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  1. Article ; Online: Regulation of T- and B-cell interactions determines the clinical phenotype associated with donor-specific antibodies.

    Basu, Sumoyee / Dorling, Anthony

    Kidney international

    2022  Volume 101, Issue 5, Page(s) 877–879

    Abstract: The cellular mechanisms that regulate donor-specific antibody formation and antibody-mediated rejection remain unknown. In this issue, Louis et al. report that specific T-regulatory cell and B-regulatory transitional cell subsets are concomitantly ... ...

    Abstract The cellular mechanisms that regulate donor-specific antibody formation and antibody-mediated rejection remain unknown. In this issue, Louis et al. report that specific T-regulatory cell and B-regulatory transitional cell subsets are concomitantly diminished in patients with donor-specific antibody and consequent antibody-mediated rejection and advance alterations in specific cytokines and costimulatory molecules as important mechanisms by which these cells may suppress donor-specific antibody formation and, independently, progression to antibody-mediated rejection.
    MeSH term(s) Antibodies ; Cell Communication ; Graft Rejection/prevention & control ; Humans ; Kidney Transplantation ; Phenotype ; Tissue Donors
    Chemical Substances Antibodies
    Language English
    Publishing date 2022-04-28
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 120573-0
    ISSN 1523-1755 ; 0085-2538
    ISSN (online) 1523-1755
    ISSN 0085-2538
    DOI 10.1016/j.kint.2022.02.020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A transitional B-cell cytokine biomarker for risk stratifying renal transplant patients with borderline rejection.

    Basu, Sumoyee / Dorling, Anthony / Chong, Anita S

    Kidney international

    2023  Volume 103, Issue 4, Page(s) 658–660

    Abstract: Borderline allograft rejection can promote acute rejection and graft loss in some, but not all, patients. In this issue, Cherukuri et al. use a novel test based on peripheral blood transitional T1 B cells producing interleukin-10 and tumor necrosis ... ...

    Abstract Borderline allograft rejection can promote acute rejection and graft loss in some, but not all, patients. In this issue, Cherukuri et al. use a novel test based on peripheral blood transitional T1 B cells producing interleukin-10 and tumor necrosis factor-α, which identifies patients at high risk for poor outcomes. The potential mechanisms by which transitional T1 B cells might modulate alloreactivity need exploration, but following appropriate validation, this biomarker could risk stratify patients in need of early intervention.
    MeSH term(s) Humans ; Kidney Transplantation/adverse effects ; Precursor Cells, B-Lymphoid ; Cytokines ; Graft Rejection/diagnosis ; Biomarkers
    Chemical Substances Cytokines ; Biomarkers
    Language English
    Publishing date 2023-03-22
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 120573-0
    ISSN 1523-1755 ; 0085-2538
    ISSN (online) 1523-1755
    ISSN 0085-2538
    DOI 10.1016/j.kint.2022.12.020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Prime Time for HLA Desensitization: Imlifidase in the Spotlight.

    Bestard, Oriol / Moreso, Francesc / Dorling, Anthony

    Transplant international : official journal of the European Society for Organ Transplantation

    2023  Volume 36, Page(s) 11616

    MeSH term(s) Humans ; Kidney Transplantation ; Immunosuppressive Agents ; Isoantibodies
    Chemical Substances Immunosuppressive Agents ; Isoantibodies
    Language English
    Publishing date 2023-06-28
    Publishing country Switzerland
    Document type Journal Article ; Comment
    ZDB-ID 639435-8
    ISSN 1432-2277 ; 0934-0874
    ISSN (online) 1432-2277
    ISSN 0934-0874
    DOI 10.3389/ti.2023.11616
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Effect of rituximab on anti-donor T-cell responses.

    Dudreuilh, Caroline / Dorling, Anthony

    Transplant international : official journal of the European Society for Organ Transplantation

    2020  Volume 33, Issue 10, Page(s) 1322–1323

    MeSH term(s) Humans ; Kidney Transplantation ; Living Donors ; Retrospective Studies ; Rituximab/therapeutic use ; T-Lymphocytes
    Chemical Substances Rituximab (4F4X42SYQ6)
    Language English
    Publishing date 2020-06-29
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 639435-8
    ISSN 1432-2277 ; 0934-0874
    ISSN (online) 1432-2277
    ISSN 0934-0874
    DOI 10.1111/tri.13671
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Potential Application of T-Follicular Regulatory Cell Therapy in Transplantation.

    Dudreuilh, Caroline / Basu, Sumoyee / Scottà, Cristiano / Dorling, Anthony / Lombardi, Giovanna

    Frontiers in immunology

    2021  Volume 11, Page(s) 612848

    Abstract: Regulatory T cells (Tregs) constitute a small proportion of circulating ... ...

    Abstract Regulatory T cells (Tregs) constitute a small proportion of circulating CD4
    MeSH term(s) Animals ; Antibody Formation/immunology ; Autoimmunity/immunology ; B-Lymphocytes/immunology ; Cell- and Tissue-Based Therapy/methods ; Humans ; T Follicular Helper Cells/immunology ; T-Lymphocytes, Regulatory/immunology
    Language English
    Publishing date 2021-02-02
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2020.612848
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Inhibition of thrombin on endothelium enhances recruitment of regulatory T cells during IRI and when combined with adoptive Treg transfer, significantly protects against acute tissue injury and prolongs allograft survival.

