Renal response to a protein load persists during long-term follow-up of children after renal transplantation.

Abstract:

BACKGROUND:Kidney donors and transplant recipients may be at risk of complications from glomerular hyperfiltration of the single kidney. It has been assumed that tests of the existence of renal functional reserve [delta glomerular filtration rate (deltaGFR), delta effective renal plasma flow (deltaERPF)] can be used to demonstrate hyperfiltration. It would therefore be of interest to evaluate the response of the kidney graft to a protein load. i.e., testing the renal reserve and to find out whether a reduction in baseline GFR is preceded by a loss of deltaGFR. METHODS:We repeatedly studied the change in GFR and renal plasma flow (ERPF) after an oral protein load in 30 children after renal transplantation (Tx). Follow-up time was 1.0-8.0 years. Renal function was evaluated with the clearances of inulin and para-aminohippuric acid (PAH). Seven recipient/donor pairs were examined twice (median 0.3 and 4 years, after Tx). RESULTS:The baseline GFR and ERPF remained stable throughout the follow-up and the increase after stimulation (deltaGFR and deltaERPF) did not change in the whole group of Tx children over the years. However, a reduction in the baseline GFR from the first to the last investigation occurred in 23 of 30 children. In the 23 patients whose baseline GFR decreased, deltaGFR was still preserved. In the recipient/donor pairs, the baseline GFR and ERPF were the same, but on the second investigation, donors showed higher deltaGFR. CONCLUSION:Despite fairly low baseline GFR and ERPF values in the Tx children, no change occurs in the capacity to increase GFR and ERPF after a protein load during follow-up, which suggests that they are not maximally hyperfiltrating.

journal_name

Transplantation

journal_title

Transplantation

authors

Englund M,Berg U

doi

10.1097/00007890-200011150-00013

subject

Has Abstract

pub_date

2000-11-15 00:00:00

pages

1342-7

issue

9

eissn

0041-1337

issn

1534-6080

journal_volume

70

pub_type

杂志文章
  • 32 Doses of Bortezomib for Desensitization Is Not Well Tolerated and Is Associated With Only Modest Reductions in Anti-HLA Antibody.

    abstract:BACKGROUND:We previously showed that bortezomib (BTZ) partially depletes plasma cells, yet has limited efficacy for desensitization in kidney transplant candidates when up to 16 doses is given. METHODS:This study aimed to determine the safety and efficacy of 32 doses of BTZ (1.3 mg/m of body surface area) in 10 highly...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/TP.0000000000001330

    authors: Moreno Gonzales MA,Gandhi MJ,Schinstock CA,Moore NA,Smith BH,Braaten NY,Stegall MD

    更新日期:2017-06-01 00:00:00

  • CD4+CD25+ cells regulate CD8 cell anergy in neonatal tolerant mice.

    abstract:BACKGROUND:Injection of neonatal BALB/c mice with semi-allogeneic splenocytes leads to antigen-specific tolerance lasting into adulthood. Tolerant mice accept A/J skin grafts and fail to generate CD8 cytotoxic T lymphocyte (CTL) activity against A/J targets. Anergic CD8 T cells are present in tolerant mice, and CD4 reg...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199912270-00013

    authors: Gao Q,Rouse TM,Kazmerzak K,Field EH

    更新日期:1999-12-27 00:00:00

  • Plant alkaloid tetrandrine and its analog block CD28-costimulated activities of human peripheral blood T cells: potential immunosuppressants in transplantation immunology.

    abstract:BACKGROUND:T lymphocyte activation mediated by CD28 costimulation plays a critical role in graft rejection. Plant alkaloid tetrandrine, purified from a Chinese antirheumatic herb, is a potent immunosuppressant. Here, we examined its effects on several CD28-costimulated T-cell activities. In addition, such effects were ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199911150-00027

    authors: Lai JH,Ho LJ,Kwan CY,Chang DM,Lee TC

    更新日期:1999-11-15 00:00:00

  • Cytomegalovirus serology and replication remain associated with solid organ graft rejection and graft loss in the era of prophylactic treatment.

    abstract:BACKGROUND:Cytomegalovirus (CMV) replication has been associated with more risk for solid organ graft rejection. We wondered whether this association still holds when patients at risk receive prophylactic treatment for CMV. METHODS:We correlated CMV infection, biopsy-proven graft rejection, and graft loss in 1,414 pat...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0000000000000160

    authors: Stern M,Hirsch H,Cusini A,van Delden C,Manuel O,Meylan P,Boggian K,Mueller NJ,Dickenmann M,Members of Swiss Transplant Cohort Study.

