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American Transplant Congress abstracts

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  • 2019 American Transplant Congress

    Identification Of Pre-transplant Biomarkers Of Recipient Immune Dysfunction That Predict Recipient Risk Of Death Following Liver Transplant: The Immune Frailty Index

    K. E. Lunsford1, N. Aware1, K. Cleveland1, C. J. Manner1, D. T. Nguyen2, E. A. Graviss2, J. V. Thomas1, H. Vyas1, L. W. Moore1, S. A. Dorman1, A. Saharia1, C. M. Mobley1, M. J. Hobeika1, X. C. Li1, R. M. Ghobrial1

    1Sherrie and Alan Conover Center for Liver Disease and Transplantation, Houston Methodist Hospital, Houston, TX, 2Department of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, TX

    *Purpose: Cirrhosis-related immune dysfunction is well recognized and likely contributes to early mortality following liver transplant (LT) resulting from infections; however, few prior studies have…
  • 2019 American Transplant Congress

    A Potential Role for IgE-Mediated Immune Response in the Pathogenesis of Chronic Antibody-Mediated Rejection

    F. Rascio1, P. Pontrelli2, G. S. Netti3, E. Manno1, B. Infante1, S. Simone2, G. Castellano2, M. Seveso4, E. Cozzi4, L. Gesualdo2, G. Stallone1, G. Grandaliano1

    1Department of Medical and Surgical Sciences, Nephrology Dialysis and Transplantation Unit, University of Foggia, Foggia, Italy, 2Department of Emergency, and Organ Transplantation, Nephrology, Dialysis and Transplantation Unit, University of Bari, Bari, Italy, 3Dept. of Medical and Surgical Sciences, Clinical Pathology Unit, University of Foggia, Foggia, Italy, 4Department of Cardiac, Thoracic and Vascular Sciences, Transplant Immunology Unit, University of Padua, Padova, Italy

    *Purpose: Chronic antibody-mediated rejection (CAMR) is the main cause of graft loss and shares with systemic lupus erythematosus (SLE) the antibody-mediated kidney damage and the…
  • 2019 American Transplant Congress

    Using Transplant Referral Regions to Measure Access to Kidney Transplant

    K. Ross1, D. Axelrod2, R. Patzer1

    1Emory University, Emory Transplant Center, Atlanta, GA, 2Dept of Surgery, University of Iowa, Iowa City, IA

    *Purpose: The transplant community has advocated to emphasize pre-transplant quality metrics to promote access to kidney transplantation (KT). Measuring access to transplant requires a well-defined,…
  • 2019 American Transplant Congress

    An International Multicentre Validation Study of the Toronto Listing Criteria for Pediatric Intestinal Transplant

    A. J. Roberts1, P. W. Wales2, S. V. Beath3, H. M. Evans1, J. Hind4, T. Wong5, D. Mercer6, J. Yap7, C. Belza8, D. Grant9, Y. Avitzur10

    1Department of Paediatric Gastroenterology, Starship Child Health - Auckland District Health Board, Auckland, New Zealand, 2Division of General & Thoracic Surgery, Hospital for Sick Children, University of Toronto,, Group for Improvement of Intestinal Function and Treatment (GIFT), Transplant Centre, Toronto, ON, Canada, 3The Liver Unit, Birmingham Children’s Hospital, Birmingham, United Kingdom, 4Paediatric Liver, GI & Nutrition Centre, King's College Hospital, London, United Kingdom, 5The Liver Unit, Birmingham Children's Hospital, Birmingham, United Kingdom, 6Children’s Hospital and Medical Centre, Omaha, NE, 7Department of Pediatrics, University of Alberta, Edmonton, AB, Canada, 8Group for Improvement of Intestinal Function and Treatment (GIFT), Transplant Centre, Toronto, ON, Canada, 9Department of Surgery, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada, 10Division of Gastroenterology, Hepatology & Nutrition, Group for Improvement of Intestinal Function and Treatment (GIFT), Transplant Centre, Toronto, ON, Canada

    *Purpose: Current intestinal transplantation (IT) listing criteria from 2001 have limited ability to predict the need for IT in the current era of intestinal failure…
  • 2019 American Transplant Congress

    The Complexity of T Cell-Mediated Rejection Scenarios: Identifying BK in Biopsies with TCMR

    P. F. Halloran and The INTERCOMEX Investigators1, G. Gupta2, J. Reeve3

    1University of Alberta, Edmonton AB, AB, Canada, 2Virginia Commonwealth University, Richmond, VA, 3Alberta Transplant Applied Genomics Centre, Edmonton, AB, Canada

