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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1990-9-13
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pubmed:abstractText |
Plasma levels of tumor necrosis factor-alpha were measured in 50 adult patients following orthotopic liver transplantation. The mean (+/- SEM) plasma concentration of TNF-alpha was significantly higher in patients experiencing a rejection episode (941 +/- 83 pg/ml) than in those with a stable clinical course (240 +/- 6 pg/ml; P = 0.0001). Peak levels of TNF-alpha were usually found at the time of clinically diagnosed rejection, although elevated levels were observed 1-2 days earlier. First-week peak TNF-alpha levels were significantly higher in patients who suffered graft loss (2146 +/- 788 pg/ml) than in those who were discharged from the hospital without clinical evidence of rejection (581 +/- 93 pg/ml; P = 0.004). TNF-alpha levels were not correlated with white blood cell count (r2 = 0.004), cyclosporine levels (0.01), serum creatinine (0.002), serum bilirubin (0.05), serum SGOT (0.03), or SGPT (0.05). TNF-alpha levels were not elevated in four cases of viral hepatitis occurring after transplantation. We conclude that circulating levels of TNF-alpha are elevated during liver allograft rejection and may precede clinical manifestations. First-week TNF-alpha levels are also useful predictors of long-term graft outcome. Further investigation is required to determine whether this monokine is important in the actual pathogenesis of allograft rejection.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Alanine Transaminase,
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Monoclonal,
http://linkedlifedata.com/resource/pubmed/chemical/Aspartate Aminotransferases,
http://linkedlifedata.com/resource/pubmed/chemical/Bilirubin,
http://linkedlifedata.com/resource/pubmed/chemical/Cyclosporins,
http://linkedlifedata.com/resource/pubmed/chemical/Tumor Necrosis Factor-alpha
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0041-1337
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
50
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
219-25
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:2382288-Adolescent,
pubmed-meshheading:2382288-Adult,
pubmed-meshheading:2382288-Alanine Transaminase,
pubmed-meshheading:2382288-Analysis of Variance,
pubmed-meshheading:2382288-Antibodies, Monoclonal,
pubmed-meshheading:2382288-Aspartate Aminotransferases,
pubmed-meshheading:2382288-Bilirubin,
pubmed-meshheading:2382288-Cyclosporins,
pubmed-meshheading:2382288-Enzyme-Linked Immunosorbent Assay,
pubmed-meshheading:2382288-Graft Rejection,
pubmed-meshheading:2382288-Humans,
pubmed-meshheading:2382288-Leukocyte Count,
pubmed-meshheading:2382288-Liver Transplantation,
pubmed-meshheading:2382288-Middle Aged,
pubmed-meshheading:2382288-Prospective Studies,
pubmed-meshheading:2382288-Time Factors,
pubmed-meshheading:2382288-Tumor Necrosis Factor-alpha
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pubmed:year |
1990
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pubmed:articleTitle |
The role of tumor necrosis factor in allograft rejection. I. Evidence that elevated levels of tumor necrosis factor-alpha predict rejection following orthotopic liver transplantation.
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pubmed:affiliation |
Department of Surgery, University of California, Los Angeles School of Medicine 90024.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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