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Articles tagged "Immunosuppression"

  • 2015 American Transplant Congress

    Inadequate Overall Immunosuppression Is a Risk for Late Acute Rejection Despite Alemtuzumab Induction in Simultaneous Pancreas Kidney Transplant Recipients

    J. Bank,1 M. Mallat,1 P. van der Boog,1 D. Braat,2 J. Ringers,2 M. Vergunst,3 S. Heidt,3 F. Claas,3 M. Reinders,1 J. de Fijter.1

    1Nephrology, LUMC, Leiden, Netherlands; 2Surgery, LUMC, Leiden, Netherlands; 3IHB, LUMC, Leiden, Netherlands.

    Introduction: Simultaneous pancreas-kidney transplantation (SPK) has become the treatment of choice for patients with end-stage renal disease due to Type 1 Diabetes Mellitus. SPK is…
  • 2015 American Transplant Congress

    Pregnancy Outcomes in Solid Organ Transplant Recipients With Exposure to Sirolimus Without Mycophenolate

    N. Sifontis,1 L. Coscia,2 D. Armenti,2 S. Constantinescu,2,3 M. Moritz.2,4

    1Pharmacy Practice, Temple University, Philadelphia; 2National Transplantation Pregnancy Registry, Gift of Life Institute, Philadelphia; 3Temple University School of Medicine, Philadelphia; 4Lehigh Valley Health Network, Allentown.

    Results of prior sirolimus series reports have been confounded by concomitant mycophenolate exposure. The purpose of this study was to describe pregnancy outcomes with exposure…
  • 2015 American Transplant Congress

    Everolimus Plus Reduced-Exposure Calcineurin Inhibitor Versus Mycophenolate Mofetil Plus Standard-Exposure Calcineurin Inhibitor: 2-Year Results in Living Donor Kidney Transplant Recipients

    Y. Watarai,1 N. Akutsu,2 K. Saito,3 Y. Nakagawa,3 O. Kamisawa,4 T. Kenmochi.5

    1Transplant Surgery, Nagoya Daini Red Cross Hospital, Nagoya, Japan; 2Surgery, Chiba-East Hospital, Chiba, Japan; 3Urology, Niigata University, Niigata, Japan; 4Medical Division, Novartis Pharma K.K., Tokyo, Japan; 5Transplant Surgery, Fujita Health University, Toyoake, Japan.

    Purpose: To evaluate the long-term efficacy and safety of everolimus (EVR) plus reduced cyclosporine (rCsA) compared to mycophenolate mofetil (MMF) plus standard cyclosporine at 24…
  • 2015 American Transplant Congress

    Eosinophilic Gastrointestinal Disease in Pediatric Liver and Kidney Transplant Recipients

    S. Mohammad,1 J. Bush,2 K. Amsden,1 A. Kagalwalla,1 H. Melin-Aldana,2 N. Arva.2

    1Pediatrics, Northwestern University, Chicago; 2Pathology, Northwestern University, Chicago.

    Eosinophilic gastrointestinal disease (EGID) has been associated with immunosuppression use in solid organ transplant recipients. However, its relationship to the post-transplant clinical course is unknown.…
  • 2015 American Transplant Congress

    Sequential Monitoring and Stability of Ex Vivo-Expanded Autologous and Non-Autologous Regulatory T Cells Following Infusion in Non-Human Primates

    H. Zhang,1 H. Guo,1 L. Lu,1 A. Zahorchak,1 R. Wiswman,2 G. Raimondi,1 D. Cooper,1 M. Ezzelarab,1 A. Thomson.1

    1University of Pittsburgh, pittsburgh, PA; 2University of Wisconsin, Madison.

    Ex vivo-expanded cynomolgus monkey CD4+CD25+CD127- regulatory T cells (Treg) maintained Foxp3 demethylation status at the Treg-Specific Demethylation Region (TSDR), and potently suppressed T cell proliferation…
  • 2015 American Transplant Congress

    Cyclosporine Nephrotoxicity Is Associated With Diminished Expression of Heat Shock Protein 27 (HSP27) and Loss of Claudin-2-Dependent Intercellular Adhesion

    A. Zmijewska,1 R. Thuillier,2 J. Chen,1 J. Zmijewski,1 R. Mannon.1

    1Medicine, University of Alabama at Birmingham, Birmingham, AL; 2INSERM U1082, Poitiers, France.

    Although Cyclosporine A (CsA), a calcineurin inhibitor (CNI), is an effective immunosuppressant used to prevent kidney allograft rejection, prolonged administration is frequently associated with kidney…
  • 2015 American Transplant Congress

    Allogeneic Mature Human Monocyte-Derived Dendritic Cells Generate Superior Alloreactive Regulatory T Cells in an IL-2-Independent Manner

    N. Litjens,1 K. Boer,1 J. Zuijderwijk,1 M. Klepper,1 A. Peeters,1 E. Prens,2 W. Verschoor,1 R. Kraaijeveld,1 Z. Ozgur,3 M. van den Hout-van Vroonhoven,3 W. van IJcken,3 C. Baan,1 M. Betjes.1

    1Internal Medicine, Nephrology and Transplantation, Erasmus Medical Center, Rotterdam, Netherlands; 2Dermatology and Rheumatology, Erasmus Medical Center, Rotterdam, Netherlands; 3Erasmus Center for Biomics, Erasmus Medical Center, Rotterdam, Netherlands.

    IntroductionExpansion of antigen (Ag)-specific natural occurring regulatory T cells (nTregs) is required to obtain sufficient numbers of cells for cellular immunotherapy. In this study, different…
  • 2015 American Transplant Congress

    Thymoglobulin Dosing Efficacy: The Role of ALC on Infection and Rejection

    H. Sarumi, C. Borscheid, G. Sieger, B. Fast, S. Hogan, K. Vassar, T. Pruett.

    University of Minnesota, Minneapolis, MN.

    There are varied Thymoglobulin® (Thymo) induction regimens accepted among transplant programs. Our center uses five doses of Thymo at 1.25mg/kg, yielding a total goal of…
  • 2015 American Transplant Congress

    Treatment Patterns, Healthcare Resource Utilization, and Costs in Kidney Transplant Recipients Using a Fixed Source Regimen of Tacrolimus Vs. a Variable Source Regimen

    E. Lee,1 S. Bunniran,2 P. Kamble,2 B. Suehs,2 B. Franks,1 J. Schwartz,1 C. Anderson,3 G. Thal,1 J. Spalding.1

    1Astellas Scientific and Medical Affairs, Northbrook, IL; 2Comprehensive Health Insights, Humana, Louisville, KY; 3Humana, Louisville, KY.

    BackgroundTacrolimus (TAC) has evolved to be the foundation of kidney transplant immunosuppressant protocols. However, the implications of switching between multiple formulations of TAC have not…
  • 2015 American Transplant Congress

    Everolimus With Low Dose Tacrolimus in Intestinal Transplantation

    T. Beduschi, J. Garcia, J. Lugo-Baruqui, J. Fan, S. Nishida, J. Jebrock, A. Tekin, G. Selvaggi, P. Ruiz, R. Vianna.

    Miami Transplant Institute, University of Miami Miller School of Medicine, Miami, FL.

    Introduction: Renal dysfunction is a well-known complication after organ transplant given immunosuppression (ISP) with calcineurin inhibitors. This is especially true after intestinal transplant (ITx) given…
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