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Articles tagged "Sensitization"

  • 2017 American Transplant Congress

    Waitlist Desensitization and the Rate of Deceased Donor Kidney Transplantation After Implementation of the Kidney Allocation System.

    E. Huang, S. Jordan, R. Najjar, J. Choi, A. Peng, A. Vo.

    Comprehensive Transplant Center, Cedars Sinai Medical Center, Los Angeles, CA

    Background:At Cedars Sinai Medical Center (CSMC), candidates with calculated panel reactive antibodies (cPRA) ≥30% (based on unacceptable antigens with MFI≥15,000) are desensitized while awaiting transplant.…
  • 2017 American Transplant Congress

    CTLA4-Ig in Combination with FTY720 Reduces the Frequency of Memory Alloreactive T Cells and Promotes Heart Allograft Survival in Sensitized Recipients.

    S. Khiew,1 J. Yang,1 J. Young,1 J. Chen,1 Q. Wang,1 D. Ying,1 V. Vu,1 M. Miller,2 R. Sciammas,3 M.-L. Alegre,2 A. Chong.1

    1Section of Transplantation, Department of Surgery, University of Chicago, Chicago, IL; 2Section of Rheumatology, Department of Medicine, University of Chicago, Chicago, IL; 3Center for Comparative Medicine, University of California, Davis, CA

    Despite recent evidence of improved graft outcomes and safety, high incidence of early acute cellular rejection with belatacept has limited its use in clinical transplantation.…
  • 2017 American Transplant Congress

    Role of Donor-Derived Tissue Resident Memory T cells in Modulating Alloimmunity.

    R. Crepeau, D. Liu, M. Ford.

    Emory Transplant Center, Emory University, Atlanta, GA

    Recipient-derived, graft-specific memory T cells play a critical role in mediating allograft rejection, particularly in the setting of immunosuppression with costimulation blockade. Recently, it is…
  • 2017 American Transplant Congress

    Induction of Sensitization and Resistance to Transplant Tolerance by Allogeneic Pregnancy.

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

    1Department of Surgery, University of Chicago, Chicago, IL; 2Department of Medicine, University of Chicago, Chicago, IL

    Background: Clinical data suggest allogeneic pregnancy is a sensitizing event; yet, recent data from mouse models suggest it induces fetal-specific regulatory T cell (Treg) expansion…
  • 2017 American Transplant Congress

    A Combination of Anti-CD40L-Ab, Rapamycin, and Donor Apoptotic Cells Prolongs Allogeneic Pancreatic Islet Survival in Sensitized Mice by Regulating Memory Responses.

    A. Dangi,1 H.-K. Kang,1 X. Zhang,2,3 X. Luo.1,2,3

    1Nephrology and Hypertension, Northwestern University, Chicago, IL; 2Comprehensive Transplant Center, Northwestern University, Chicago, IL; 3Surgery, Northwestern University, Chicago, IL

    Accelerated rejection of allografts has been a clinical challenge in solid organ transplantation particularly in sensitized recipients with donor-specific antibodies (DSA) and memory cell repertoires.…
  • 2017 American Transplant Congress

    Blood Transfusion Before Organ Transplant: Patient Sensitization and Outcomes.

    I. Cich, K. Rudser, R. Brown, H. Ibrahim, R. Thorson, J. Patil, G. Loor, M. Hertz, C. Cohn.

    Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN

    BackgroundBlood transfusions (Btf) can cause alloimmunization to HLA antigens. Antibodies to HLA (HLAb) can increase patients' calculated panel reactive assay (cPRA) and make it more…
  • 2017 American Transplant Congress

    A Multistate Modeling Analysis of Time-Varying CPRA States and Its Impact on Kidney Transplant: A Focus on KAS Implementation.

    S. Kulkarni,1 I. Hall,2 R. Formica,1 D. Stewart,3 E. Greene,4 Y. Deng.4

    1Surgery & Medicine, Yale School of Medicine, New Haven, CT; 2Medicine, Utah School of Medicine, Salt Lake City, UT; 3United Network of Organ Sharing, Richmond, VA; 4Center for Analytical Sciences, Yale School of Public Health, New Haven, CT

    Background: Highly sensitized kidney transplant candidates are at higher risk of death on the waiting list(WL). OPTN policy change 8(Kidney Allocation System(KAS)) aimed to improve…
  • 2017 American Transplant Congress

    Assessment of Donor-Reactive T-Cell Immunity by the Novel Urine Cell-Derived Alloantigen Assay Allows Prediction of Acute Rejection in Renal Transplant Patients.

    C. Thieme,1 B. Weist,1 A. Müskes,1 P. Reinke,1 T. Westhoff,2 N. Babel.1,2

    1BCRT (Berlin-Brandenburg Center for Regenerative Therapies), Berlin, Germany; 2Ruhr University Bochum, Bochum, Germany

    Presensitization and donor-specific immunity play a major role in acute and chronic rejection of kidney transplant patients. While assessment of humoral sensitization is well standardised…
  • 2017 American Transplant Congress

    Integration of Kidney-Exchange, (Un)Specified Living Donor Transplantation, ABO Incompatible and Desensitisation Programs in a Computerized Allocation Program: A Simulation.

    M. de Klerk,1 J. Kal,1 S. Middel,1 J. van de Wetering,1 M. Kho,1 M. Betjes,1 W. Zuidema,1 D. Roelen,3 K. Glorie,2 J. Roodnat.1

    1Dept of Internal Medicine, Erasmus MC, Rotterdam, Netherlands; 2Erasmus Q-Intelligence, Erasmus University Rotterdam, Rotterdam, Netherlands; 3Dept of Immunology, LUMC, Leiden, Netherlands

    Introduction: Our national kidney-exchange allocation program is established in 2004. Though kidney-exchange is intertwined with (un)specified donation and domino-paired procedures, the latter still operates by…
  • 2017 American Transplant Congress

    A Phase Ib, Open Label, Single Arm Study to Assess the Safety, Pharmacokinetics, and Impact on Humoral Sensitization of SANGUINATE Infusion in Patients with End-Stage Renal Disease.

    B. Abu Jawdeh,1 E. Woodle,1 A. Leino,1 T. Dorst,1 M. Abdallah,1 A. Govil,1 D. Byczkowski,2 H. Misra,2 A. Abuchowski,2 R. Alloway.1

    1U.Cincinnati, OH; 2Prolong Pharmaceuticals, NJ

    Purpose:The endeavor and resources spent to study desensitization haven't been matched by an effort to investigate strategies to prevent sensitization.The purpose of this study was…
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