Source:http://linkedlifedata.com/resource/pubmed/id/15919463
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2005-5-27
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pubmed:abstractText |
High pretransplantation sCD30 levels have been shown to be associated with lower 5-year kidney graft survival in mainly Cyclosporine A (CsA)-treated recipients (Collaborative Transplant Study database). To analyze the effect of different immunosupressive regimens (CsA/Azathioprine [Aza], CsA/Mycophenolate Mofetil [MMF], Tacrolimus [Tacr]/Aza) on sCD30, we assessed serum sCD30 and neopterin together with in vitro cytokine responses in a prospective randomized study of 84 renal transplant recipients before, 4 months, and 1 year after transplantation. Panel-reactive antibody (PRA) formation, HLA matching, ATG induction therapy, and acute rejections had no impact on sCD30 levels, whereas cytomegalovirus (CMV) infections induced an up-regulation of sCD30 4 months posttransplantation (P = .003). Whereas MMF showed no effect on sCD30 compared with Aza therapy, we found a significant impact of Tacr versus CsA treatment (1-year sCD30 > or = 60 U/mL: 14/42 (33%), CsA; 1/38 (3%), Tacr; P < .0005). Chronic rejection 2 years posttransplantation was associated with elevated 1-year sCD30 (P = .001) and neopterin levels (P = .006). Our data indicate that the Th2 activation marker sCD30 provides a risk factor for chronic rejection independent of classical immunological risk factors and may be down-regulated using Tacr treatment.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antigens, CD,
http://linkedlifedata.com/resource/pubmed/chemical/Antigens, CD30,
http://linkedlifedata.com/resource/pubmed/chemical/Cyclosporine,
http://linkedlifedata.com/resource/pubmed/chemical/Cytokines,
http://linkedlifedata.com/resource/pubmed/chemical/Immunosuppressive Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Mycophenolic Acid,
http://linkedlifedata.com/resource/pubmed/chemical/Tacrolimus,
http://linkedlifedata.com/resource/pubmed/chemical/mycophenolate mofetil
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0041-1345
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pubmed:author |
pubmed-author:DanielVV,
pubmed-author:DietrichHH,
pubmed-author:ErnstWW,
pubmed-author:FeuringEE,
pubmed-author:Kamali-ErnstSS,
pubmed-author:OpelzGG,
pubmed-author:PadbergWW,
pubmed-author:PelzlSS,
pubmed-author:RennerFF,
pubmed-author:SüsalCC,
pubmed-author:StaabJJ,
pubmed-author:StrellerSS,
pubmed-author:WeimerRR,
pubmed-author:YildizSS
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pubmed:issnType |
Print
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pubmed:volume |
37
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1776-8
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:15919463-Antigens, CD,
pubmed-meshheading:15919463-Antigens, CD30,
pubmed-meshheading:15919463-Chronic Disease,
pubmed-meshheading:15919463-Cyclosporine,
pubmed-meshheading:15919463-Cytokines,
pubmed-meshheading:15919463-Follow-Up Studies,
pubmed-meshheading:15919463-Graft Rejection,
pubmed-meshheading:15919463-Graft Survival,
pubmed-meshheading:15919463-Humans,
pubmed-meshheading:15919463-Immunosuppressive Agents,
pubmed-meshheading:15919463-Kidney Transplantation,
pubmed-meshheading:15919463-Mycophenolic Acid,
pubmed-meshheading:15919463-Risk Factors,
pubmed-meshheading:15919463-Tacrolimus
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pubmed:year |
2005
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pubmed:articleTitle |
sCD30 and neopterin as risk factors of chronic renal transplant rejection: impact of cyclosporine A, tacrolimus, and mycophenolate mofetil.
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pubmed:affiliation |
Department of Internal Medicine, University of Giessen, Giessen, Germany. rolf.weimer@innere.med.uni-giessen.de
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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