ATC Abstracts

American Transplant Congress abstracts

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  • 2019 American Transplant Congress

    Identification of Adult Liver Transplant Recipients Eligible to Participate in an Immunosuppression Withdrawal Trial Employing Non-Invasive Assessments of Allograft Status

    J. Vionnet1, R. Miquel1, A. Douiri1, M. Elstad1, E. Kodela1, A. Quaglia2, J. Wall1, P. Ruiz Martin1, E. B. Riani3, J. Leithead4, A. Marshall2, M. Navasa5, P. Ruiz5, J. Ferguson6, K. Simpson7, A. Pascher8, E. Jaeckel9, R. Bishop10, F. Nevens11, S. Masson12, A. Sanchez-Fueyo1

    1King's College London, London, United Kingdom, 2Royal Free, London, United Kingdom, 3St-Luc, Brussels, Belgium, 4Addenbrookes, Cambridge, United Kingdom, 5Hospital Clinic, Barcelona, Spain, 6Queen Elizabeth, Birmingham, United Kingdom, 7Royal Infirmary, Edinburgh, United Kingdom, 8Charité, Berlin, Germany, 9Hannover Medical School, Hannover, Germany, 10Leeds NHS Trust, Leeds, United Kingdom, 11UZ Leuven, Leuven, Belgium, 12Hepatology, Newcastle, United Kingdom

    *Purpose: Liver Immunosuppression Free Trial (LIFT) is a multicentre international prospective randomised controlled trial of biomarker-guided immunosuppression withdrawal in adult liver transplant recipients who meet…
  • 2019 American Transplant Congress

    Inflammation and Fibrosis Are Observed in 34% of Clinically Stable Adult Liver Transplant Recipients

    L. Sun1, J. Levitsky2, S. Feng3, A. Humar4, A. J. Demetris4, J. Emond5, A. Shaked6, G. Klintmalm7, K. Mason8, M. DesMarais1, A. Priore9, N. Bridges9, B. E. Burrell10, S. Chandran3, J. Markmann11

    1ITN, San Francisco, CA, 2Northwestern, Chicago, IL, 3UCSF, San Francisco, CA, 4UPMC, Pittsburg, PA, 5Columbia, New York, NY, 6UPenn, Philadelphia, PA, 7Baylor, Dallas, TX, 8Rho, Chapel Hill, NC, 9NIAID, Bethesda, MD, 10ITN, Bethesda, MD, 11MGH, Boston, MA

    *Purpose: OPTIMAL is a 7-center immunosuppression withdrawal (ISW) study in non-autoimmune, non-HCV adult liver transplant recipients ≥3 yrs post-transplant (tx) (NCT02533180). Subjects underwent a screening…
  • 2019 American Transplant Congress

    A Novel Protocol to Produce Massive Amounts of Autologous Thymus-Derived Treg Cells (ThyTreg) to Be Employed as Cellular Therapy in Heart Transplanted Children: A New Paradigm for the Prevention of Graft Rejection

    E. Bernaldo de Quirós1, R. López1, V. Pérez1, M. Clemente2, J. Gil-Jaurena3, M. Camino4, N. Gil4, E. Panadero4, C. Medrano4, M. Pion1, R. Correa-Rocha1

    1Laboratory of Immune-regulation, Instituto de Investigación Sanitaria Gregorio Marañón (IISGM), Madrid, Spain, 2Cell Culture Unit, Instituto de Investigación Sanitaria Gregorio Marañón (IISGM), Madrid, Spain, 3Pediatric Cardiac Surgery Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain, 4Pediatric Cardiology Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain

    *Purpose: Immune allograft rejection remains the main obstacle to successful transplants. Although transfer of regulatory T cells (Treg) has acquired growing interest in achieving indefinite…
  • 2019 American Transplant Congress

    Mismatched Antibody Epitopes and the Development of HLA-DQ De Novo DSA during Immunosuppression Withdrawal in Liver Transplant Recipients

    V. Jucaud1, A. Shaked2, M. DesMarais3, P. Sayre4, S. Feng4, J. Levitsky5, M. Everly1

    1Terasaki Research Institute, Los Angeles, CA, 2University of Pennsylvania, Philadelphia, PA, 3Immune Tolerance Network, San Francisco, CA, 4University of California San Francisco, San Francisco, CA, 5Northern Western University, Chicago, IL