    更新日期:2014-11-15 00:00:00

  • The impact of renal transplantation on the course of hepatitis B liver disease.

    abstract::To establish the impact of transplantation on the course of chronic hepatitis B liver disease we performed a prospective study of the clinical and pathological sequelae of hepatitis B disease in all 22 patients who had renal allografts that functioned for more than 1 year and who were hepatitis B surface antigen (HBsA...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198506000-00007

    authors: Parfrey PS,Forbes RD,Hutchinson TA,Kenick S,Farge D,Dauphinee WD,Seely JF,Guttmann RD

    更新日期:1985-06-01 00:00:00

  • Induction of kidney allograft tolerance by soluble CD83 associated with prevalence of tolerogenic dendritic cells and indoleamine 2,3-dioxygenase.

    abstract:BACKGROUND:Tolerogenic dendritic cells (Tol-DCs) play a critical role in inducing and maintaining tolerance. Recognizing that both T-cell inactivation and activation are contingent on signals provided by DCs and that graft-specific activated T cells are major mediators of transplant rejection, we aimed to create an env...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182007bbf

    authors: Lan Z,Ge W,Arp J,Jiang J,Liu W,Gordon D,Healey D,DeBenedette M,Nicolette C,Garcia B,Wang H

    更新日期:2010-12-27 00:00:00

  • 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

  • Vanishing bile-duct syndrome following liver transplantation--is it reversible?

    abstract::Loss of bile ducts is a characteristic feature of chronic rejection in the liver allograft (also known as irreversible rejection and vanishing bile-duct syndrome). Typically, this occurs as a progressive lesion resulting in irreversible damage and graft failure requiring retransplantation. In this study, we describe 6...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199105000-00014

    authors: Hubscher SG,Buckels JA,Elias E,McMaster P,Neuberger J

    更新日期:1991-05-01 00:00:00

  • Everolimus versus mycophenolate mofetil in the prevention of rejection in de novo renal transplant recipients: a 3-year randomized, multicenter, phase III study.

    abstract:BACKGROUND:This 36-month, randomized, parallel-group study compared safety and efficacy of two doses of everolimus with mycophenolate mofetil (MMF) in de novo renal-transplant recipients. METHODS:Renal-allograft recipients received 1.5 mg/day or 3 mg/day of everolimus or 2 g/day of MMF, plus full-dose cyclosporine (Cs...

    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:10.1097/01.tp.0000164352.65613.24

    authors: Lorber MI,Mulgaonkar S,Butt KM,Elkhammas E,Mendez R,Rajagopalan PR,Kahan B,Sollinger H,Li Y,Cretin N,Tedesco H,B251 Study Group.

    更新日期:2005-07-27 00:00:00

  • Donor species complement after liver xenotransplantation. The mechanism of protection from hyperacute rejection.

    abstract::Hamster hearts transplanted into stable rat recipients of hamster livers (OLT rats) were hyperacutely rejected after transfer with unaltered rat antihamster hyperimmune serum (HS). This was followed by immediate liver xenograft rejection in 4 of 5 rats. In contrast, simple heat inactivation of the rat HS resulted in p...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199403270-00025

    authors: Valdivia LA,Fung JJ,Demetris AJ,Celli S,Pan F,Tsugita M,Starzl TE

    更新日期:1994-03-27 00:00:00

  • Basic anatomical and physiological differences between species should be considered when choosing combinations for use in models of hepatic xenotransplantation: an investigation of the guinea pig-to-rat combination.

    abstract::Published data on the guinea pig-to-rat hepatic xenotransplant model describe problems concerning poor graft reperfusion. To further investigate this phenomenon, orthotopic liver xenotransplantation between weight-matched guinea pigs and rats were performed using Kamada's technique. On reperfusion, all cases had porta...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199807150-00017

    authors: Delriviere LD,Havaux X,Gibbs P,Gianello PR

    更新日期:1998-07-15 00:00:00

  • Potential feasibility of early bone marrow cell injection into the spleen for creating functional hepatocytes.

    abstract:BACKGROUND:Bone marrow cells (BMCs) are believed to have the ability to generate functional hepatocytes and have some merits as a therapeutic modality for metabolic liver diseases. However, the appearance of BMC-derived hepatocytes (BMDHs) is low. We hypothesized that early BMC injection would be feasible for creating ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31819e0528

    authors: Misawa R,Soeda J,Ise H,Takahashi M,Kubota K,Mita A,Nakata T,Miyagawa S

    更新日期:2009-04-27 00:00:00

  • Proliferative alloresponse of T cytotoxic cells identifies rejection-prone children with small bowel transplantation.

    abstract:BACKGROUND:More than 60% children with small bowel transplantation (SBTx) experience acute cellular rejection. PURPOSE/METHODS:To identify children at risk of rejection, donor- and third-party-induced proliferation of T-helper and T cytotoxic (Tc) cells, and their naïve and memory (M) subsets was evaluated simultaneou...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181d98c0f

    authors: Ashokkumar C,Gupta A,Sun Q,Higgs BW,Ningappa M,Snyder S,Johnson M,Mazariegos G,Soltys K,Bond G,Abu-Elmagd K,Sindhi R