    *Purpose: Some transplanted kidneys have concomitant T cell-mediated rejection (TCMR) and BK virus nephropathy (BK). The histologic diagnosis in BK sometimes overlooks the TCMR component,…
  • 2019 American Transplant Congress

    Metabolic and Cardiovascular Evaluation in Living Kidney Donors: Survey of US Transplant Centers 2018

    N. Garg1, K. L. Lentine2, L. Inker3, A. X. Garg4, J. Rodrigue5, D. Segeb6, D. A. Mandelbrot1

    1UW Madison, Madison, WI, 2SLU, St. Louis, MO, 3Tufts, Boston, MA, 4Western University, London, ON, Canada, 5BIDMC, Boston, MA, 6JHU, Baltimore, MD

    *Purpose: There are very limited data on practice patterns for metabolic and cardiovascular testing of living kidney donor candidates. We surveyed US transplant centers to…
  • 2019 American Transplant Congress

    Frailty and BMI in Liver Transplant Candidates: 9-Center Functional Assessment in Liver Transplantation Study

    C. Haugen1, M. McAdams-DeMarco1, D. Segev1, E. Verna2, R. Rahimi3, M. Kappus4, M. Volk5, M. Dunn6, A. Duarte Rojo6, D. Granger7, J. O'Leary8, D. Ladner7, J. Lai9

    1JHU, Baltimore, MD, 2Columbia, NYC, NY, 3Baylor, Dallas, TX, 4Duke, Durham, NC, 5Loma Linda, Loma Linda, CA, 6Pitt, Pittsburgh, PA, 7Northwestern, Chicago, IL, 8DVA, Dallas, TX, 9UCSF, San Francisco, CA

    *Purpose: Obesity and frailty are associated with an increased risk of waitlist mortality (WLM) in liver transplant (LT) candidates. However, body mass index (BMI) may…
  • 2019 American Transplant Congress

    Significantly High FOXP3 mRNA in the Renal Allograft as a Mechanism of Tolerance Induced by Transient Mixed Chimerism in Non-Human Primates

    M. Matsunami1, I. Rosales1, T. Oura1, B. Adam2, M. Mengel2, R. Smith1, A. Cosimi1, R. Colvin1, T. Kawai1

    1Center for Transplantation Sciences, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, AB, Canada

    *Purpose: Treg-rich organized lymphoid structures (TOLS) has been identified in recipients with renal allograft tolerance induced by transient mixed chimerism in non-human primates (NHPs) and…
  • 2019 American Transplant Congress

    Immunosuppression Increases Regenerative Potential of Adult Rat Cardiac Progenitor Cells in Allogeneic Rat Myocardial Infarction Model

    M. Gunasekaran, R. Mishra, S. Sharma, P. Saha, M. Y. Arfat, C. Ambastha, D. Morales, F. Xuebin, G. J. Bittle, D. Li, S. Kaushal

    Department of Surgery, University of Maryland, Baltimore 21201, MD

    *Purpose: Cardiac progenitor cells (CPCs, c-kit+) are well-characterized stem cell type shown to potentiate cardiac regeneration in myocardial infarct (MI) model. However, immune response to…
  • 2019 American Transplant Congress

    Dialysis Facility Provider Transplant Knowledge after a Randomized Multilevel Intervention to Increase Kidney Transplant Referral and Evaluation in the Southeast

    K. Maroney1, R. Hamoda1, L. McPherson1, A. Cruz2, S. Pastan1, L. Plantinga1, S. Paul1, M. Ellis3, D. DuBay4, A. Reeves-Daniel5, R. Detwiler6, E. Hartmann7, H. Jones8, B. Thrasher9, C. Zayas10, L. Mulloy10, S. Wright11, R. Patzer1

    1Emory University, Atlanta, GA, 2IPRO Network of the South Atlantic, Raleigh, NC, 3Duke University, Durham, NC, 4Medical University of South Carolina, Charleston, SC, 5Wake Forest Health Transplant Center, Winston-Salem, NC, 6UNC Center for Transplantation, Chapel Hill, NC, 7Piedmont Transplant Institute, Atlanta, GA, 8Vidant Medical Center Transplant Services, Greenville, NC, 9Carolinas Transplant Center, Charlotte, NC, 10Augusta University, Augusta, GA, 11IPRO Network of the South Atlantic, Morrisville, NC

    *Purpose: Dialysis facility provider kidney transplantation (KTx) knowledge influences patient transplant access. The Reducing Disparities in Access to kidNey Transplantation (RaDIANT) Regional Study is a…
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