ATC Abstracts

American Transplant Congress abstracts

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  • 2016 American Transplant Congress

    Variation in Co-Medication Use According to Kidney Transplant Immunosuppressive Regimen: Application of Integrated Registry and Pharmacy Claims Data.

    K. Lentine,1 A. Naik,2 M. Schnitzler,1 D. Axelrod,3 J. Chen,1 D. Brennan,4 D. Segev,5 B. Kasiske,6 H. Randall,1 V. Dharnidharka.4

    1Saint Louis Univ, St. Louis; 2Univ Michigan, Detroit; 3Dartmouth Univ, Hanover; 4Washington Univ, St. Louis; 5Johns Hopkins Univ, Baltimore; 6Univ Minnesota, Minneapolis.

    Background: While modern immunosuppressive therapies (ISx) have substantially reduced acute rejection, ISx medications have many side effects, and transplant recipients must take an array of…
  • 2016 American Transplant Congress

    Early Post-Transplant Patient, Graft Survival and Rejection Rates Under KAS.

    A. Kucheryavaya, D. Stewart, D. Klassen.

    UNOS, Richmond.

    Background: KAS, implemented on 12/4/14, resulted in changes in recipient, donor/recipient and tx characteristics that have the potential to affect post-tx outcomes.Data and Methods: We…
  • 2016 American Transplant Congress

    Primary Outcome of iWITH: A Multi-Center Clinical Trial of Complete Immunosuppression Withdrawal (ISW) in Stable Pediatric Liver Transplant (LT) Recipients.

    S. Feng,1 J. Bucuvalas,2 A. Demetris,3 K. Spain,4 S. Kanaparthi,5 J. Magee,6 G. Mazariegos,3 The iWITH Investigators.7

    1UCSF, San Francisco; 2CCHMC, Cincinnati; 3U Pitt, Pittsburgh; 4Rho, Chapel Hill; 5ITN, Bethesda; 6U Mich, Ann Arbor; 7NIAID/NIDDK/ITN, Bethesda.

    AIM: Test the hypothesis that a selected cohort of pediatric LT recipients can safely undergo complete ISW followed by assessment for operational tolerance (OT)METHODS: 88…
  • 2016 American Transplant Congress

    Skipping Comparable Local Waitlist Candidates Under Share 35.

    E. Chow,1 A. Massie,1 X. Luo,1 C. Wickliffe,1 S. Gentry,2 A. Cameron,1 D. Segev.1

    1Surgery, Johns Hopkins University, Baltimore, MD; 2Mathematics, US Naval Academy, Annapolis, MD.

    Under Share-35, deceased donor (DD) livers are offered regionally to candidates with MELD≥35 before locally to lower MELD candidates. The characteristics and outcomes of local…
  • 2016 American Transplant Congress

    Are We Refusing Good Organs? Outcomes of Ventilator Management of Sub-Optimal Lung Donors.

    B. Scully,1 D. Horne,1 J. Heinle,1 E. McKenzie,1 K. Hosek,2 W. Zhang,2 G. Mallory,3 E. Melicoff.3

    1Congenital Heart Surgery, Texas Children's Hospital, Houston, TX; 2Outcomes and Impact Services, Texas Children's Hospital, Houston, TX; 3Pulmonology, Texas Children's Hospital, Houston, TX.

    PurposeOptimizing donor lung function is essential for organ acceptance and successful lung transplantation (LTx). We hypothesized that ventilator management of sub-optimal donor lungs, PaO2<300 mmHg,…
  • 2016 American Transplant Congress

    High Incidence of Herpes Zoster After Kidney, Liver, Heart and Lung Transplantation.

    N. van Besouw, S. Roest, D. Bovée, H. Metselaar, R. Hoek, J. van Weezel, A. van der Eijk, W. Weimar, O. Manintveld, M. Kho.

    Erasmus MC, Rotterdam, Netherlands.

    Background: Primary varicella zoster virus (VZV) infection causes varicella and lifelong latent infection in neural ganglia from which it may reactivate leading to herpes zoster…
  • 2016 American Transplant Congress

    A Risk Quantification Score for Heart Transplants: A Heart Donor Risk Index.

    A. Israni,1,2 D. Zaun,1 J. Snyder,1 N. Salkowski,1 H. Xiong,1 B. Kasiske,1,2 M. Colvin,1,3 M. Colvin.1,3

    1Scientific Registry of Transplant Recipients, Minneapolis; 2Hennepin County Medical Center, Univ of MN, Minneapolis; 3Univ of Michigan, Ann Arbor.

    Background: To better risk stratify heart transplants, we developed a continuous heart donor risk index (HDRI) based on heart donors to quantify heart allograft failure.Methods:…
  • 2016 American Transplant Congress

    DEPTOR Inhibits mTORC1 in CD4+ T Cells and Increases Treg Function by Stabilizing Foxp3 Expression.

    J. Wedel,1,2 S. Bruneau,1,2 D. Briscoe.1,2

    1Division of Nephrology, Boston Children's Hospital, Boston, MA; 2Transplant Research Program, Harvard Medical School, Boston, MA.

    The modulation of PI-3K/Akt-induced signaling is critical for CD4+ Treg homeostasis and stability. Moreover, activation of PI-3K/Akt/mTOR signals within T cell subsets is associated with…
  • 2016 American Transplant Congress

    TGFb in Regulatory B Cells-Dependent Tolerance.

    H. Deirawan, L. Kojima, L. Washburn, J. Markmann, J. Kim.

    Surgery, Massachusetts General Hospital, Boston, MA.

    In transplantation, increasing evidence support that B cells can play a major regulatory role in addition to their critical functions in allo-immunity and graft rejection.…
  • 2016 American Transplant Congress

    Transfer of Donor-Derived Exosomes to Recipient Ag-Presenting Cells Is Critical for Allograft Recognition.

    Q. Liu,1 D. Rojas-Canales,1 S. Divito,1 W. Shufesky,1 A. Larregina,2 A. Morelli.1

    1Surgery, University of Pittsburgh, Pittsburgh, PA; 2Dermatology, University of Pittsburgh, Pittsburgh, PA.

    After organ transplantation, T cells are primed against donor MHC molecules by donor dendritic cells (DCs) mobilized from the graft. Nevertheless, evidence suggests that donor…
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