Aruna V. Vanikar

Tolerance in Allogeneic Living-Related Renal Transplantation:

Comparison of Pre-Transplantation Donor Specific Leucocyte Infusion Stem Cell Transplantation

• Broschiertes Buch

Produktbeschreibung

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.

Produktdetails

• Verlag: Éditions universitaires européennes
• Seitenzahl: 116
• Erscheinungstermin: 25. Mai 2017
• Französisch
• Abmessung: 220mm x 150mm x 8mm
• Gewicht: 191g
• ISBN-13: 9783330869158
• ISBN-10: 3330869151
• Artikelnr.: 48367563

Autorenporträt

Aruna Vanikar, MD, PhD, DLitt., is currently serving as Professor and Head, Department of Pathology, Lab. Medicine, Transfusion Services & Immunohematology, and Professor in Department of Regenerative Medicine and Cell Therapy at the IKDRC-ITS, Ahmedabad, India. She has patented technologies of generation of AD-MSC and insulin secreting cells.