    更新日期:2010-06-15 00:00:00

  • Sirolimus (rapamycin) for the treatment of steroid-refractory acute graft-versus-host disease.

    abstract:BACKGROUND:In a pilot trial we evaluated the toxicity and efficacy of sirolimus (rapamycin) as second-line therapy for the treatment of acute graft-versus-host disease (GVHD) in 21 patients (1-46 years of age) after allogeneic hematopoietic stem cell transplantation (HSCT). METHODS:All patients were treated with methy...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200112270-00010

    authors: Benito AI,Furlong T,Martin PJ,Anasetti C,Appelbaum FR,Doney K,Nash RA,Papayannopoulou T,Storb R,Sullivan KM,Witherspoon R,Deeg HJ

    更新日期:2001-12-27 00:00:00

  • A potential immunosuppressive effect of anti-lymphocyte function-associated antigen-1 monoclonal antibody on islet transplantation.

    abstract::The immunosuppressive potentials of mAbs to lymphocyte function-associated antigen-1 (LFA-1) and CD2 molecules were examined in murine islet transplantation. Crude digested islets from BALB/c (H-2d) mice were transplanted into the renal subcapsular space of streptozotocin-induced diabetic C57BL/6 (H-2b) mice. The rat ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Gotoh M,Fukuzaki T,Monden M,Dono K,Kanai T,Yagita H,Okumura K,Mori T

    更新日期:1994-01-01 00:00:00

  • Direct induction of class II molecules by cytomegalovirus in rat heart microvascular endothelial cells is inhibited by ganciclovir (DHPG).

    abstract::It has been demonstrated both in vivo and in vitro that cytomegalovirus regulates not only MHC class I but also class II antigen expression on vascular endothelial cells. The CMV-linked MHC induction is believed to be involved in acute rejection mechanisms and chronic vasculopathy after transplantation. In this study,...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199411150-00009

    authors: Ustinov JA,Lahtinen TT,Bruggeman CA,Häyry PJ,Lautenschlager IT

    更新日期:1994-11-15 00:00:00

  • Multiple Cladosporium brain abscesses in a renal transplant patient: aggressive management improves outcome.

    abstract::Infection remains one of the major complications of nonspecific immunosuppression in renal transplant patients and accounts for significant morbidity and mortality. The incidence of infectious complications has been shown to be related to the degree of immunosuppression and correlated with the total steroid dosage, us...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199701150-00030

    authors: Salama AD,Rogers T,Lord GM,Lechler RI,Mason PD

    更新日期:1997-01-15 00:00:00

  • Computer-assisted quantification of fibrosis in chronic allograft nephropaty by picosirius red-staining: a new tool for predicting long-term graft function.

    abstract:BACKGROUND:Chronic allograft nephropathy (CAN) has become the predominant limiting factor for long-term transplant survival. A cardinal histomorphologic correlate for CAN is interstitial fibrosis. Currently, no method has been established in routine use that reliably quantifies the extent of interstitial fibrosis in re...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000078899.62040.E5

    authors: Pape L,Henne T,Offner G,Strehlau J,Ehrich JH,Mengel M,Grimm PC

    更新日期:2003-09-27 00:00:00

  • Combined liver-kidney transplantation in primary hyperoxaluria type 1. Bone histopathology and oxalate body content.

    abstract::In three patients with end-stage renal failure due to primary hyperoxaluria type 1, successful combined liver-kidney transplantation enabled us to assess the insoluble oxalate pool, which was compared with the histopathological changes observed in iliac crest biopsy specimens. Good correlation was observed between the...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199506270-00010

    authors: Toussaint C,Vienne A,De Pauw L,Gelin M,Janssen F,Hall M,Schurmans T,Pasteels JL

    更新日期:1995-06-27 00:00:00

  • Activation of T lymphocytes for adhesion and cytokine expression by toxin-conjugated anti-CD3 monoclonal antibodies.

    abstract:BACKGROUND:Immunosuppressive drugs that target T cells are useful for prolonging allograft survival. The anti-CD3 immunotoxin FN18-CRM9 has been shown to effectively prolong renal allograft survival in a rhesus monkey model of transplantation. However, immunotoxin-treated monkeys showed increased levels of inflammatory...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199909150-00016

    authors: Hamawy MM,Tsuchida M,Manthei ER,Dong Y,Fechner JE,Knechtle JS

    更新日期:1999-09-15 00:00:00

  • Laparoscopic live donor nephrectomy.

