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American Transplant Congress abstracts

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  • 2016 American Transplant Congress

    Elevated Urinary 11-Dehydrothromboxane B2 Is Associated with Increased Bleeding Risk in Left Ventricular Assist Device Patients.

    W. Schultz,4 A. Pekarek,3 R. Cole,1 A. Duncan,5 S. Laskar,1 A. Smith,1 D. Nguyen,2 J. Vega, D. Gupta.1

    1Division of Cardiology, Emory University School of Medicine, Atlanta, GA; 2Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA; 3Heart Transplant Services, Emory University Hospital, Atlanta, GA; 4Department of Medicine, Emory University School of Medicine, Atlanta, GA; 5Department of Pathology, Emory University School of Medicine, Atlanta, GA.

    Purpose: To understand if there is a relationship between aspirin resistance as measured by elevated levels of urinary 11-dehydrothromboxane B2 in patients supported with continuous…
  • 2016 American Transplant Congress

    The Impact of Sequential Gene Modifications on Cardiac Xenograft Survival.

    K. Horvath,1 A. Singh,1 J. Chan,1 M. Thomas,2 B. Lewis,2 D. Ayares,3 P. Corcoran,1 M. Mohiuddin.1

    1CSRP, NHLBI/NIH, Bethesda, MD; 2DVR / ORS, NIH, Bethesda, MD; 3Revivicor, Inc, Blacksburg, VA.

    Introduction: One of the major advances in xenotransplantation is the ability to modify donor pig genetics. Using rapidly evolving techniques of pig cloning and gene…
  • 2016 American Transplant Congress

    Inclusion of Human Tissue Factor Pathway Inhibitor or Thrombomodulin Transgenes Attenuates Critical Consumptive Thrombocytopenia in Cardiac Xenotransplantation.

    J. Chan,1 A. Singh,1 P. Corcoran,1 M. Thomas III,2 B. Lewis,2 D. Ayares,3 K. Horvath,1 M. Mohiuddin.1

    1Cardiothoracic Surgery Research Program/National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD; 2Division of Veterinary Resources, National Institutes of Health, Bethesda, MD; 3Revivicor Inc., Blacksburg, VA.

    ObjectiveA major obstacle in the success of cardiac xenotransplantation has been the development of significant consumptive thrombocytopenia, frequently limiting recipient survival. Advances in genetic engineering…
  • 2016 American Transplant Congress

    Costimulation Blockade by Anti CD40 Antibody Prevents Humoral and Cellular Rejection of Heterotopic Pig Cardiac Xenograft.

    A. Singh,1 J. Chan,1 P. Corcoran,1 B. Lewis,2 M. Thomas,2 D. Ayares,3 K. Horvath,1 M. Mohiuddin.1

    1CSRP/NHLBI, NIH, Bethesda, MD; 2DVR/ORS, NIH, Bethesda, MD; 3Revivicor Inc., Blacksburg, VA.

    BackgroundXenotransplantation (XTx) involves the participation of innate immune system with natural antibody producing B cells, NK cells, macrophages and complement as well as adaptive immune…
  • 2016 American Transplant Congress

    Comparison of Early Engraftment Immunobiology of Xenoislets and Alloislets in a Dual Transplant Model.

    K. Samy,1 B. Martin,2 M. Song,1 B. Collins,1 E. Gall,1 J. Cano,2 A. Farris,2 F. Leopardi,1 A. Kirk.1,2

    1Department of Surgery, Duke University Medical Center, Durham, NC; 2Emory University, Atlanta, GA.

    Purpose: Successful implementation of neonatal porcine islet (NPI) xenotransplantation requires an understanding of the xenospecific immune elements influencing engraftment. To elucidate these early xenospecific processes,…
  • 2016 American Transplant Congress

    Porcine Islets Engineered to Display SA-FasL Protein on Their Surface Induce Tolerance in Mice Following Transplantation into the Liver or Under the Kidney Capsule.

    H. Zhao,1 K. Woodward,1 H. Shirwan,1 M. Graham,2 B. Hering,2 E. Yolcu.1

    1Institute for Cellular Therapeutics and Department of Microbiology and Immunology, University of Louisville, Louisville, KY; 2Schulze Diabetes Institute and Department of Surgery, University of Minnesota, Minneapolis, MN.

    Introduction: We have recently demonstrated that allogeneic islets engineered to transiently display on their surface a novel form of FasL protein chimeric with streptavidin (SA-FasL)…
  • 2016 American Transplant Congress

    Impact of Mixed Xenogeneic Porcine Hematopoietic Chimerism on Human NK Cell Recognition in a Humanized Mouse Model.

    H. Li,1 P. Vishwasrao,1,2 M. Holzl,1 S. Chen,1 G. Choi,2,3 G. Zhao,1 M. Sykes.1

    1Columbia Center for Translational Immunology, Columbia University, New York, NY; 2Department of Hematology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands; 3Department of Hematology, University Medical Center Groningen, Groningen, Netherlands.

    Xenotransplantation is a potential solution for the shortage of organs for transplantation. However, potent xenograft rejection responses present a formidable barrier. Mixed xenogeneic hematopoietic chimerism…
  • 2016 American Transplant Congress

    Human Leukocyte Antigen-E Expression on Porcine GalTKO.hCD46 Cells Improves Ex-Vivo Xenograft Survival and Attenuates Injury.

    C. Laird,1 N. Kubicki,1 L. Burdorf,1 T. Zhang,1 X. Chang,1 G. Braileanu,1 C. Phelps,2 D. Ayares,2 A. Azimzadeh,1 R. Pierson.1

    1University of Maryland School of Medicine, Baltimore, MD; 2Revivicor, Inc, Blacksburg, VA.

    Purpose:Lung xenografts are subject to injury mechanisms associated with the sequestration of human cells, including natural killer (NK) cells. To control NK cell associated injury,…
  • 2016 American Transplant Congress

    First Bilateral Hand Transplant in a Child: Short-Term Medical Outcomes and Challenges.

    S. Amaral,1 M. Levine,2 B. Chang,2 S. Lopez,1 C. McAndrew,2 S. Kessler,1 A. Shaked,2 L. Levin.2

    1Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA; 2Surgery, University of Pennsylvania, Philadelphia, PA.

    Background: In July 2015, our center successfully performed the first bilateral hand transplant in a pediatric patient in the United States. The recipient was an…
  • 2016 American Transplant Congress

    First Clinical Experience with Belatacept in 3 Hand Transplanted Patients.

    J. Grahammer,1 B. Zelger,2 B. Zelger,3 M. Ninkovic,1 A. Muehlbacher,4 D. Oefner-Velano,1 S. Schneeberger,1 A. Weissenbacher.5

    1Viceral, Thoracic and Transplant Surgery, Innsbruck Medical University, Innsbruck, Austria; 2Dermatology and Venerology, Innsbruck Medical University, Innsbruck, Austria; 3Pathology, Innsbruck Medical University, Innsbruck, Austria; 4Department of Blood Group Serology and Transfusion Medicine, Innsbruck Medical University, Innsbruck, Austria; 5Oxford Transplant Centre, Nuffield Department of Surgical Sciences, Oxford University, Oxford, United Kingdom.

    Study purposeBelatacept (CTLA4Ig) is an emerging treatment in solid organ transplantation. Effects on the development of donor specific antibodies (DSA) as well as its clinical…
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