ATC Abstracts

American Transplant Congress abstracts

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Articles tagged "Highly-sensitized"

  • 2015 American Transplant Congress

    Differences in Reactivity of HLA-Specific Antibodies May Be Explained By Differences in Their Affinities for Selected Epitopes on HLA Proteins

    S. Daga,1,2 D. Lowe,6 R. Buchli,5 J. Collard,5 A. Mulder,8 C. McMurtrey,4,5 H. Moyse,7 N. Evans,7 N. Krishnan,2 W. Hildebrand,4,5 F. Claas,8 D. Briggs,3 D. Zehnder,1,2 D. Mitchell,1 R. Higgins.1,2

    1Clinical Sciences Research Laboratories, University of Warwick, Coventry, United Kingdom; 2Renal Unit, University Hospital, Coventry and Warwickshire NHS Trust, Coventry, United Kingdom; 3Department of Histocompatibility and Immunogenetics, NHS Blood and Transplant, Birmingham, United Kingdom; 4University of Oklahoma Health Science Center, Oklahoma City; 5Pure Protein LLC, Oklahoma City; 6Department of Histocompatibility and Immunogenetics, Royal Liverpool University Hospital, Liverpool, United Kingdom; 7School of Engineering, University of Warwick, Coventry, United Kingdom; 8Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, Netherlands.

    Affinity of IgG immunoglobulins for antigen varies and matures within the evolution of immune responses. Affinity is likely to be different for different epitope-antibody interactions…
  • 2015 American Transplant Congress

    Renal Outcomes of Cross Match Positive Simultaneous Liver Kidney (SLK) Transplant Recipients Compared to Cross Match Positive Kidney Allograft Recipients

    S. Vaishnav,1 T. Taber,1 W. Goggins,2 S. Nagaraju,2 J. Fridell,2 A. Sharfuddin,1 M. Yaqub,1 D. Mishler,1 M. Mujtaba.1

    1IUSM, IU Health, Indianapolis, IN; 2Surgery, Transplant, Indiana University School of Medicine, Indianapolis, IN.

    The protective role of liver in cross-match(XM) positive SLK recipients and its impact on the incidence of renal antibody mediated rejection (AMR) is unclear.A retrospective…
  • 2015 American Transplant Congress

    Incidence and Clinical Severity of Hypogammaglobulinemia (Hypo-IgG) in Highly-HLA Sensitized Patients (HS) Undergoing Desensitization (DES)

    A. Vo,1 S. Ge,2 A. Petrosyan,2 M. Toyoda,2 J. Choi,1 J. Kahwaji,1 A. Peng,1 R. Villicana,1 S. Jordan.1

    1Kidney Transplant, Cedars-Sinai Medical Center, LA; 2Transplant Immunology Laboratory, Cedars-Sinai Medical Center, LA, CA.

    Introduction: Desensitization therapies (DES) have dramatically improved rates of transplantation among HS patients. However, antibody-reduction and B-cell/plasma cell directed therapies could have implications for humoral…
  • 2015 American Transplant Congress

    Post-Kidney Transplant Infections in Desensitized Patients Receiving Thymoglobulin or Daclizumab Induction: Results of a Randomized Clinical Trial

    B. Orandi,1 J. Locke,2 E. Kraus,3 B. Lonze,1 N. Desai,1 N. Dagher,1 N. Alachkar,3 C. Simpkins,4 F. Naqvi,3 D. Segev,1 R. Montgomery,1 R. Avery.3

    1Department of Surgery, Johns Hopkins University, Baltimore; 2Department of Surgery, University of Alabama--Birmingham, Birmingham; 3Department of Medicine, Johns Hopkins University, Baltimore; 4Department of Surgery, Dartmouth, Lebanon.

    Live donor kidney transplant recipients requiring desensitization for donor-specific antibody, who were enrolled in a single-center randomized trial of thymoglobulin vs. daclizumab induction, were evaluated…
  • 2015 American Transplant Congress

    Infectious Complications in ABO Incompatible Kidney Transplantation Recipient According to the Rituximab Dose

    J. Lee,1 J. Lee,1 S. Kim,2 M. Ju,1 D. Joo,1 M. Kim,1 S. Kim,1 Y. Kim,1 H. Kim,2 K. Huh.1

    1Department of Transplantation Surgery, Yonsei University Health System, Seoul, Republic of Korea; 2Department of Laboratory Medicine, Yonsei University Health System, Seoul, Republic of Korea.

