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Articles tagged "Heart/lung transplantation"

  • 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…
  • 2016 American Transplant Congress

    Assessment of Molecular Mechanisms of Non-Transplant Cardiac Hypertrophy in Cardiac Allograft Hypertrophy – An Exploratory Gene Array Study of Myocardial Biopsy Samples.

    R. Araujo-Gutiérrez,1,2 S. Ibarra-Cortez,1,2 M. Park,1 J. Estep,1 G. Ashrith,1 B. Trachtenberg,1 G. Torre-Amione,1 K. Youker,1,2 A. Bhimaraj.1

    1Houston Methodist DeBakey Heart & Vascular Center, Houston, TX; 2Houston Methodist Research Institute, Houston, TX.

    Cardiac Allograft Hypertrophy (CAH) develops in up to 80% of patients as early as six months post-transplant, and is associated with decreased quality of life…
  • 2016 American Transplant Congress

    mTORC2 Negatively Regulates Dendritic Cell (DC) Metabolism and the Allostimulatory Function of Donor DCs in Organ Transplantation.

    A. Watson,1,2 D. Raïche-Regué,1 H. Dai,1 K. Fabian,3,4 G. Delgoffe,4,5 W. Storkus,3,4 A. Thomson.1,2

    1Starzl Transplantation Institute, Univ. of Pittsburgh, Pittsburgh, PA; 2Pathology, Univ. of Pittsburgh, Pittsburgh, PA; 3Dermatology, Univ. of Pittsburgh, Pittsburgh, PA; 4Immunology, Univ. of Pittsburgh, Pittsburgh, PA; 5Cancer Institute, Univ. of Pittsburgh, Pittsburgh, PA.

    The mechanistic target of rapamycin (mTOR) is a kinase that functions in at least two complexes: rapamycin (RAPA)-sensitive mTORC1 and RAPA-insensitive mTORC2. These complexes play…
  • 2016 American Transplant Congress

    Heart and Kidney Transplants in Patients with Mechanical Circulatory Support: Who Needs a Kidney?

    J. Neyer, J. Patel, M. Kittleson, D. Chang, M. Luu, T. Aintablian, E. Passano, L. Czer, F. Esmailian, J. Kobashigawa.

    Cedars-Sinai Heart Institute, Los Angeles, CA.

    Background: Advance Heart Disease may result in cardio-renal syndrome and thereby cause renal insufficiency. These patients (pts) can be optimized with medical therapy with reversal…
  • 2016 American Transplant Congress

    Rapamycin Nanotherapy Delays Heart Transplant Rejection.

    M. Braza,1 M. Lameijer,1 C. Perez-Medina,1 T. Reiner,3 M. Nahrendorf,4 Z. Fayad,1 R. Duivenvoorden,1 J. Ochando,2 W. Mulder.1

    1Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York; 2Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York; 3Radiology, Memorial Sloan-Kettering Cancer Center, New York; 4Center for Systems Biology, Massachusetts General Hospital and Harvard Medical School, Boston.

    Background:In patients, allograft survival requires a cocktail of immunosuppressive drugs, while experimentally antibodies targeting the innate immune system have been shown to induce long-term tolerance,…
  • 2016 American Transplant Congress

    Prednisone Wean After Dual Heart and Kidney Transplantation: Is There a Risk?

    D. Chang, J. Patel, M. Kittleson, T. Aintablian, L. Czer, D. Ramzy, J. Kobashigawa.

    Cedars-Sinai Heart Institute, Los Angeles, CA.

    Background: Corticosteroids are the cornerstone of immunosuppressive therapy post transplant (Tx)but there are deleterious effects of long-term use. A protocol of corticosteroid weaning starting 6-12…
  • 2016 American Transplant Congress

    Macrophage Specific Deletion of RhoA Impedes Macrophage Functions and Abrogates Chronic Rejection of Cardiac Allograft.

    Y. Liu, W. Chen, X. Li, R. Ghobrial, M. Kloc.

    Surgery, The Houston Methodist, Houston, TX.

    Objective. Chronic rejection of transplanted organs remains the main obstacle in the long-term success of organ transplantation. Chronic rejection occurs in 40-45% of recipients at…
  • 2016 American Transplant Congress

    Liver Evaluation for Heart Transplantation: Which Is Better, Noninvasive Scans or Liver Biopsy?

    R. Mohan, J. Patel, M. Kittleson, D. Chang, T. Aintablian, L. Czer, F. Esmailian, J. Kobashigawa.

    Cedars-Sinai Heart Institute, Los Angeles, CA.

    Background: Patients awaiting heart transplantation who have known liver disease from congestive hepatopathy are at increased risk for mortality post-transplantation. The evaluation of the liver…
  • 2016 American Transplant Congress

    Rituximab Induction in Cardiac Transplantation Is Associated with Accelerated Coronary Artery Vasculopathy: CTOT11.

    A. Chandraker, J. Kobashigawa, J. Stehlik, M. Givertz, R. Pierson, S. Pinney, M. Joren, S. Nissen, I. Guleria, Y. Morrison, B. Armstrong, N. Bridges, M. Sayegh, R. Starling.

    On Behalf of the CTOT11 Consortium, Brigham & Women's Hospital, Boston, MA.

    PurposeThe NIH-funded study CTOT11: Prevention of Cardiac Allograft Vasculopathy Using Rituximab (RIT) Therapy in Cardiac Transplantation, was a randomized clinical trial in non-sensitized primary heart…
  • 2016 American Transplant Congress

    Comparison of Actual versus Goal Tacrolimus Levels Post Cardiothoracic Transplant.

    E. Milas, I. Feurer, C. Truscott, J. Gray, N. Wilson, S. Bala, T. Dreher, M. Wigger, M. Steele, A. Shah, E. Lambright, D. Hanto.

    Vanderbilt Transplant Center, Nashville, TN.

    BackgroundAlthough target tacrolimus (TAC) trough levels necessary to prevent rejection are established post heart/lung transplant (tx), there is little published literature on the proportion of…
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