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Articles tagged "Rejection"

  • 2022 American Transplant Congress

    The Roles of Intrarenal B Cells in Regulating Antibody Mediated Rejection After Kidney Transplantation

    H. Zhang1, C. Cavazzoni1, E. Bechu1, B. Hanson1, M. A. Podestà1, D. Kreisel2, A. Alessandrini3, P. Sage1

    1Transplantation Research Center, Renal Division, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, 2Department of Surgery, Washington University in St Louis, St. Louis, MO, 3Center for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital, Harvard, Boston, MA

    *Purpose: Alloimmune rejection after kidney transplantation is associated with substantial infiltration of immune cells such as T and B cells in transplanted grafts. However, the…
  • 2022 American Transplant Congress

    Molecular Characterization of the Plasma Secretome in Pediatric Liver Transplantation (pLTx) Identified Cytokine/Chemokine Signatures Potentially Linked to Beneficial Immunosuppressive Regimes (IS) and Recovery

    E. Chichelnitskiy1, L. Ruhl2, I. Goldschmidt3, A. Karch4, L. Antiga5, D. Debray6, L. Hierro7, D. Kelly8, V. McLin9, E. Nicastro10, J. Pawlowska11, P. Czubkowski11, R. Mikolajczyk12, U. Baumann13, C. Falk14

    1Institute of Transplant Immunology, Hannover Medical School (MHH), Hannover, Germany, 2Institute of Transplant Immunology, MHH, Hannover, Germany, 3Division of Pediatric Gastroenterology and Hepatology, MHH; European Paediatric Liver Transplantation Network, Hannover, Germany, 4Research Group Epidemiological and Statistical Methods, Helmholtz Centre for Infection Research, Braunschweig; German Center for Infection Research, TTU-IICH Hannover;Institute for Epidemiology and Social Medicine, University of Münster, Münster, Germany, 5Ospedali Riuniti di Bergamo, Bergamo, Italy, 6Hôpital Necker-Enfants Malades, Paris, France, 7Hospital Infantil Universitario La Paz, Madrid, Spain, 8Birmingham Childrens Hosp, Birmingham, United Kingdom, 9Service Spécialités Pédiatriques, Genève, Switzerland, 10Pediatric Hepatology, Gastroenterology and Transplantation, Hospital Papa Giovanni XXIII, Bergamo, Italy, 11Gastroenterology, Hepatology, Nutritional Disorders and Pediatrics, The Children’s Memorial Health Institute, Warsaw, Poland, 12Institute of Medical Epidemiology, Biostatistics and Medical Informatics, University of Halle; German Center for Infection Research, TTU-IICH Hannover; MHH, Halle, Germany, 13Division of Pediatric Gastroenterology and Hepatology, MHH; Birmingham Children’s Hospital, UK, Hannover, Germany, 14Institute of Transplant Immunology, MHH; German Center for Infection Research, TTU-IICH, Hannover, Germany

    *Purpose: In the European multicentre “ChilSFree” study we aimed to characterize longitudinal dynamics of soluble immune mediators during the first year after pLTx.*Methods: Using Luminex-based…
  • 2022 American Transplant Congress

    Outcomes of Highly-Sensitized, Virtual and Flow Cross-Match Negative Renal Transplant Recipients: A Retrospective Observational Study

    A. Agrawal1, B. Smith1, M. Gandhi2, C. Schinstock1

    1Transplant Nephrology, Mayo Clinic, Rochester, MN, 2Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN

    *Purpose: Many highly-sensitized kidney transplant recipients are sensitized from prior transplants, which have been shown to limit graft survival more than pregnancy or blood transfusions.…
  • 2022 American Transplant Congress

    Histopathology at Diagnosis and One-Year Outcomes in Antibody Mediated Rejection in Pediatric Kidney Transplant Recipients: Preliminary Findings from the Paramour “Pediatric Renal AMR Outcomes” Study

    R. Zahr1, D. Puliyanda2, I. Ashoor3, N. Hayde4, S. Solomon5, R. Engen6, L. Harshman7, C. Peterson8, S. McEwen9, A. Jain10, R. Garro11, A. Mansuri12, M. Kallash13, K. Twombley14

