expression of Ia antigens on leukoagglutinin-induced blast cells was studied using a sensitive protein A-rosetting technique and quantitative absorption with conventional and monoclonal Ia antibodies. By direct testing, 40 to 60% of CBA (Iak) blast cells were shown to be Ia+ (Iak+, Ia.17+, and Ias-), expressing bo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198105010-00005

    authors: Michaelides M,McKenzie IF

    更新日期:1981-05-01 00:00:00

  • Innominate artery interposition graft simplifies the portal venous drainage method of pancreas transplantation.

    abstract::Pancreas transplantation utilizing portal venous and enteric exocrine drainage has potential benefits over the standard systemic venous and bladder exocrine drainage method. Unfortunately, technical difficulties are often experienced with the arterial anastomosis after the portal venous anastomosis is completed. We ha...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199907270-00029

    authors: Bigam DL,Hemming AW,Sanabria JR,Cattral MS

    更新日期:1999-07-27 00:00:00

  • Delayed correction of portal hypertension after portal vein conduit arterialization in liver transplantation.

    abstract::A 55-year-old woman underwent orthotopic liver transplantation for autoimmune chronic active hepatitis. Extensive portal and superior mesenteric venous thrombosis precluded standard portal venous reconstruction and necessitated use of a venous conduit from the recipient splenic vein of the donor liver. Flow through th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199704150-00022

    authors: Neelamekam TK,Geoghegan JG,Curry M,Hegarty JE,Traynor O,McEntee GP

    更新日期:1997-04-15 00:00:00

  • The impact of donor age on living donor liver transplantation.

    abstract:BACKGROUND:The impact of the age of the donor on the outcome of living related liver transplantation is yet to be clarified. METHODS:During October 14, 1996 and December 20, 1999, 34 living related liver transplantations were performed. Of these, 26 cases were performed using the extended left lobe graft, which were c...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200012270-00007

    authors: Ikegami T,Nishizaki T,Yanaga K,Shimada M,Kishikawa K,Nomoto K,Uchiyama H,Sugimachi K

    更新日期:2000-12-27 00:00:00

  • Successful preemptive cidofovir treatment for CMV antigenemia after dose-reduced conditioning and allogeneic blood stem cell transplantation.

    abstract:BACKGROUND:Cidofovir (CDV) is a nucleotide analogue with proven in vitro effects against cytomegalovirus (CMV) and adenovirus and has been successfully used in the treatment of CMV retinitis in AIDS patients. METHODS:We performed a prospective study to evaluate the efficacy of CDV in 17 patients with hematological mal...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200104150-00010

    authors: Platzbecker U,Bandt D,Thiede C,Helwig A,Freiberg-Richter J,Schuler U,Plettig R,Geissler G,Rethwilm A,Ehninger G,Bornhäuser M

    更新日期:2001-04-15 00:00:00

  • Cytokine gene polymorphism and heart transplant rejection.

    abstract:BACKGROUND:Allograft rejection is mediated by cytokines. As polymorphism in cytokine genes can result in interindividual differences in cytokine production, we hypothesize that some patients may have an increased risk of rejection. METHODS:We have related polymorphisms that influence cytokine production in the tumor n...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199709150-00021

    authors: Turner D,Grant SC,Yonan N,Sheldon S,Dyer PA,Sinnott PJ,Hutchinson IV

    更新日期:1997-09-15 00:00:00

  • Increased transplant arteriosclerosis in the absence of CCR7 is associated with reduced expression of Foxp3.

    abstract:BACKGROUND:The chemokine receptor CCR7 plays a pivotal role in the homing of naïve T cells and regulatory T cells to secondary lymphoid organs and the migration of dendritic cells into afferent lymphatic vessels. Antigen presentation, T cell recruitment, and expansion of regulatory cells are crucial events in establish...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181826a97

    authors: Ensminger SM,Helm SN,Ohl L,Spriewald BM,Abele S,Wollin M,Wood KJ,Weyand M,Förster R

    更新日期:2008-08-27 00:00:00