    abstract::A laparoscopic live-donor nephrectomy was performed on a 40-year-old man. The kidney was removed intact via a 9-cm infraumbilical midline incision. Warm ischemia was limited to less than 5 min. Immediately upon revascularization, the allograft produced urine. By the second postoperative day, the recipient's serum crea...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Ratner LE,Ciseck LJ,Moore RG,Cigarroa FG,Kaufman HS,Kavoussi LR

    更新日期:1995-11-15 00:00:00

  • Pulmonary hemorrhage as a cause of death in allogeneic bone marrow recipients with severe acute graft-versus-host disease.

    abstract::Acute graft-versus-host disease (GVHD) has recently been associated with endothelial cell injury. The potential clinical significance was explored here in an autopsy review. Thirty-seven allogeneic bone marrow recipients were identified in the autopsy files at The Johns Hopkins Hospital with no evidence of systemic in...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199401000-00016

    authors: Wojno KJ,Vogelsang GB,Beschorner WE,Santos GW

    更新日期:1994-01-01 00:00:00

  • Cyclosporine's effect on functional reserve in the renal allograft.

    abstract::Thirteen renal allograft recipients (6 patients on cyclosporine/7 patients on azathioprine) participated in a short-term oral protein-loading study to determine the effect of cyclosporine on an allograft's functional reserve. The baseline glomerular filtration rate of the two groups were similar (52 +/- 18 ml/min/1.73...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199101000-00030

    authors: Nunley JR,King A,Comstock T,Posner M,Marshall C,Sica DA

    更新日期:1991-01-01 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

  • Impact of Mitochondrial Permeability on Endothelial Cell Immunogenicity in Transplantation.

    abstract:BACKGROUND:Microvascular endothelial cells (ECs) are central to an allograft's immunogenicity. Cold ischemia and reperfusion injury associated with static cold storage and warm reperfusion activates ECs and increases the immunogenicity of the allograft. After reperfusion, mitochondrial permeability transition pore (mPT...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002163

    authors: Tran DT,Esckilsen S,Mulligan J,Mehrotra S,Atkinson C,Nadig SN

    更新日期:2018-06-01 00:00:00

  • Comparative evaluation of Celsior solution versus Viaspan in a pig liver transplantation model.

    abstract:BACKGROUND:In a pig liver transplantation model, we compared the effects of Celsior solution (CS), an extracellular preservation solution, with Viaspan (University of Wisconsin solution, UW) on graft function and animal survival. METHODS:Pig livers were flushed with either CS or UW solution and cold-stored for 12 hr (...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200106270-00005

    authors: Audet M,Alexandre E,Mustun A,David P,Chenard-Neu MP,Tiollier J,Jaeck D,Cinqualbre J,Wolf P,Boudjema K

    更新日期:2001-06-27 00:00:00

  • A prospective randomized trial of matching for HLA-A and B versus HLA-DR in renal transplantation.

    abstract::A prospective randomized trial was performed comparing survival of cadaveric grafts allocated by HLA-A+B matching and HLA-DR matching. The two allocation methods resulted in very similar graft survivals. HLA-A matching had no significant effect on graft survival. HLA-B and HLA-DR matching were shown to have approximat...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-198407000-00010

    authors: d'Apice AJ,Sheil AG,Tait BD,Bashir HV

    更新日期:1984-07-01 00:00:00

  • Fate of antipaternal H-2 antibodies bound to the placenta in vivo.

    abstract::We have previously demonstrated that the placental spongiotrophoblast and yolk sac venous plexus express paternally derived H-2K and D (class I) antigens in a manner accessible to maternal circulation, and that the placenta serves to prevent antipaternal antibodies from reaching the fetus. Kinetic studies indicated th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198403000-00016

    authors: Raghupathy R,Singh B,Wegmann TG

    更新日期:1984-03-01 00:00:00

  • Extrinsic sympathetic reinnervation after intestinal transplantation in rats.

    abstract::Although extrinsic denervation is inevitable after intestinal transplantation and leads to poor intestinal function, little is known about the occurrence of extrinsic reinnervation. In this study, extrinsic sympathetic reinnervation was investigated morphologically following syngeneic intestinal transplantation perfor...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Kiyochi H,Ono A,Yamamoto N,Ohnishi K,Shimahara Y,Kobayashi N

    更新日期:1995-02-15 00:00:00

  • Multiple pathways to allograft rejection.

    abstract::Allograft rejection results from a complex process involving both the innate and acquired immune systems. The innate immune system predominates in the early phase of the allogeneic response, during which chemokines and cell adhesion play essential roles, not only for leukocyte migration into the graft but also for fac...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/00007890-200205150-00001

    authors: Le Moine A,Goldman M,Abramowicz D

    更新日期:2002-05-15 00:00:00