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American Transplant Congress abstracts

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  • 2022 American Transplant Congress

    Which is More Important for Predicting De Novo DSA Production, B Cell Epitope (EPLET) or T Cell Epitope (PIRCHE) Analysis ?

    T. Kobayashi1, T. Tomosugi2, S. Sakamoto2, S. Ashimine1, K. Iwasaki1, M. Niemann3, E. Spierings4, Y. Miwa1, M. Okumura1, K. Ishiyama1, A. Takeda2, N. Goto2, S. Narumi2, Y. Watarai2

    1Aichi Medical University School of Medicine, Nagakute, Japan, 2Nagoya Daini Red Cross Hospital, Nagoya, Japan, 3PIRCHE AG, Berlin, Germany, 4UMC Utrecht, Utrecht, Netherlands

    *Purpose: De novo donor-specific antibodies (dnDSA) can cause chronic ABMR, resulting in poor prognosis. Recently, mismatch at B cell epitope level, i.e. EPLET mismatch, has…
  • 2022 American Transplant Congress

    Abnormal B Cell Profile Associated with Inadequate Antibody Response to MRNA SARS-COV-2 Vaccine Can Be Overcome with a Third Vaccine Dose in Adolescent Kidney Transplant Recipients

    C. Crane, E. Phebus, L. Loop, C. Anterasian, B. Geng, E. Ingulli

    Pediatrics, UCSD Rady Children's, San Diego, CA

    *Purpose: mRNA SARS-CoV-2 vaccines are highly efficacious in the general population but have shown a diminished response in immunosuppressed adolescent kidney allograft recipients. We investigated…
  • 2022 American Transplant Congress

    Differentially Methylated Genes Predict Post-Transplant Relapse of Unresectable Hepatoblastoma

    M. Ningappa1, M. Muarya2, C. Ashokkumar1, H. Hakonarson3, S. Subramaniam4, R. Sindhi1

    1Childrens Hospital of Pittsburgh of UPMC, Pittsburgh, PA, 2Department of Bioengineering & San Diego Supercomputer Center, University of California, San Diego, CA, 3Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, 4Department of Computer Science and Engineering, and Nanoengineering, University of California, San Diego, La Jolla, CA

    *Purpose: Hepatoblastoma (HB), a developmental liver tumor of childhood requires liver transplantation (LT) if it remains unresectable despite chemotherapy. Post-transplant relapse in up to 20%…
  • 2022 American Transplant Congress

    Long-Term Outcomes of Crossmatch Positive Simultaneous Liver Kidney Transplants in the United States

    S. Riad1, E. Aby1, S. Jackson2, P. Nguyen3, N. Lim1, J. Lake1

    1Medicine, University of Minnesota, Minneapolis, MN, 2Mhealth-Fairview, Minneapolis, MN, 3Surgery, University of Minnesota, Minneapolis, MN

    *Purpose: The long-term results of crossmatch positive (XM+) simultaneous liver-kidney (SLK) transplants are conflicting. We examined the association between crossmatch (XM) status and SLK outcomes…
  • 2022 American Transplant Congress

    Comparing Disparities in Access to First and Re-Kidney Transplantation Among Hispanic and Black Adults in the United States

    S. Sandal1, J. Ahn2, V. Thompson3, T. Purnell4, M. Cantarovich5, D. Segev3, M. McAdams DeMarco3

    1McGill University, Montreal, QC, Canada, 2SOM, Johns Hopkins University, Baltimore, MD, 3Johns Hopkins University, Baltimore, MD, 4Johns Hopkins School of Medicine, Baltimore, MD, 5McGill University Health Ctr, Montreal, QC, Canada

    *Purpose: There are significant racial/ethnic disparities in access to solid organ transplantation; lack of education and familiarity with the transplant process are postulated contributors. Among…
  • 2022 American Transplant Congress

    Long-Term Outcomes for Living Kidney Donors with Early Guideline-Concordant Follow-Up Care

    A. Dhalla1, A. Lloyd2, K. L. Lentine3, A. X. Garg4, R. R. Quinn1, P. Ravani1, S. W. Klarenbach2, B. R. Hemmelgarn2, U. Ibelo1, N. N. Lam1

    1Department of Medicine, Division of Nephrology, University of Calgary, Calgary, AB, Canada, 2Department of Medicine, Division of Nephrology, University of Alberta, Edmonton, AB, Canada, 3Center for Abdominal Transplantation, Saint Louis University, St. Louis, MO, 4Department of Medicine, Division of Nephrology, Western University, London, ON, Canada

    *Purpose: Current guidelines recommend that living kidney donors receive annual lifelong follow-up to monitor kidney health. It is unclear whether early guideline-concordant care is associated…
  • 2022 American Transplant Congress

    Degree of Pre-Liver Transplant Immune Dysfunction Correlates with Post-Transplant Cancer Recurrence

    G. S. Prakash1, G. G. Panayotova1, S. Simonishvili1, Y. Qin1, L. Jin1, T. Ayorinde1, L. J. Minze2, F. Paterno1, L. Brown1, A. Amin1, D. Liu1, R. Ghobrial2, J. V. Guarrera1, K. E. Lunsford1

    1Rutgers New Jersey Medical School, Newark, NJ, 2Houston Methodist Hospital, Houston, TX

    *Purpose: Despite stringent selection criteria for liver transplant (LT) in patients with liver-limited malignancy, post-transplant cancer recurrence remains problematic. We have previously identified a pre-LT…
  • 2022 American Transplant Congress

    Validation of a Hypertension Risk Calculator for Living Kidney Donors

    E. S. Helgeson1, S. Vempati1, E. F. Palzer1, G. Mjøen2, A. J. Haugen3, A. Matas4

    1Division of Biostatistics, University of Minnesota, Minneapolis, MN, 2Department of Transplant Medicine, Oslo University Hospital, Oslo, Norway, 3Department of Internal Medicine, Bærum Hospital, Sandvika, Norway, 4Department of Surgery, University of Minnesota, Minneapolis, MN

    *Purpose: It would be ideal if candidates considering kidney donation understood their long-term risks. Using single-center data (n=4055; median [IQR] f/u: 18 [9-28] yrs), we…
  • 2022 American Transplant Congress

    Area Deprivation Index is Associated with Worse Patient Survival Following Adult Liver Transplantation

    J. Hendele1, J. Perkins2, J. Nichols3, A. Dick1

    1Division of Transplant Surgery, Department of Surgery, University of Washington, Seattle, WA, 2Clinical and Bio-Analytics Transplant Laboratory (CBATL), University of Washington, Division of Transplant Surgery, Department of Surgery, Seattle, WA, 3School of Medicine, University of Washington, Seattle, WA

    *Purpose: Area Deprivation Index (ADI) has been utilized as a granular measure of local socioeconomic status for nearly two decades. This study is the first…
  • 2022 American Transplant Congress

    Changes in Health Equity Under Liver Acuity Circles Allocation

    S. Noreen, J. Foutz, A. Henderson, D. Stewart

    United Network for Organ Sharing, Richmond, VA

    *Purpose: Acuity circles (AC) allocation was implemented on 2/4/2020 with a goal of removing DSA and region from liver allocation and sharing livers more broadly.…
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