Increased incidence of chronic rejection in adult patients transplanted for autoimmune hepatitis: assessment of risk factors.

Abstract:

BACKGROUND/AIM:It remains uncertain whether autoimmune hepatitis (AIH), as an original indication for orthotopic liver transplantation (OLTX), predisposes to the development of chronic rejection (CR) after surgery and published reports on heterogeneous groups of patients provided conflicting data. In this work we analyzed the incidence and risk factors for CR in a large cohort of adult patients transplanted for AIH in our unit. RESULTS:A total of 1190 adult patients received OLTX in our center between 1982 and 1998. A total of 77 patients (6.5%) were transplanted for AIH and 12 (15.6%) patients from this group developed clinical and histological features of CR within a median time of 3.5 months after OLTX. Patients with AIH who developed CR were younger than other AIH patients at OLTX (32 vs. 44.2 ys; P=0.015) and more often had histological features of moderate or severe acute rejection (83 vs. 34%; P=0.002) on early post-OLTX biopsies. The incidence of CR in AIH patients was significantly higher than in subjects transplanted for other indications such as primary biliary cirrhosis (8.2%; P<0.05), primary sclerosing cholangitis (5.2%; P<0.05) or alcoholic cirrhosis (2.0%; P<0.001). Also, we observed a tendency to decreased incidence of CR with time in all transplanted subjects. CONCLUSIONS:Apart from younger age at OLTX and higher incidence of severe acute rejection, patients with AIH who developed CR did not differ from other subjects transplanted for this indication. Unlike other studies, not stratified by diagnosis, recipient CMV negative status, young donor age, and HLA DR matching were not identified as risk factors for CR in AIH.

journal_name

Transplantation

journal_title

Transplantation

authors

Milkiewicz P,Gunson B,Saksena S,Hathaway M,Hubscher SG,Elias E

doi

10.1097/00007890-200008150-00014

subject

Has Abstract

pub_date

2000-08-15 00:00:00

pages

477-80

issue

3

eissn

0041-1337

issn

1534-6080

journal_volume

70

pub_type

杂志文章
  • Preoperative factors associated with outcome and their impact on resource use in 1148 consecutive primary liver transplants.

    abstract:BACKGROUND:Hepatic transplantation is a highly effective but costly treatment for end-stage hepatic dysfunction. One approach to improve efficiency in the use of scarce organs for transplantation is to identify preoperative factors that are associated with poor outcome posttransplantation. This may assist both in selec...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200109270-00023

    authors: Markmann JF,Markmann JW,Markmann DA,Bacquerizo A,Singer J,Holt CD,Gornbein J,Yersiz H,Morrissey M,Lerner SM,McDiarmid SV,Busuttil RW

    更新日期:2001-09-27 00:00:00

  • Can hepatitis B core antibody positive livers be used safely for transplantation: hepatitis B virus detection in the liver of individuals who are hepatitis B core antibody positive.

    abstract::A major impediment to the wider application of clinical liver transplantation is the paucity of acceptable organs. Most centers refuse organs that come from donors who are hepatitis B core antibody positive because of a fear of transmission of hepatitis B virus (HBV) infection to the recipient. The risk related to the...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199908270-00013

    authors: Van Thiel DH,De Maria N,Colantoni A,Friedlander L

    更新日期:1999-08-27 00:00:00

  • Bovine islets are less susceptible than human islets to damage by human cytokines.

    abstract:BACKGROUND:The potential benefits of islet xenografting in type 1 diabetes include the intriguing, but still unanswered, possibility that the grafted xenoislets may be less subjected to human autoimmune attack. Cytokines may play a major role in the pathogenesis of autoimmune diabetes by causing impairment of insulin r...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200101150-00004

    authors: Piro S,Lupi R,Dotta F,Patanè G,Rabuazzo MA,Marselli L,Santangelo C,Realacci M,Del Guerra S,Purrello F,Marchetti P

    更新日期:2001-01-15 00:00:00

  • ISHLT Primary Graft Dysfunction Incidence, Risk Factors, and Outcome: A UK National Study.

    abstract:BACKGROUND:Heart transplantation (HTx) remains the most effective long-term treatment for advanced heart failure. Primary graft dysfunction (PGD) continues to be a potentially life-threatening early complication. In 2014, a consensus statement released by International Society for Heart and Lung Transplantation (ISHLT)...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002220

    authors: Avtaar Singh SS,Banner NR,Rushton S,Simon AR,Berry C,Al-Attar N

    更新日期:2019-02-01 00:00:00

  • Vascular endothelial growth factor c/vascular endothelial growth factor receptor 3 signaling regulates chemokine gradients and lymphocyte migration from tissues to lymphatics.

