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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1987-1-29
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pubmed:abstractText |
Previously we reported that the pre-transplant and pre-rejection OKT4/OKT8 ratio can be used to predict renal allograft survival. Patients on azathioprine (Aza) and low-dose steroids (St) with a pretransplant ratio less than or equal to 1.6 exhibited a 6-month graft survival of 33% compared with 79% for those with a ratio greater than 1.6 (P = 0.02). Furthermore, 100% of the rejection episodes treated with high doses of prednisone in patients with a prerejection ratio less than or equal to 1.6 were irreversible in comparison with only 10% for patients with a ratio greater than 1.6 (P less than 0.001). In the present study, we investigated the prognostic value of the OKT4/OKT8 ratio for patients who received rabbit antithymocyte globulin (RATG) as anti-rejection therapy or cyclosporin A (CsA) as basic immunosuppressive therapy. No correlation was found between the pre-transplant OKT4/OKT8 ratio and 6-month graft survival for either treatment group because of an improved graft survival among patients with a pretransplant ratio less than or equal to 1.6 (78% for patients who received RATG and 85% for CsA-treated patients). For Aza-treated patients with an OKT4/OKT8 ratio less than or equal to 1.6 at the time of rejection, rejection episodes that were treated with RATG were reversible in 78% of the cases, whereas among CsA-treated patients rejection episodes treated with high doses of prednisone were reversible in 72% of the cases. No significant differences in graft survival or reversibility of rejection episodes between patients with a pre-transplant or prerejection OKT4/OKT8 ratio greater than 1.6 were found. Furthermore, in both the CsA and the Aza-treated patients (with or without RATG), the OKT4/OKT8 ratio had decreased significantly 3 months after transplantation. This decrease was associated with cytomegalovirus infections rather than the type of immunosuppressive therapy.
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pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/3024886-315070,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3024886-3898491,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3024886-6093294,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3024886-6210475,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3024886-6219171,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3024886-6220816,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3024886-6232027,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3024886-6292304,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3024886-6373078,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3024886-6377607,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3024886-6401505,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3024886-6454075,
http://linkedlifedata.com/resource/pubmed/commentcorrection/3024886-6457868
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0009-9104
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
65
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
373-80
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pubmed:dateRevised |
2009-11-18
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pubmed:meshHeading |
pubmed-meshheading:3024886-Antilymphocyte Serum,
pubmed-meshheading:3024886-Cyclosporins,
pubmed-meshheading:3024886-Cytomegalovirus Infections,
pubmed-meshheading:3024886-Graft Survival,
pubmed-meshheading:3024886-Humans,
pubmed-meshheading:3024886-Immunosuppressive Agents,
pubmed-meshheading:3024886-Kidney Transplantation,
pubmed-meshheading:3024886-Prognosis,
pubmed-meshheading:3024886-T-Lymphocytes
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pubmed:year |
1986
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pubmed:articleTitle |
Prognostic value of T lymphocyte subset ratios for renal transplant survival in patients on different immunosuppressive regimens.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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