Four-year allograft survival in a highly sensitized combined liver-kidney transplant patient despite unsuccessful anti-HLA antibody reduction with rituximab, splenectomy, and bortezomib.
Standard
Four-year allograft survival in a highly sensitized combined liver-kidney transplant patient despite unsuccessful anti-HLA antibody reduction with rituximab, splenectomy, and bortezomib. / Koch, Martina; Graeser, Christian; Lehnhardt, Anja; Pollok, Joerg-Matthias; Kröger, Nicolaus-Martin; Verboom, Murielle; Thaiss, Friedrich; Eiermann, Thomas; Nashan, Björn.
in: TRANSPL INT, Jahrgang 26, Nr. 8, 8, 2013, S. 64-68.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Four-year allograft survival in a highly sensitized combined liver-kidney transplant patient despite unsuccessful anti-HLA antibody reduction with rituximab, splenectomy, and bortezomib.
AU - Koch, Martina
AU - Graeser, Christian
AU - Lehnhardt, Anja
AU - Pollok, Joerg-Matthias
AU - Kröger, Nicolaus-Martin
AU - Verboom, Murielle
AU - Thaiss, Friedrich
AU - Eiermann, Thomas
AU - Nashan, Björn
N1 - © 2013 Steunstichting ESOT. Published by John Wiley & Sons Ltd.
PY - 2013
Y1 - 2013
N2 - Although donor-specific lymphocytotoxic antibodies are regarded as a contraindication for kidney transplantation (KTx), the data available for liver or combined liver or kidney transplantation (cLKTx) are scarce. Here, we report a case of a highly sensitized young man receiving his sixth liver and second kidney graft. Multiple anti-HLA antibodies were present at the time of transplantation. As a result of suspected antibody-mediated graft damage, the patient was treated with rituximab, plasmapheresis, intravenous immunoglobulins, splenectomy, and bortezomib to decrease the antibody production. So far, patient and allograft survival has reached 4 years despite failure to achieve a permanent reduction of anti-HLA antibodies, and particularly nondonor directed antibodies.
AB - Although donor-specific lymphocytotoxic antibodies are regarded as a contraindication for kidney transplantation (KTx), the data available for liver or combined liver or kidney transplantation (cLKTx) are scarce. Here, we report a case of a highly sensitized young man receiving his sixth liver and second kidney graft. Multiple anti-HLA antibodies were present at the time of transplantation. As a result of suspected antibody-mediated graft damage, the patient was treated with rituximab, plasmapheresis, intravenous immunoglobulins, splenectomy, and bortezomib to decrease the antibody production. So far, patient and allograft survival has reached 4 years despite failure to achieve a permanent reduction of anti-HLA antibodies, and particularly nondonor directed antibodies.
KW - Adult
KW - Antibodies, Monoclonal, Murine-Derived
KW - Boronic Acids
KW - Graft Rejection
KW - Graft Survival
KW - HLA Antigens
KW - Humans
KW - Immunoglobulins, Intravenous
KW - Kidney Transplantation
KW - Liver Transplantation
KW - Male
KW - Plasmapheresis
KW - Pyrazines
KW - Splenectomy
U2 - 10.1111/tri.12120
DO - 10.1111/tri.12120
M3 - SCORING: Journal article
C2 - 23672514
VL - 26
SP - 64
EP - 68
JO - TRANSPL INT
JF - TRANSPL INT
SN - 0934-0874
IS - 8
M1 - 8
ER -