    abstract:BACKGROUND:Circulation of leukocytes via blood, tissue and lymph is integral to adaptive immunity. Afferent lymphatics form CCL21 gradients to guide dendritic cells and T cells to lymphatics and then to draining lymph nodes (dLN). Vascular endothelial growth factor C and vascular endothelial growth factor receptor 3 (V...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000561

    authors: Iwami D,Brinkman CC,Bromberg JS

    更新日期:2015-04-01 00:00:00

  • Beneficial effect of MCI-186 on hepatic warm ischemia-reperfusion in the rat.

    abstract::Despite growing evidence that reactive oxygen species are responsible for deleterious effects of ischemia-reperfusion (I/R) injury of the liver, there exists, until now, no reliable antioxidant therapeutics applicable in the clinical setting. We investigated the effects of free radical scavenger, 3-methyl-1-phenyl-2-p...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200211270-00021

    authors: Ninomiya M,Shimada M,Harada N,Shiotani S,Hiroshige S,Soejima Y,Suehiro T,Sugimachi K

    更新日期:2002-11-27 00:00:00

  • The contribution of adhesion molecule expression in donor kidney biopsies to early allograft dysfunction.

    abstract:BACKGROUND:Renal allograft rejection is associated with the expression of adhesion molecules on vascular endothelial and tubular epithelial cells. METHODS:To assess whether the number of cell adhesion molecules expressed in donor kidneys can predict early rejection or delayed graft function, kidney biopsies from 20 li...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200106150-00028

    authors: Schwarz C,Regele H,Steininger R,Hansmann C,Mayer G,Oberbauer R

    更新日期:2001-06-15 00:00:00

  • Heavy Alcohol Use Among Deceased Donors Does Not Impact Recipient Outcomes After Liver Transplantation.

    abstract:BACKGROUND:Data on liver transplant (LT) outcomes using deceased donors with heavy drinking (HD) (>2 drinks per day) are scanty. METHODS:Using the United Network for Organ Sharing database (2002-2014), we examined outcomes after LT in adults comparing deceased HD donors with non-HD (ND) donors. RESULTS:Of 56 182 firs...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002230

    authors: Arora SS,Chahal KS,Axley P,Eckhoff DE,Kuo YF,Satapathy SK,Wiesner R,Singal AK

    更新日期:2018-11-01 00:00:00

  • Is a clinical application of hybrid liver support systems limited by an initial disorder in cellular amino acid and alpha-keto acid metabolism, rather than by later gradual loss of primary hepatocyte function?

    abstract::The in-vitro amino acid (AA) and alpha-keto acid (KA) metabolism of bioreactors initially seeded with 2.5 x 10(9) pig hepatocytes was investigated with a perfusion technique. Considerable changes in the culture medium concentrations of AA and KA were measured during the first days in culture. This is indicative of dyn...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199607270-00013

    authors: Gerlach JC,Fuchs M,Smith MD,Bornemann R,Encke J,Neuhaus P,Riedel E

    更新日期:1996-07-27 00:00:00

  • Primary kidney tumors before and after renal transplantation.

    abstract::Three groups of patients were reviewed. Primary carcinomas were found in donors kidneys of 47 recipients. In 30 instances a tumor was present at harvesting. When a neoplasm was removed immediately pretransplantation or early posttransplantation there were no recurrences in 14 recipients. In another two instances, a tu...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Penn I

    更新日期:1995-02-27 00:00:00

  • Improvement of renal preservation by verapamil with 24-hour cold perfusion in the isolated rat kidney.

    abstract::There is substantial evidence that increased cellular calcium may activate processes that lead to cellular injury and death, and calcium entry blockers (CEB) have been shown to protect against renal ischemic injury. This approach has been used experimentally to enhance kidney preservation during both warm and cold isc...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198802000-00012

    authors: Nakamoto M,Shapiro JI,Mills SD,Schrier RW,Chan L

    更新日期:1988-02-01 00:00:00

  • Induction of increased graft-versus-host disease by mouse spleen cells sensitized in vitro to allogeneic tumor.

    abstract::The aim of our study was to sensitize cells in vitro, follow their proliferative and cytotoxic responses, and determine their ability to cause lethal graft-versus-host disease (GVHD). C57BL/6 (H2b) spleen cells were incubated with irradiated BALB/C (H2d) Moloney lymphoma cells (LSTRA) in mixed leukocyte culture condit...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197612000-00008

    authors: Einstein AB Jr,Cheever MA,Fefer A

    更新日期:1976-12-01 00:00:00

  • The poly(adenosine diphosphate-ribose) polymerase inhibitor PJ34 reduces pulmonary ischemia-reperfusion injury in rats.

    abstract:BACKGROUND:Ischemia-reperfusion (I/R) injury after lung transplantation causes alveolar damage, lung edema, and acute rejection. Poly(adenosine diphosphate-ribose) polymerase (PARP) is a single-stranded DNA repair enzyme that induces apoptosis and necrosis after DNA damage caused by reactive oxygen species. We evaluate...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000305

    authors: Hatachi G,Tsuchiya T,Miyazaki T,Matsumoto K,Yamasaki N,Okita N,Nanashima A,Higami Y,Nagayasu T

