ATC Abstracts

American Transplant Congress abstracts

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  • 2018 American Transplant Congress

    Clinical Significance of Microvascular Inflammation in the Absence of Anti-HLA DSA in Kidney Transplantation

    S. Parajuli, R. Redfield, F. Aziz, N. Garg, M. Mohamed, W. Zhong, T. Ellis, A. Djamali, D. Mandelbrot.

    University of Wisconsin, Madison.

    Background: It is not uncommon to have biopsy specimens meeting Banff glomerulitis (g) plus peritubular capillaritis (ptc) and/or c4d scores that meet criteria for antibody…
  • 2018 American Transplant Congress

    Early Experience Using Donor-Derived Cell-Free DNA for Detection of Rejection in Kidney Transplantation

    E. Huang, A. Vo, J. Choi, A. Peng, S. Sethi, R. Najjar, S. Jordan.

    Medicine/Nephrology, Cedars Sinai Medical Center, Los Angeles, CA.

    Introduction:Donor-derived cell free DNA (ddDNA; Allosure, CareDX) has been validated as a non-invasive test that can discriminate rejection from non-rejection in kidney transplantation, but has…
  • 2018 American Transplant Congress

    Comparison of Microvascular Inflammation in Renal Allograft Tissue between ABO Incompatible and ABO Compatible Kidney Transplantation

    E. Ko,1,2 B. Choi,1,2 C. Park,1,2 Y. Kim,1,2 C. Yang,1,2 B. Chung.1,2

    1Transplant Research Center, College of Medicine, Seoul St.Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea; 2Division of Nephrology, Department of Internal Medicine, College of Medicine, Seoul St.Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.

    Background: Microvascular inflammation (MVI) is considered as a pathological marker for antibody-mediated rejection (AMR) in the presence of donor-specific antibody (DSA). We aimed to investigate…
  • 2018 American Transplant Congress

    An Increase in Spot Urine Protein Excretion during the First Year after Kidney Transplantation Associates with Subclinical De-Novo Donor-Specific Antibodies and Microvascular Inflammation at 1-Year Surveillance Biopsies

    M. Arnol,1 G. Mlin[scaron]ek,1 M. Oblak,1 A. Kandus,1 N. Kojc,2 J. Buturović-Ponikvar.1

    1Department of Nephrology, University Medical Centre Ljubljana, Ljubljana, Slovenia; 2Institute of Pathology, University of Ljubljana, Ljubljana, Slovenia.

    Introduction. We investigated whether an increase in spot urine protein excretion during the first year after kidney transplantation associates with subclinical de-novo donor-specific antibodies (DSA)…
  • 2018 American Transplant Congress

    Waning Enthusiasm for a Once Promising Test: C1q Testing Does Not Provide Prognostic Information for DSA Screening Protocols

    A. Gilbert, D. Li, M. Awwad, S. Rosen-Bronson, P. Abrams, J. Verbesey, G. Vranic, M. Cooper.

    Medstar Georgetown Transplant Institute, Medstar Georgetown University Hospital, Washington, DC.

    Introduction: Testing of donor specific antibodies (DSA) for binding of complement component C1q has been used to better elucidate pathologic antibodies from more benign reactions.…
  • 2018 American Transplant Congress

    Serum Treatment with Fetal Bovine Serum Significantly Increases Luminex-Based HLA Antibody Assay Specificity by Reducing Heterophile Antibody Interference

    A. Jaramillo,1 J. House,1 L. Nelson,1 S. Stoll,1 R. Ridgley,1 H. Khamash.2

    1Department of Laboratory Medicine and Pathology, Mayo Clinic, Phoenix, AZ; 2Department of Medicine, Mayo Clinic, Phoenix, AZ.

    Mean fluorescence intensity (MFI) values obtained from Luminex-based HLA antibody assays are used to determine the relative strength of HLA antibodies. However, MFI values can…
  • 2018 American Transplant Congress

    The Impact of Pre-Transplant Donor Specific Antibodies (DSA) on AMR Rates in HIV-Infected Kidney Transplant Recipients Inducted with IL-2 RA

    S. Farouk, B. Rollins, V. Delaney, N. Singh, V. Sehgal, R. Kent, M. Menon, R. Shapiro, S. Florman, G. DeBoccardo.

    Recanati Miller Transplant Institute, Icahn School of Medicine at Mt. Sinai, New York, NY.

    Background: 1-year rejection rates in HIV-infected kidney transplant recipients range from 15-40%, compared to overall rejection rates of 10% in HIV-negative patients. We report the…
  • 2018 American Transplant Congress

    Can We Expect the “Unexpected”?

    D. Pinelli, A. Tambur.

    Northwestern University, Chicago.

    A known, seemingly paradoxical, phenomenon of the HLA system is the high overall degree of homology among different HLA alleles, despite vast polymorphism in the…
  • 2018 American Transplant Congress

    Efficacy and Safety of Tocilizumab in Treatment of Acute Antibody Mediated Rejection

    K. Venkatachalam, D. Reem, M. Andrew, R. Delos Santos, T. Alhamad.

    Transplant Nephrology, Washington University, Saint Louis, MO; Transplant Nephrology, Ohio State University, Columbus, OH; Transplant Nephrology, Washington University, Saint Louis, MO; Transplant Nephrology, Washington University, Saint Louis, MO.

    Antibody mediated rejection continues to be one of the most detrimental complications of kidney transplant. Multiple therapeutic strategies focused on B cell and/or HLA antibody…
  • 2018 American Transplant Congress

    Diagnostic Usefulness of Medullary C4d Staining in Renal Allografts

    J. Von Visger,1 C. Von Visger, A. Satoskar,2 T. Nadasdy,2 J. Hemminger,2 S. Brodsky.2

    1Medicine, The Ohio State University Wexner Medical Center, Columbus, OH; 2Pathology, The Ohio State University Wexner Medical Center, Columbus, OH.

    Background: Detection of peritubular capillary (PTC) complement C4d on renal allograft biopsy is a histologic marker (along with serum anti-donor antibody, PTC inflammatory cells and…
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