ATC Abstracts

American Transplant Congress abstracts

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  • 2018 American Transplant Congress

    Steroid Sparing Maintenance Immunosuppression is Associated with Decreased Mortality after Simultaneous Liver Kidney Transplantation

    S. Weeks, X. Luo, C. Song, L. Pote, A. Gurakar, F. Navqi, B. Philosophe, A. Cameron, N. Desai, S. Ottmann, D. Segev, J. Garonzik Wang.

    Johns Hopkins, Baltimore, MD.

    Purpose: Significant variation in maintenance immunosuppression (mIS) regimens has been described between transplant centers for simultaneous liver kidney (SLK) transplant recipients; we sought to describe…
  • 2018 American Transplant Congress

    The Protective Effect of Multivisceral Transplantation on Intestinal Allograft Rejection – Its Correlation with T-Cell Macrochimerism from a Long-Term Prospective Study

    P. Liou,1 M. Martinez,1 J. Fu,2 M. Velasco,1 A. Griesemer,1 S. Lobritto,1 J. Vittorio,1 S. Ravella,1 B. Levin,3 J. Emond,1 M. Sykes,2 T. Kato.1

    1Center for Liver Disease and Transplantation, Columbia University, New York, NY; 2Columbia Center for Translational Immunology, Columbia University, New York, NY; 3Department of Biostatistics, Columbia University, New York, NY.

    Objective Graft rejection remains the crux of intestinal transplantation. Although liver-inclusive grafts appear to be protective, the mechanism remains unknown. We hypothesize that T-cell macrochimerism…
  • 2018 American Transplant Congress

    Senolytic Drug Treatment Attenuates mtDNA-Mediated Inflammatory Injury in Old Donors and Prolongs Cardiac Allograft Survival

    K. Minami,1 M. Seyda,1 T. Heinbokel,1 Y. Nian,1 M. Quante,1 G. Liu,1 R. Abdi,2 T. Tchkonia,3 J. Kirkland,3 A. Elkhal,1 S. Tullius.1

    1Transplant Surgery Division, Department of Surgery, Brigham and Women's Hospital, Boston, MA; 2Transplantation Research Center, Brigham and Women's Hospital, Boston; 3Robert and Arlene Kogod Center on Aging, Mayo Clinic College of Medicine, Rochester, MN.

    Introduction: Solid organ transplantation has seen a increase in the utilization of older organs. Here, we investigate how aging-associated kinetics of damage associated molecular patterns…
  • 2018 American Transplant Congress

    Outcomes Analysis of Liver Transplantation Combined with Neoadjuvant Therapy in Patients with Unresectable Locally-Advanced Cholangiocarcinoma

    M. Wong,1 J. Kim,1 C. Eriksen,1 T. Pearson,1 J. Robbins,2 B. George,3 M. Zimmerman,1 J. Hong.1

    1Div. of Transplant Surgery, Medical College of Wisconsin and Froedtert Hospital (MCW & FH), Milwaukee, WI; 2Dept. of Radiation Oncology, MCW & FH, Milwaukee, WI; 3Div. of Hematology/Oncology, MCW & FH, Milwaukee, WI.

    Objective: Liver transplantation (LT) combined with neoadjuvant chemoradiation (NCR) in well-selected patients with unresectable cholangiocarcinoma (CCA) achieves excellent long-term recurrence-free survival. Current criteria for NCR-LT…
  • 2018 American Transplant Congress

    Disparity in Access to Kidney Allograft Offers among HIV+ Transplant Candidates

    J. Cohen,1 J. Locke,2 B. Shelton,2 R. Reed,2 P. MacLennan,2 D. Sawinski.1

    1Renal Division, University of Pennsylvania, Philadelphia, PA; 2Comprehensive Transplant Institute, University of Alabama at Birmingham, Birmingham, AL.

    Background: Despite having a demonstrated survival benefit with kidney transplantation, patients with chronic viral infections, such as HCV or HIV, face many barriers to transplantation,…
  • 2018 American Transplant Congress

    Disparate Candidate Selection Practices and Substantial Use of Low KDPI Kidneys in Combined Heart-Kidney and Liver-Kidney Transplantation, 2012-2016

    R. Steiner,1 J. Halldorson.2

    1Transplant Nephrology, University of California at San Diego School of Medicine, San Diego, CA; 2Transplant Surgery, Sharp Memorial Hospital/Balboa Nephrology, San Diego, CA.

    Transplant professionals have struggled to formulate defensible standards for combined heart-kidney and liver-kidney transplantation (HKTs and LKTs). In these recipients, recovery of native renal function…
  • 2018 American Transplant Congress

    Metabolic Therapy as a Platform for CTLA4Ig Costimulation Blockade in Preventing Allograft Rejection

    C-.H. Cheng,1,2 C-.F. Lee,1,2 G. Furtmüller,3 B. Oh,3 C. Patel,1 Y-.C. Lo,1 M. Fryer,3 G. Brandacher,3 J. Powell.1

    1Sidney-Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD; 2Department of Liver and Transplantation Surgery, Chang-Gung Memorial Hospital, New Taipei City, Taiwan; 3Vascularized Composite Allotransplantation Laboratory, Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.

    The backbone of current immunosuppression regimens remains calcineurin inhibitors (CNI) in association with steroids, mycophenolate mofetil or mTOR inhibitors. However, their long-term administration is associated…
  • 2018 American Transplant Congress

    B Cell Immune Repertoire Sequencing Identifies Pre-Transplant Rejection Risk

    S. Pineda,1,2 T. Sigdel,1 J. Liberto,1 K. Roskin,3 S. Robin,3 M. Sirota,2 M. Sarwal.1

    1Surgery, UCSF, SF; 2ICHS, UCSF, SF; 3Pathology, Stanford, Stanford.

    Background: The diversity of the B cell immune repertoire may drive humoral injury and rejection in organ transplantation (tx).Methods: We utilized advances in next-generation sequencing…
  • 2018 American Transplant Congress

    Recipient HO-1 Deficiency Decreases Post-Transplant Graft HO-1 Expression and Exacerbates Liver Transplant Damage

    S. Kageyama,1 K. Nakamura,1 T. Ito,1 A. Aziz,1 B. Ke,1 R. Sossa,2 E. Reed,2 F. Kaldas,1 R. Busuttil,1 J. Kupiec-Weglinski.1

    1Surgery, Liver Transplantation, UCLA, Los Angeles, CA; 2Pathology, UCLA, Los Angeles, CA.

    Many preclinical studies on protective functions of heme oxygenase-1 (HO-1; hsp32) in orthotopic liver transplantation (OLT) have encouraged application of HO-1 inducing regimens in clinical…
  • 2018 American Transplant Congress

    Alemtuzumab is Associated with Higher Rates of De Novo Donor Specific Antibody (DSA) in Patients with No Pre-Transplant DSA

    N. Bath, S. Parajuli, G. Leverson, M. Jorgenson, J. Fose, T. Ellis, D. Kaufman, A. Djamali, R. Redfield.

    Surgery, University of Wisconsin, Madison, WI.

    Introduction: Basiliximab, alemtuzumab, and thymoglobulin are the most commonly used induction agents in the US. While many centers use depleting antibody induction therapy in patients…
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