Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2011-8-2
pubmed:abstractText
Despite the use of immunosuppressives mainly influencing T and B cell responses, the prevalence of the bronchiolitis obliterans syndrome (BOS) after lung transplantation is high. Mannose-binding lectin (MBL) is a pattern recognition molecule of complement and an important component of the innate immunity. MBL is associated with rejection, infection and survival in other solid organ transplantations. In this study the relation between functional MBL levels and cytomegalovirus (CMV) reactivations and the development of BOS and survival after lung transplantation was investigated. MBL levels were measured in 85 patients before and in 57 of these patients after lung transplantation. The relation of MBL on survival, CMV reactivation and the development of BOS were investigated with Kaplan-Meier (log-rank) survival analysis. MBL levels decreased on average by 20% (P < 0·001) after transplantation and eventually returned to pretransplant levels. Fourteen of the 85 patients had deficient pretransplant MBL levels and these patients had a tendency towards a better survival compared to those with normal MBL levels (P = 0·08). Although no correlation was found between MBL deficiency and the development of BOS, more CMV reactivations occurred in recipients with deficient versus normal levels of MBL (P = 0·03). Our results suggest that MBL deficiency is associated with CMV reactivations and a longer overall survival, but not with the development of BOS.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1365-2249
pubmed:author
pubmed:copyrightInfo
© 2011 The Authors. Clinical and Experimental Immunology © 2011 British Society for Immunology.
pubmed:issnType
Electronic
pubmed:volume
165
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
410-6
pubmed:meshHeading
pubmed-meshheading:21707593-Adolescent, pubmed-meshheading:21707593-Adult, pubmed-meshheading:21707593-Bronchiolitis Obliterans, pubmed-meshheading:21707593-Cytomegalovirus, pubmed-meshheading:21707593-Female, pubmed-meshheading:21707593-Ganciclovir, pubmed-meshheading:21707593-Humans, pubmed-meshheading:21707593-Immunoglobulin G, pubmed-meshheading:21707593-Kaplan-Meier Estimate, pubmed-meshheading:21707593-Lung Transplantation, pubmed-meshheading:21707593-Male, pubmed-meshheading:21707593-Mannose-Binding Lectin, pubmed-meshheading:21707593-Middle Aged, pubmed-meshheading:21707593-Postoperative Complications, pubmed-meshheading:21707593-Retrospective Studies, pubmed-meshheading:21707593-Risk Factors, pubmed-meshheading:21707593-Survival Rate, pubmed-meshheading:21707593-Virus Activation, pubmed-meshheading:21707593-Young Adult
pubmed:year
2011
pubmed:articleTitle
Mannose-binding lectin deficiency linked to cytomegalovirus (CMV) reactivation and survival in lung transplantation.
pubmed:affiliation
Respiratory Medicine, University Medical Center Utrecht, Utrecht, the Netherlands.
pubmed:publicationType
Journal Article