    更新日期:2014-09-27 00:00:00

  • Comparison of activation requirements and activation phenotype of allogeneic and xenogeneic rodent responses in vivo and in vitro.

    abstract:BACKGROUND:Both discordant and concordant xenogeneic responses are dominated by humoral immunity. Recent advances in molecular engineering approaches may largely prevent rejection by means of this pathway, leaving the cellular arm of the immune response as the principal remaining barrier to successful engraftment. MET...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200108150-00021

    authors: Trani JL,Song HK,Lerner SM,Markmann JW,Barker CF,Naji A,Markmann JF

    更新日期:2001-08-15 00:00:00

  • Cytotoxic effects of normal sera on lymphoid cells. II. Requirements for inhibition of nonspecific serum cytotoxicity by agarose.

    abstract::Agarose is known to inhibit nonspecifically the cytotoxic effects of normal sera on xenogeneic lymphoid cells. To find an explanation for this agarose effect we have studied its requirements using guinea pig and human sera as the source of activity and rat thymocytes as target cells. Control assays were performed usin...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197704000-00007

    authors: Budzko DB,Kierszenbaum F

    更新日期:1977-04-01 00:00:00

  • Cross-species graft-versus-host-disease is accompanied by a donor-derived cellular immune response.

    abstract::Acute graft-versus-host-disease is classically described as reactivity of donor lymphocytes to recipient alloantigens. To date there is debate as to whether GVHD can be induced across a species barrier. We recently reported the induction of stable xenogeneic chimerism (rat-->mouse) and donor-specific transplantation t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199310000-00030

    authors: Cooper MH,Nalesnik MA,Watkins SC,Hoffman RA,Ildstad ST

    更新日期:1993-10-01 00:00:00

  • Targeted endothelial delivery of nanosized catalase immunoconjugates protects lung grafts donated after cardiac death.

    abstract:BACKGROUND:Donor organ shortage represents a major problem in lung transplantation. Donation after cardiac death could help to expand the pool of organs, but the additional period of warm ischemia after cardiac arrest aggravates primary graft dysfunction. The pulmonary endothelium of the graft constitutes an important ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318226bc6b

    authors: Preissler G,Loehe F,Huff IV,Ebersberger U,Shuvaev VV,Bittmann I,Hermanns I,Kirkpatrick JC,Fischer K,Eichhorn ME,Winter H,Jauch KW,Albelda SM,Muzykantov VR,Wiewrodt R

    更新日期:2011-08-27 00:00:00

  • A significant role for histocompatibility in human islet transplantation.

    abstract:BACKGROUND:In recent years, transplantation of islets and pancreas has become a viable option for patients debilitated with type I diabetes. The success of islet transplantation has been attributed to the ability to isolate high quality islets for transplantation and capacity to maintain the recipient's immunosuppressi...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000226161.82581.b2

    authors: Mohanakumar T,Narayanan K,Desai N,Ramachandran S,Shenoy S,Jendrisak M,Susskind BM,Olack B,Benshoff N,Phelan DL,Brennan DC,Fernandez LA,Odorico JS,Polonsky KS

    更新日期:2006-07-27 00:00:00

  • Diarrhea after kidney transplantation: a new look at a frequent symptom.

    abstract::Diarrhea is a frequent but overlooked complication of kidney transplantation. Diarrhea is repeatedly neglected, often considered by patients and clinicians an unavoidable side effect of immunosuppressive regimens. It is, however, associated with a significant impairment in life quality. Severe and chronic posttranspla...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000000335

    authors: Aulagnon F,Scemla A,DeWolf S,Legendre C,Zuber J

    更新日期:2014-10-27 00:00:00

  • Cyclosporine A inhibits the expression of costimulatory molecules on in vitro-generated dendritic cells: association with reduced nuclear translocation of nuclear factor kappa B.

    abstract:BACKGROUND:The maturation of dendritic cells (DC) is influenced by various factors, in particular cytokine-mediated signaling events. These include modulation of the activation of nuclear factor kappa B (NF-kappaB), which controls the transcription of genes encoding major histocompatibility complex (MHC) antigens, and ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199911150-00007

    authors: Lee JI,Ganster RW,Geller DA,Burckart GJ,Thomson AW,Lu L

    更新日期:1999-11-15 00:00:00

  • Effects of Intraoperative Fluid Balance During Liver Transplantation on Postoperative Acute Kidney Injury: An Observational Cohort Study.

