The effect of maternal grafts in early acute cellular rejection after pediatric living-donor liver transplantation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-05-20

AUTHORS

Yuki Noguchi, Takehisa Ueno, Tasuku Kodama, Ryuta Saka, Yuichi Takama, Yuko Tazuke, Kazuhiko Bessho, Hiroomi Okuyama

ABSTRACT

PurposeLiving-donor liver transplantations (LDLTs) with maternal grafts can be more successful than those with paternal grafts because of their tolerance to non-inherited maternal antigens. We reviewed LDLT patients to investigate the relationship between acute rejection and donor sex.MethodsLDLT patients between January 2010 and November 2015 were enrolled. ACR was defined by a rejection activity index of > 3.ResultsForty-six patients (22 males and 24 females), of whom 28 had biliary atresia, were enrolled. The median age of the patients was 2.8 years and the donor types were maternal (n = 25) and paternal (n = 21). Acute cellular rejection (ACR) was observed in 22 patients. Twelve (48%) of the 25 patients in the maternal group had at least one episode of rejection compared with 10 (48%) of the 21 in the paternal group. Among the patients with ACR, the first rejection in the maternal group occurred significantly earlier than that in the paternal group (p < 0.01). In the multivariable analysis, the only variable significantly related to the first rejection day after LDLT was donor sex (male) (p < 0.005).ConclusionOur results showed that maternal grafts had an effect on causing earlier ACR in LDLT. More... »

PAGES

765-771

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00383-019-04487-0

DOI

http://dx.doi.org/10.1007/s00383-019-04487-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1114964373

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31111216


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