    BackgroundDesensitization with rituximab and intravenous immunoglobulin improves ABO incompatible (ABOi) kidney transplantation (KT) outcomes. However, infections have been noted in association with rituximab administration. In…
  • 2015 American Transplant Congress

    Extended Analysis of Tocilizumab (anti-IL-6R) + Intravenous Immunoglobulin (IVIG) as Desensitization (DES) Agents for Reduction of Donor Specific Antibodies (DSA) in Patients Resistant to DES With IVIG + Rituximab

    A. Vo, J. Choi, I. Kim, J. Kahwaji, A. Peng, R. Villicana, S. Jordan.

    Kidney Transplant, Cedars-Sinai Medical Center, Los Angeles, CA.

    Introduction: IVIG+rituximab is an acceptable approach for DES with good outcomes. Despite this, ∼30% of patients fail DES, thus other approaches are needed. Options include…
  • 2015 American Transplant Congress

    Mesenchymal Stem Cells (MSCs) Transfusion for Desensitization of Positive Lymphocyte Cross Match (LCM) or Panel Reactive Antibodies (PRA) Before Kidney Transplantation – Outcome of 16 Cases

    G. Saadi,1 K. Eweda,2 M. Hassaballa,1 F. Fadel,3 E. Aziz,2 M. Roshdi,1 M. El Ansary,4 I. Aziz,4 W. Ismail,5 A. Atef,1 S. Hamid.4

    1Internal Medicine and Nephrology, Cairo University, Cairo, Egypt; 2Nephrology, Army Hospital, Cairo, Egypt; 3Pediatric Nephrology, Cairo University, Cairo, Egypt; 4Clinical Pathology, Cairo University, Cairo, Egypt; 5Pathology, Beni Sweif University, Beni Sweif City, Egypt.

    Immunomodulatory function of MSCs may correct positive PRA or LCM in highly-sensitized patients. We evaluate donor specific or 3rd party MSCs transfusion in 16 patients…
  • 2015 American Transplant Congress

    Quantifying the Survival Benefit of HLA-Incompatible Kidney Transplantation: A Multi-Center Study

    B. Orandi, X. Luo, A. Massie, J. Garonzik-Wang, B. Lonze, R. Ahmed, K. Van Arendonk, R. Montgomery, D. Segev.

    Surgery, Hopkins, Baltimore, MD.

    A single center study has demonstrated a two-fold survival benefit of incompatible live donor kidney transplant (ILDKT) compared to remaining on dialysis. We sought to…
  • 2015 American Transplant Congress

    Desensitization Protocol Including Concomitant Bortezomib and Rituximab Did Not Reduce Calculated PRA Nor Mean MFI Values Among Waitlisted Patients for Deceased Donor Kidney Transplantation

    S. Kang,1 H. Lim,1 J. Jeong,1 E. Song,2 I. Yun,3 C. Ahn,1 J. Yang.1

    1Transplantation Center, Seoul National University Hospital, Seoul, Korea; 2Department of Laboratory Medicine, Seoul National University Hospital, Seoul, Korea; 3Department of Surgery, Konkuk University, Seoul, Korea.

    Highly sensitized (HS) patients (pts) seldom have chance to receive deceased donor kidney transplant (DDKT). A desensitization (DES) program including bortezomib was employed to facilitate…
  • 2015 American Transplant Congress

    Long-Term Analysis of a Placebo-Controlled Trial of C1-INH for Prevention of Antibody-Mediated Rejection

    A. Vo, J. Choi, J. Kahwaji, D. Puliyanda, A. Peng, R. Villicana, S. Jordan.

    Kidney Transplant, Cedars-Sinai Medical Center, Los Angeles, CA.

    Introduction: Desensitization (DES) strategies focus primarily on antibody reduction using IVIG, rituximab ± PLEX to prevent DSA-induced antibody-mediated rejection (ABMR) and rebound B-cell activity. Recently,…
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