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American Transplant Congress abstracts

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Articles tagged "Rejection"

  • 2018 American Transplant Congress

    Failure to Remove De Novo Donor-Specific HLA Antibodies is Influenced by Antibody Properties and Identifies Kidney Recipients with Late Antibody-Mediated Rejection Destined to Graft Loss

    A. Nocera,1 M. Cioni,1 A. Tagliamacco,2 S. Basso,3 A. Innocente,4 I. Fontana,5 A. Magnasco,1 A. Trivelli,1 A. Gurrado,3 M. Ramondetta,4 S. Boghen,3 L. Catenacci,3 E. Verrina,1 G. Garibotto,2 G. Ghiggeri,1 M. Cardillo,4 F. Ginevri,1 P. Comoli.3

    1Pediatric Nephrology Unit, IRCCS G. Gaslini, Genova, Italy; 2Clinical Nephrology Unit, University of Genova, Genova, Italy; 3Transplant Immunology and Pediatric Hematology/Oncology, IRCCS Policlinico S. Matteo, Pavia, Italy; 4Transplantation Immunology, Ospedale Maggiore Policlinico, Milano, Italy; 5Kidney Transplant Surgery Unit, Ospedale Policlinico San Martino, Genova, Italy.

    Late antibody-mediated rejection (AMR) is the major cause of renal allograft loss. Current research is focusing on identifying a performant risk stratification in order to…
  • 2018 American Transplant Congress

    Ultrastructural Changes in Lung Allografts: Endothelial Changes Correlate with Donor Specific Antibody & Antibody Mediated Rejection

    M. Alexander, A. Bentall, P. Abell Aleff, J. Scott, A. Roden.

    Mayo Clinic, Rochester, MN.

    Introduction: Antibody mediated rejection (AMR) causes lung allograft (LA) injury. Challenges with C4d interpretation & lack of specific histological criteria account for difficulty in diagnosing…
  • 2018 American Transplant Congress

    Performance of Molecular Diagnostic Algorithms of T-Cell Mediated Kidney Rejection (TCMR) in Non-Transplant Biopsies with Interstitial Nephritis

    Z. Wang,1 P. Liu,2 G. Tseng,2 G. Zeng,1 P. Randhawa.1

    1Transplant Pathology, Thomas E Starzl Transplant Institute, University of Pittsburgh, School of Medicine, Pittsburgh, PA; 2Epidemiology, Graduate School of Public Health, and University of Pittsburgh, Pittsburgh, PA.

    DNA microarray based tools for the diagnosis of TCMR have been developed and are now being offered commercially. There is need to further evaluate the…
  • 2018 American Transplant Congress

    Treatment of Post Transplant Hepatitis C (HCV) with Direct-Acting Antiviral (DAA) Agents May Improve Liver Function but Does Not Lead to an Increase in Liver Rejection

    P. Sheiner, N. Mello, G. Baixauli, M. Einstein, C. Rochon, Y. Kwon, M. Bejon.

    Surgery, Hartford Hospital, Hartford, CT.

    Previous studies have suggested that with the use of with (DAA) agents to treat post transplant (HCV), there has been an increased incidence of liver…
  • 2018 American Transplant Congress

    Class II Anti-HLA IgG2 and IgG3 DSAs Predict Poorer Outcomes in Chronic Antibody Mediated Rejection of Renal Allografts

    A. Gueret-Wardle,1 G. Lucisano,1 S. Hassan,1 P. Brookes,2 E. Santos-Nunez,2 D. Goodall,1 C. Clarke,1 J. Galliford,1 M. Willicombe,1 D. Taube.1

    1Renal and Transplant Centre, Imperial College London NHS Trust, London, United Kingdom; 2Histocompatibility and Immunogenetics, Imperial College London, London, United Kingdom.

    Introduction: whilst the development of IgG3 and C1q binding de novo [dn] HLA DSAs are associated with a poor outcome in acute antibody mediated rejection,…
  • 2018 American Transplant Congress

    A Follow-Up Report on the Use of IVIG+Rituximab to Reduce Donor Specific Antibodies and Improve Transplant Rates in Highly-Sensitized Patients Awaiting Deceased Donor Kidney Transplantation

    R. Najjar, E. Huang, A. Vo, J. Choi, K. Lim, S. Louie, A. Peng, S. Sethi, M. Toyoda, X. Zhang, S. Jordan.

    Medicine/Nephrology, Cedars Sinai Medical Center, Los Angeles, CA.

    Introduction: Desensitization (DES) with IVIG/rituximab is associated with a reduction in donor specific antibodies (DSA), improved transplant rates and outcomes in highly-sensitized (HS) patients. We…
  • 2018 American Transplant Congress

    Recipient IFNAR1 Signaling Supports Costimulation Independent Rejection by Promoting T Cell Activation

    D. Mathews, A. Ghosh, Y. Dong, K. Polireddy, A. Stephenson, C. Breeden, Y. Liu, A. Adams.

    Department of Surgery, Emory University, Atlanta, GA.

    Costimulation blockade (CoB) is a promising strategy for more targeted/less toxic transplant immunosuppression which has led to the first improvement in long-term outcomes for transplant…
  • 2018 American Transplant Congress

    IgM HLA DSAs Do Not Alter the Outcomes of Renal Allograft Rejection

    A. Gueret-Wardle,1 P. Dodd,1 G. Lucisano,1 S. Hassan,1 P. Brookes,2 E. Santos-Nunez,2 N. Firmin,2 D. Goodall,1 C. Roufosse,1 M. Willicombe,1 D. Taube.1

    1Renal and Transplant Centre, Imperial College Healthcare NHS Trust, London, United Kingdom; 2Histocompatibility and Immunogenetics, Imperial College Healthcare NHS Trust, London, United Kingdom.

    Introduction: whilst IgG HLA DSAs are associated with renal allograft rejection and graft loss, the role of IgM HLA DSAs is controversial. We investigate the…
  • 2018 American Transplant Congress

    Eculizumab for the Treatment of Antibody Mediated Rejection in Kidney Transplant Recipients: A Single Center Experience

    A. Chi, J. Phillips, D. Quan.

    Pharmaceutical Services, UCSF Medical Center, San Francisco, CA.

    BACKGROUND: Antibody mediated rejection (ABMR) accounts for 20-30% of acute rejection episodes and can affect long-term renal allograft survival. The complement system plays an active…
  • 2018 American Transplant Congress

    ABO-Incompatibility Lower Incidence of DSA-Induced Antibody-Mediated Rejection

    D. Lee,1 B. Kim,1 J. KIm,1 I. KIm,1 M. Jeon.1

    1Nephrology, Medicine, Maryknoll General Hospital, Busan, Republic of Korea; 2Laboratory Medicine, Maryknoll General Hospital, Busan, Republic of Korea; 3Surgery, Maryknoll General Hospital, Busan, Republic of Korea; 4Urology, Maryknoll General Hospital, Busan, Republic of Korea; 5Pathology, Maryknoll General Hospital, Busan, Republic of Korea.

    Introduction:Donor-specific anti-HLA antibody (DSA) and Anti-ABO antibody are major barriers for successful kidney transplantation. Limited data are available about the existences of both DSA and…
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