    *Purpose: We recently described, in liver transplant (LT) recipients from the ITN030ST study, the development of de novo donor-specific HLA antibodies (dnDSA) and their impact…
  • 2019 American Transplant Congress

    Paradoxical Liver Simulated Allocation Model (LSAM) Projections for Changes to Waitlist Mortality under Acuity Circle Distribution Model

    R. Lynch1, K. Ross1, S. Karp2

    1Emory, Atlanta, GA, 2Vanderbilt, Nashville, TN

    *Purpose: In December 2018, the United Network for Organ Sharing (UNOS) board voted to change liver transplant distribution from Donor Service Areas (DSAs) to a…
  • 2019 American Transplant Congress

    Recipient Predictors of Post-Donation End Stage Renal Disease in Living Kidney Donors

    J. Wainright1, A. Robinson1, A. Wilk1, D. Klassen2, W. Cherikh1, L. Cartwright1, D. Stewart1

    1Research, UNOS, Richmond, VA, 2UNOS, Richmond, VA

    *Purpose: We studied associations between kidney transplant recipient diagnosis and other factors and development of ESRD among related living kidney donors (LKDs).*Methods: Using OPTN listing…
  • 2019 American Transplant Congress

    Transplantation of Hepatitis C Virus Positive Donor Kidneys into Hepatitis C Negative Older Recipients

    J. A. Graham1, M. Ajaimy2, J. Torabi1, T. Powell3, J. Weiss4, T. Weinstein5, S. Greenstein1, O. Andacoglu1, A. Campbell6, J. Carrero1, J. Lapponese1, M. Kinkhabwala1, E. Akalin2, J. P. Rocca1

    1Surgery, Montefiore Medical Center, Bronx, NY, 2Medicine, Montefiore Medical Center, Bronx, NY, 3Epidemiology and Psychiatry, Montefiore Medical Center, Bronx, NY, 4Medical Affairs, Montefiore Medical Center, Bronx, NY, 5Risk & Loss Prevention, Montefiore Medical Center, Bronx, NY, 6Pharmacy, Montefiore Medical Center, Bronx, NY

    *Purpose: Patients awaiting transplantation are often at risk of developing life-threatening disease and complications. Older patients have a disproportionately higher risk of dropping out of…
  • 2019 American Transplant Congress

    EBV+ PTLD in the Modern Immunosuppression Era: Role of EBV Serology and DNAemia-Preliminary Data from CTOT-C06

    O. M. Martinez1, S. M. Krams1, M. A. Robien2, M. Lapasaran1, S. D. Boyd1, B. Armstrong3, C. Twist4, K. Weinberg1, D. Gratzinger1, B. Tan1, M. Sever3, D. Ikle3, M. Brown2, D. Bernstein1, C. O. Esquivel1

    1Stanford University Sch of Med, Stanford, CA, 2NIAID/NIH, Rockville, MD, 3Rho, Chapel Hill, NC, 4Roswell Park, Buffalo, NY

    *Purpose: Post-transplant lymphoproliferative disorder (PTLD) remains a serious problem in the pediatric transplant population. The Clinical Trials of Organ Transplantation in Children (CTOT-C)-06 is an…
  • 2019 American Transplant Congress

    Specific Donor/Recipient HLA Disparities are Associated with Better Long-Term Kidney Allograft Survival among 4-, 5-, and 6-HLA (A/B/DR)-Mismatched Pairs

    D. Bekbolsynov, H. Zhang, B. Mierzejewska, M. Rees, K. Xu, S. Stepkowski

    University of Toledo, Toledo, OH

    *Purpose: The vast majority of deceased donor kidneys are allocated without any consideration for the HLA disparities, which may improve or worsen the survival the…
  • 2019 American Transplant Congress

    The Influential Yet Highly Variable Role of Biopsy Findings on Kidney Offer Acceptance Decisions: An Organ Offer Simulation Study

    D. Stewart1, J. Rosendale1, H. McGehee1, I. Hall2, G. Gupta3, K. Reddy4, B. Kasiske5, K. Andreoni6, D. Klassen1

    1UNOS, Richmond, VA, 2Univ of Utah, Salt Lake City, UT, 3VCU, Richmond, VA, 4Mayo, Phoenix, AZ, 5HCMC, Minneapolis, MN, 6Univ of Florida, Gainesville, FL

    *Purpose: The use of procurement biopsies (Bx) to assess kidney quality is controversial. ‘Biopsy findings’ is an often cited discard reason, yet the association between…
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