    1Pediatrics, University of Tennessee Health Science Center, Memphis, TN, 2Cedars-Sinai Med Ctr, West Hollywood, CA, 3Pediatrics, Lousiana State University, New Orleans, LA, 4Montefiore Medical Center, Bronx, NY, 5The Children's Hospital at Montefiore, New York, NY, 6Pediatrics, University of Wisconsin Madison, Madison, WI, 7University of Iowa Children's Hospital, Iowa City, IA, 8University of Utah, Salt Lake City, UT, 9University of Minnesota, Minneapolis, MN, 10Pediatrics, Wayne State University, Troy, MI, 11Emory University, Atlanta, GA, 12Pediatrics, Augusta University, Augusta, GA, 13Pediatrics, The Ohio State Univesrity, Columbus, OH, 14Medical University of South Carolina, Charleston, SC

    *Purpose: Antibody mediated rejection (AMR) is a major cause of kidney allograft dysfunction leading to graft loss. There is a paucity of data regarding how…
  • 2022 American Transplant Congress

    The Impact of Tacrolimus Trough Variability on Acute Rejection Following Lung Transplantation

    K. Evans1, K. Beermann1, H. Lee2, M. Harris1, C. W. Frankel3, H. Berry1, H. Ali3

    1Pharmacy, Duke Health, Durham, NC, 2Biostatistics and Bioinformatics, Duke University, Durham, NC, 3Pulmonary, Allergy, and Critical Care, Duke Health, Durham, NC

    *Purpose: This study aimed to evaluate the association of tacrolimus coefficient of variation (CV) with biopsy-proven acute cellular rejection in the first year following lung…
  • 2022 American Transplant Congress

    Burden of Leukopenia/Neutropenia Among Adult Kidney Transplant Recipients: A Systematic Literature Review of Observational Studies

    A. Raval1, K. Kistler2, Y. Tang1, F. Vincenti3

    1Merck & Co., Inc., Kenilworth, NJ, 2Xcenda, Inc, Carrollton, TX, 3University of California, San Francisco, San Francisco, CA

    *Purpose: Leukopenia/neutropenia (L/N) may affect key treatment decisions which could result in poor clinical and economic outcomes among kidney transplant recipients (KTRs). The burden of…
  • 2022 American Transplant Congress

    Monitoring of Kidney Allograft Rejection Using Patient-Centric State-of-the-Art Tools – An Approach to Early Diagnosis and Intervention

    A. Rizvi1, A. Gamilla-Crudo2, S. A. Hussain3, M. Kueht4, J. Fair4, M. Mujtaba2

    1Internal Medicine, Nephrology, University of Texas Medical Branch, Galveston, TX, 2University of Texas Medical Branch, Galveston, TX, 3Nephrology, University of Texas Medical Branch, Houston, TX, 4Surgery, University of Texas Medical Branch, Galveston, TX

    *Purpose: The early detection and timely management of kidney allograft rejection using traditional markers including serum creatinine (SCr) has been inadequate due to lagging response.…
  • 2022 American Transplant Congress

    Impact of Varying Levels of Normal Range Baseline Donor Derived Cell Free DNA on Medium-Term Outcomes Following Kidney Transplantation

    K. K. Sureshkumar1, A. Grazier2, B. Chopra1

    1Nephrology, Medicine Institute, Allegheny General Hospital, Pittsburgh, PA, 2Abdominal Transplantation, Allegheny General Hospital, Pittsburgh, PA

    *Purpose: Donor derived cell free DNA (dd-cfDNA) is a biomarker with high negative predictive value for ruling out acute rejection (AR) in kidney allografts. Baseline…
  • 2022 American Transplant Congress

    Identification Of A Novel Peripheral Blood Six-gene Signature Diagnosing Subclinical Acute Rejection After Renal Transplantation

    H. Zhang, Y. Xu, Y. Wang, X. Hu

    Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China

    *Purpose: Given the insensitivity and nonspecificity of serum creatinine, invasive surveillance biopsies are the main way to detect subclinical acute rejection (subAR) in the absence…
  • 2022 American Transplant Congress

    Impact of Target Tacrolimus Levels on BK Polyomavirus DNAemia and Allograft Rejection Among Pediatric Kidney Transplant Recipients

    H. Huang1, P. Winterberg1, R. George1, A. Serluco2, R. Liverman2, I. Yildirim3, R. Garro1

    1Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA, 2Children's Healthcare of Atlanta, Atlanta, GA, 3Yale University School of Medicine, New Haven, CT

    *Purpose: BK Polyomavirus (BK) DNAemia is a serious and common infectious complication after kidney transplant (KT). We evaluated the impact of targeting lower tacrolimus levels…
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