Source:http://linkedlifedata.com/resource/pubmed/id/16908266
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2006-8-15
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pubmed:abstractText |
Development of HLA antibody has been associated with chronic allograft failure in kidney recipients. We tested HLA antibody in posttransplant sera of intestinal recipients: 126 sera from 28 pediatric recipients were tested for HLA antibody by flow PRA (f-PRA). Median age was 1.1 years (0.44-17). Graft types included isolated intestine (n = 6), liver and intestine (n = 3), modified multivisceral (n = 3), and multivisceral grafts (n = 16). Greater than 10% of either class I (CI) or class II (CII) f-PRA was considered positive, and >30% strongly positive. Five of 28 patients had positive f-PRA in multiple samples; the remaining 23 had either no positive or only one positive sample. Three patients had strongly positive f-PRA. Patients with multiple positive samples were recipients of two modified multivisceral and three multivisceral grafts. Only one of these patients had a positive PRA pretransplant. Cytotoxic cross-match at transplant was negative for all. The three with strongly positive f-PRA showed significant episodes of rejection around the time of positive samples. One of them who persistently had f-PRA value >80% (from day 13-113) died of refractory rejection. The other two had f-PRA of 76% and 53% during the early postoperative course with associated episodes of rejection. F-PRA value decreased with rejection therapy. Only one of the 23 patients (4%) with negative f-PRA had an episode of rejection around the time of sample collection. Development of HLA antibody after intestinal transplantation seems to have significant association with acute rejection episodes.
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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:issn |
0041-1345
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
38
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1735-7
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pubmed:meshHeading |
pubmed-meshheading:16908266-Adolescent,
pubmed-meshheading:16908266-Antibodies,
pubmed-meshheading:16908266-Antibody Formation,
pubmed-meshheading:16908266-Antibody Specificity,
pubmed-meshheading:16908266-Child,
pubmed-meshheading:16908266-Child, Preschool,
pubmed-meshheading:16908266-Graft Rejection,
pubmed-meshheading:16908266-HLA Antigens,
pubmed-meshheading:16908266-Humans,
pubmed-meshheading:16908266-Infant,
pubmed-meshheading:16908266-Intestine, Small,
pubmed-meshheading:16908266-Liver Transplantation,
pubmed-meshheading:16908266-Transplantation, Homologous,
pubmed-meshheading:16908266-Viscera
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pubmed:articleTitle |
Association of emergence of HLA antibody and acute rejection in intestinal transplant recipients: a possible evidence of acute humoral sensitization.
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pubmed:affiliation |
Divisions of Transplant, Pediatric Gastroenterology and Immunopathology, University of Miami School of Medicine, 1801 W. 9th Avenue, Miami, FL 33136, USA. tkato@med.miami.edu
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pubmed:publicationType |
Journal Article
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