ATC Abstracts

American Transplant Congress abstracts

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Articles tagged "Sensitization"

  • 2018 American Transplant Congress

    Many Highly Sensitized Candidates Still Waiting for Transplant Despite the Kidney Allocation System Change: Making the Case for Incompatible Transplantation

    C. Schinstock, B. Smith, A. Bentall, M. Stegall.

    Von Liebig Center for Transplantation and Clinical Regenerative Medicine, Mayo Clinic, Rochester, MN.

    Introduction: The rate of kidney transplantation in highly sensitized individuals has increased since the kidney allocation system (KAS) change, but it remains unclear who has…
  • 2018 American Transplant Congress

    Elevated Skin Specific Non-HLA Antibodies Correlate with Acute Rejection Episodes in Clinical VCA

    B. Kollar,1 A. Uffing,2 T. Win,1 S. Tasigiorgos,1 B. Pomahac,1 F. Quintana,3 L. Riella.2

    1Division of Plastic Surgery, Brigham and Women's Hospital, Boston, MA; 2Transplantation Research Center, Brigham and Women's Hospital, Boston, MA; 3Ann Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Boston, MA.

    Introduction: Vascularized composite allotransplantation (VCA) is unique by presence of the skin in the allografts. Due to the high immunogenicity of skin and the presence…
  • 2018 American Transplant Congress

    Immune Profiling in Highly Sensitized Kidney Transplant Recipients

    S. Negi, A. Rutman, S. Paraskevas, J. Tchervenkov.

    Surgery, McGill University, Montreal, Canada.

    Introduction: Highly sensitized patients (HSP) express foreign HLA antibodies and have poor graft survival due to higher incidences of graft rejection as compared to non-sensitized…
  • 2018 American Transplant Congress

    Memory T Cell Dysfunction after Pregnancy Alloimmunization Prolongs Transplant Survival

    P. Porrett,1 J. Cohen,2 R. Xu,1 E. Lewis,3 M. Elovitz,3 E. Wherry,4 D. Sawinski.2

    1Surgery, University of Pennsylvania, Philadelphia, PA; 2Medicine, University of Pennsylvania, Philadelphia, PA; 3OBGyn, University of Pennsylvania, Philadelphia, PA; 4Microbiology, University of Pennsylvania, Philadelphia, PA.

    Background Pregnancy alloimmunization can preclude donor compatibility and may diminish transplant lifespan. While these consequences may be attributed to immunologic memory responses that endanger an…
  • 2018 American Transplant Congress

    Two Similar Risk Models Identify Different Patients for Graft Loss: Implications for Clinical Trials in DSA+ Kidney Transplant Recipients

    A. Bentall, B. Smith, W. Park, C. Schinstock, M. Stegall.

    William J von Liebig Transplant Center, Mayo Clinic, Rochester.

    Introduction. Kidney Transplant Recipients (KTx) with donor-specific alloantibody (DSA) at transplantation have increased death-censored graft failure (DCGF) due to chronic antibody mediated rejection (cABMR), but…
  • 2018 American Transplant Congress

    Acquired Resistance to Transplantation Tolerance as a Result of Prior Pregnancy Requires B Cells

    A. Suah,1 S. Khiew,1 J. Young,1 D. Yin,1 Q. Wang,1 M. Alegre,2 A. Chong.1

    1Surgery, Univeristy of Chicago Medicine, Chicago, IL; 2Medicine, University of Chicago, Chicago, IL.

    Introduction: Clinical data suggest allogeneic pregnancy is a sensitizing event; yet, recent data from mouse models indicates it induces fetal-specific regulatory T cell (Treg) expansion…
  • 2018 American Transplant Congress

    Targeting Plasma Cells with Anti-CD38mAb (Daratumumab) and CXCR4 Antagonist (Plerixafor) for Desensitization

    J. Kwun,1 E. Brian,1 M. Manook,1 J. Park,1 K. Freischlag,1 J. Yoon,1 J. Yi,1 M. Stegall,2 S. Knechtle.1

    1Surgery, Duke University, Durham, NC; 2Surgery, Mayo Clinic, Rochester, MN.

    [Introduction] Sensitized patients comprise a significant portion (30%) of candidates on the transplant waiting list. Unfortunately for sensitized patients, the presence of donor-specific antibodies (DSA)…
  • 2018 American Transplant Congress

    Parsing the 100% CPRA Kidney Transplant Candidates, Who Gets Transplanted?

    D. Keith.

    Medicine, Sacred Heart Hospital, Pensacola, FL.

    Currently the United States kidney allocation system gives priority to candidates with a CPRA of 100% by giving them additional allocation points and providing national…
  • 2018 American Transplant Congress

    TACI-Ig as a Desensitization Agent in a Rat Model of Antibody Mediated Rejection

    N. Wilson,1 B. Verhoven,2 B. Boldt,2 N. Bath,2 X. Ding,1 R. Redfield III.2

    1Medicine/Nephrology, University of Wisconsin, Madison, WI; 2Surgery/Transplant, University of Wisconsin, Madison, WI.

    We examined the effect of APRIL/BLyS blockade on B cell lineages & donor specific antibody (DSA) in preclinical rodent model as a novel desensitization strategy.…
  • 2018 American Transplant Congress

    Impact of KDPI and CPRA on Outcomes in Kidney Transplant Recipients

    S. Sethi, R. Najjar, A. Peng, A. Vo, S. Jordan, E. Huang.

    Cedars Sinai Medical Center, Los Angeles.

    Introduction: The new KAS has led to a marked increase in kidney transplants among highly sensitized recipients, mostly attributable to higher allocation of low KDPI…
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