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American Transplant Congress abstracts

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  • 2022 American Transplant Congress

    Evaluation of Donor Exclusion Criteria in Living Donor Liver Transplantation: A Single-Center Experience

    D. Daskalaki, M. E. Akoad, J. Kim, C. J. Simon, Y. Cheah

    Hepatobiliary Surgery and Liver Transplantation, Lahey Hospital and Medical Center, Burlington, MA

    *Purpose: Liver donation is fundamental in increasing the pool of available grafts. Careful evaluation of each donor ensures the best outcomes for the recipient and…
  • 2022 American Transplant Congress

    Single Cell RNAseq Analysis of Liver Transplant Rejection Reveals Highly Restricted TCR Clonal Expansion of Tissue-Resident Memory CD8+ T Cells That Persist Despite Corticosteroids and ATG Therapy

    A. L. Peters1, G. Begum1, K. Roskin2, E. Woodle3, D. Hildeman4

    1Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Department of Bioinformatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 3Department of Surgery, University of Cincinnati, Cincinnati, OH, 4Department of Immunobiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    *Purpose: Conventional therapy for liver transplant rejection (corticosteroids and ATG) has remained unchanged for six decades, and is not infrequently met with treatment failure. Here,…
  • 2022 American Transplant Congress

    Transplant Centers That Assess Frailty as Part of Clinical Practice Have Better Outcomes

    X. Chen1, Y. Liu1, V. Thompson1, N. M. Chu1, E. A. King1, J. D. Walston2, J. A. Kobashigawa3, D. M. Dadhania4, D. L. Segev1, M. A. McAdams-DeMarco1

    1Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, 2Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, 3Comprehensive Transplant Center, Cedars-Sinai Medical Center, Los Angeles, CA, 4Division of Nephrology and Hypertension, Weill Cornell Medicine, New York, NY

    *Purpose: Frailty predicts adverse post-kidney transplant (KT) outcomes, yet impacts of frailty assessments on center-level outcomes remain unclear. We tested whether transplant centers assessing frailty…
  • 2022 American Transplant Congress

    HLA-II Subclasses Behave Differently Between Themselves and Between Humans: Cues to Understand Alloreactivity

    S. Beland, O. Desy, M. Marcoux, M. Thivierge, J. Desgagnes, S. A. De Serres

    Transplantation Unit, Renal Division, University Health Center of Quebec, Faculty of Medicine, Universite Laval, Quebec, QC, Canada

    *Purpose: De novo anti-HLA-II DSAs (dnDSA) are associated with antibody-mediated rejection. However, some patients with anti-HLA-II DSAs will not develop rejection, suggesting that the development…
  • 2022 American Transplant Congress

    Timing of Hypotension Post Kidney Transplant Impacts the Risk of Subsequent Delayed Graft Function

    S. A. Morrison1, A. Thanamayooran2, K. Tennankore1, A. J. Vinson1

    1Dalhousie University, Halifax, NS, Canada, 2Nova Scotia Health Authority, Halifax, NS, Canada

    *Purpose: Hypotension is common post-kidney transplant and is associated with delayed graft function (DGF; a need for dialysis in the first week post-transplant) and prolonged…
  • 2022 American Transplant Congress

    Single Nuclei RNA-Sequencing Identifies Distinct Immune Cell Profile in Kidney Allograft Fibrosis

    J. McDaniels1, A. Shetty1, C. Kuscu2, C. Kuscu2, T. Rousselle1, E. Bardhi1, C. Drachenberg1, M. Talwar2, J. Eason2, T. Muthukumar3, D. Maluf1, V. Mas1

    1University of Maryland Baltimore, Baltimore, MD, 2UTHSC, Memphis, TN, 3Weill Cornell Medicine, New York, NY

    *Purpose: A major obstacle after kidney transplantation (KT) is chronic allograft dysfunction characterized by interstitial fibrosis and tubular atrophy (IFTA). Despite extensive research, the cellular…
  • 2022 American Transplant Congress

    CD8+ T Cells Differentiate into a CD43-expressing Effector Population After Transplantation

    G. Cohen, M. A. Kallarakal, S. M. Krummey

    Department of Pathology, Johns Hopkins University, Baltimore, MD

    *Purpose: Despite a significantly reduced toxicity profile and improved long-term graft function versus calcineurin inhibitors, widespread adaptation of belatacept (CTLA-4 Ig) has been limited due…
  • 2022 American Transplant Congress

    The Impact of Donor Nephrectomy on the Living Donors Aged 75 Years and Older

    T. Hiramitsu, T. Tomosugi, K. Futamura, M. Okada, N. Goto, T. Ichimori, S. Narumi, Y. Watarai

    Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital, Nagoya, Japan

    *Purpose: Due to the profound organ shortage, number of living donor kidney transplantation (LDKT) from elder living donor (LD) is increasing. However, there has been…
  • 2022 American Transplant Congress

    Stem Cell Donor-Derived CPRA Better Reflects Sensitization Than Current CPRA

    K. Lindblad1, C. Murphey2, P. Lalli3, J. Lunz4, L. Gragert5

    1UNOS, Richmnd, VA, 2Southwest Immunodiagnostics, Inc., San Antonio, TX, 3Carolinas Medical Center, Charlotte, NC, 4LifeLink Foundation Transplant Immunology Lab, Tampa, FL, 5Tulane University School of Medicine, New Orleans, LA

    *Purpose: The OPTN Histocompatibility Committee proposes replacing the current calculated panel reactive antibody (CPRA), based on HLA haplotype frequencies from ~14,000 deceased kidney donors, with…
  • 2022 American Transplant Congress

    A Single-Center Cross-Sectional Analysis of Lipid Management in Kidney Transplant Recipients: Is It Time to Reassess KDIGO Guidelines?

    R. Saranu1, J. Pandav1, M. Balusu2, J. Azzi1, M. Y. Yeung1, M. McGrath1, E. Abdel-Basset1, S. Gabardi1, A. Chandraker1

    1Renal Division, Brigham and Women's Hospital, Boston, MA, 2Brigham and Women's Hospital, Boston, MA

    *Purpose: Cardiovascular disease remains the leading cause of mortality after kidney transplant, accounting for more than 30% of total deaths. Dyslipidemia is common following transplantation,…
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