Tolerance in allogeneic living-related renal transplantation:

Aruna V. Vanikar - Collection Omn.univ.europ.

116 pages, parution le 02/05/2017

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Résumé

Transplantation tolerance may be defined as normal graft survival sans immunosuppression, maintaining intact immunity. Tolerance induction (TI) strategies include induction of chimerism and/or clonal deletion. Donor specific transfusion (DST) and stem cells (SCs) have come-up as TI. In this parallel 2-armed open labeled study under non-myeloablative conditioning with DST as first arm and SCs as second arm, without using conventional immunosuppression. Monitoring included SCr (mg/dL), DSA and MLR. Protocol biopsies were planned after 100 days and yearly in willing patients. In event of rejection/DSA/MLR, rescue immunosuppression was planned. Patient survival for the first 2 years was 100% in both arms; at 5 years post-transplant 80% with SC and 90% with DST. Death-censored graft survival for 1st year was 100 % in both arms, and at 5 years, 80% with SC and 70% with DST. Mean SCr was 1.52 with SC and 1.97 with DST. Five patients from SC-arm and 3 from DST-arm had successful TI. MLR was negative in both groups. DSA appeared in 2 patients of SC without graft dysfunction and 4 of DST causing graft dysfunction. Thus SCs facilitate TI in LDRT under non-myeloablative conditioning.

Caractéristiques techniques

	PAPIER
Éditeur(s)	Editions universitaires européennes
Auteur(s)	Aruna V. Vanikar
Collection	Omn.univ.europ.
Parution	02/05/2017
Nb. de pages	116
Format	15.2 x 22.9
Couverture	Broché
Poids	182g
EAN13	9783330869158