    abstract:BACKGROUND:Liver transplant recipients suffer many postoperative complications. Few studies evaluated the effects of fluid management on these complications. We conducted an observational cohort study to evaluate the association between intraoperative fluid balance and postoperative acute kidney injury (AKI) and other ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002998

    authors: Carrier FM,Chassé M,Sylvestre MP,Girard M,Legendre-Courville L,Massicotte L,Bilodeau M

    更新日期:2020-07-01 00:00:00

  • Alteration in CD45RBhi/CD45RBlo T-cell ratio following CD45RB monoclonal-antibody therapy occurs by selective deletion of CD45RBhi effector cells.

    abstract::Tolerance induction by CD45RB monoclonal antibody (mAb) in murine allograft models is associated with an alteration in the CD45RBlo/CD45RBhi T-cell ratio in favor of CD45RBlo T cells, which can function as regulatory cells and promote tolerance. It has been proposed that inversion of the CD45RBhi/CD45RBlo normal T-cel...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000072373.77323.D4

    authors: Luke PP,Deng JP,O'Brien CA,Everest M,Hall AV,Chakrabarti S,O'Connell PJ,Zhong R,Jevnikar AM

    更新日期:2003-07-27 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

  • 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

  • Mucosal plasma cell barrier disruption during intestine transplant rejection.

    abstract:BACKGROUND:Intestinal allograft mucosa undergoes repopulation with host immunocytes. However, critical changes within key immunocyte subsets are not known. METHODS:To explain acute cellular rejection after intestine transplantation (ITx) on the basis of altered mucosal immunocytes, rejecting and rejection-free ITx all...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182708d9d

    authors: Ningappa M,Ashokkumar C,Ranganathan S,Schmitt L,Higgs BW,Sun Q,Branca M,Mazariegos G,Zeevi A,Abu-Elmagd K,Squires R,Rudolph J,Alissa F,Hakonarson H,Sindhi R

    更新日期:2012-12-27 00:00:00

  • Sequential histopathologic changes in pancreaticoduodenal allograft rejection in dogs.

    abstract::To determine the nature and sequence of the histologic changes in the early rejection of pancreaticoduodenal allografts and to assess the correlation between pancreaticoduodenal biopsy findings and the pathologic changes in the graft, we performed serial cystoscopically directed needle biopsies of pancreaticoduodenal ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198911000-00008

    authors: Carpenter HA,Barr D,Marsh CL,Miller AR,Perkins JD

    更新日期:1989-11-01 00:00:00

  • Decrease in endothelial cell-dependent protein C activation induced by thrombomodulin by treatment with cyclosporine.

    abstract::The use of cyclosporine has been associated with an increased incidence of thrombosis and endothelial cell perturbation. To explore possible mechanisms involved, we examined the effects of CSA on the activation of protein C by thrombomodulin. Cultured bovine aortic endothelial cell monolayers were incubated for 24 hr ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199103000-00030

    authors: Garcia-Maldonado M,Kaufman CE,Comp PC

    更新日期:1991-03-01 00:00:00

  • Early expression of interferon-gamma inducible protein 10 and monokine induced by interferon-gamma in cardiac allografts is mediated by CD8+ T cells.

    abstract:BACKGROUND:Our goal was to test the intragraft mRNA expression and production of two chemokines that are potent chemoattractants for antigen-primed T cells, interferon-gamma inducible protein 10 (IP-10) and monokine-induced by IFN-gamma, (Mig), in allogeneic heart grafts. METHODS:Syngeneic or allogeneic A/J (H-2a) hea...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200003270-00020

    authors: Kapoor A,Morita K,Engeman TM,Koga S,Vapnek EM,Hobart MG,Fairchild RL

    更新日期:2000-03-27 00:00:00

  • The frequency of rejection episodes after combined kidney-pancreas transplant--the impact on graft survival.

    abstract::The recipients of combined kidney-pancreas transplants (SPK) are unique because they routinely receive two allografts from the same donor. In a previous study, we found that the long-term graft survival of the two allografts was different, with better graft survival seen in the pancreas allograft. In an attempt to und...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199408270-00006

    authors: Tesi RJ,Henry ML,Elkhammas EA,Davies EA,Ferguson RM

    更新日期:1994-08-27 00:00:00

  • OSAKA trial: a randomized, controlled trial comparing tacrolimus QD and BD in kidney transplantation.

    abstract:BACKGROUND:The once-daily (QD), prolonged-release formulation of tacrolimus has been shown to improve adherence versus twice-daily (BD) tacrolimus. Treatment nonadherence in transplant recipients has been associated with poor graft outcomes. METHODS:This open-label, parallel-group study randomized adults with end-stag...

    journal_title:Transplantation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/TP.0b013e3182a203bd

    authors: Albano L,Banas B,Klempnauer JL,Glyda M,Viklicky O,Kamar N,Optimising immunoSuppression After Kidney transplantation with ADVAGRAF Study Group.

    更新日期:2013-11-27 00:00:00