    Peng, Qi / Nowocin, Anna / Ratnasothy, Kulachelvy / Smith, Richard A / Smyth, Lesley A / Lechler, Robert I / Dorling, Anthony / Lombardi, Giovanna

    Frontiers in immunology

    2023  Volume 13, Page(s) 980462

    Abstract: Ischemia-reperfusion injury (IRI) amplifies T cell alloimmune responses after transplantation with thrombin playing a key pro-inflammatory role. To explore the influence of thrombin on regulatory T cell recruitment and efficacy we used a well-established ...

    Abstract Ischemia-reperfusion injury (IRI) amplifies T cell alloimmune responses after transplantation with thrombin playing a key pro-inflammatory role. To explore the influence of thrombin on regulatory T cell recruitment and efficacy we used a well-established model of IRI in the native murine kidney. Administration of the cytotopic thrombin inhibitor PTL060 inhibited IRI, and by skewing expression of chemokines (reducing CCL2 and CCL3 but increasing CCL17 and CCL22) increased the infiltration of M2 macrophages and Tregs. When PTL060 was combined with infusion of additional Tregs, these effects were further amplified. To test the benefits of thrombin inhibition in a transplant model, BALB/c hearts were transplanted into B6 mice with or without perfusion with PTL060 in combination with Tregs. Thrombin inhibition or Treg infusion alone led to small increments in allograft survival. However, the combined therapy led to modest graft prolongation by the same mechanisms as in renal IRI; graft survival was accompanied by increased numbers of Tregs and anti-inflammatory macrophages, and reduced expression of pro-inflammatory cytokines. While the grafts succumbed to rejection associated with the emergence of alloantibody, these data suggest that thrombin inhibition within the transplant vasculature enhances the efficacy of Treg infusion, a therapy that is currently entering the clinic to promote transplant tolerance.
    MeSH term(s) Mice ; Animals ; T-Lymphocytes, Regulatory ; Thrombin/pharmacology ; Kidney ; Endothelium ; Allografts
    Chemical Substances Thrombin (EC 3.4.21.5)
    Language English
    Publishing date 2023-01-30
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2022.980462
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Transitional B cell subsets-a convincing predictive biomarker for allograft loss?

    Burton, Hannah / Dorling, Anthony

    Kidney international

    2016  Volume 91, Issue 1, Page(s) 18–20

    Abstract: In this issue, Cherukuri and colleagues describe a convincing association between the proportion of transitional B lymphocyte subsets in kidney transplant recipients and long-term outcomes, and present a biologically plausible mechanism, based on ... ...

    Abstract In this issue, Cherukuri and colleagues describe a convincing association between the proportion of transitional B lymphocyte subsets in kidney transplant recipients and long-term outcomes, and present a biologically plausible mechanism, based on differential ability of T1 and T2 cells to regulate in vitro T cell responses to explain the link. Further work is clearly needed to validate their claim that measurement of T1/T2 ratios may represent a reliable and reproducible predictive biomarker of transplant outcomes.
    MeSH term(s) Allografts ; B-Lymphocyte Subsets ; Biomarkers ; Kidney Transplantation ; Precursor Cells, B-Lymphoid ; Transplantation, Homologous
    Chemical Substances Biomarkers
    Language English
    Publishing date 2016-12-21
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 120573-0
    ISSN 1523-1755 ; 0085-2538
    ISSN (online) 1523-1755
    ISSN 0085-2538
    DOI 10.1016/j.kint.2016.10.028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Effect of delayed graft function on longer-term outcomes after kidney transplantation from donation after circulatory death donors in the United Kingdom: A national cohort study.

    Phillips, Benedict L / Ibrahim, Maria / Greenhall, George H B / Mumford, Lisa / Dorling, Anthony / Callaghan, Chris J

    American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons

    2021  Volume 21, Issue 10, Page(s) 3346–3355

    Abstract: Kidneys from donation after circulatory death (DCD) donors are utilized variably worldwide, in part due to high rates of delayed graft function (DGF) and putative associations with adverse longer-term outcomes. We aimed to determine whether the presence ... ...

    Abstract Kidneys from donation after circulatory death (DCD) donors are utilized variably worldwide, in part due to high rates of delayed graft function (DGF) and putative associations with adverse longer-term outcomes. We aimed to determine whether the presence of DGF and its duration were associated with poor longer-term outcomes after kidney transplantation from DCD donors. Using the UK transplant registry, we identified 4714 kidney-only transplants from controlled DCD donors to adult recipients between 2006 and 2016; 2832 recipients (60·1%) had immediate graft function and 1882 (39·9%) had DGF. Of the 1847 recipients with DGF duration recorded, 926 (50·1%) had DGF < 7 days, 576 (31·2%) had DGF 7-14 days, and 345 (18·7%) had DGF >14 days. After risk adjustment, the presence of DGF was not associated with inferior long-term graft or patient survivals. However, DGF duration of >14 days was associated with an increased risk of death-censored graft failure (hazard ratio 1·7, p = ·001) and recipient death (hazard ratio 1·8, p < ·001) compared to grafts with immediate function. This study suggests that shorter periods of DGF have no adverse influence on graft or patient survival after DCD donor kidney transplantation and that DGF >14 days is a novel early biomarker for significantly worse longer-term outcomes.
    MeSH term(s) Adult ; Cohort Studies ; Delayed Graft Function/etiology ; Graft Survival ; Humans ; Kidney Transplantation/adverse effects ; Retrospective Studies ; Risk Factors ; Tissue Donors ; Tissue and Organ Procurement ; United Kingdom/epidemiology
    Language English
    Publishing date 2021-05-06
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2060594-8
    ISSN 1600-6143 ; 1600-6135
    ISSN (online) 1600-6143
    ISSN 1600-6135
    DOI 10.1111/ajt.16574
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The phenotype of HLA-binding B cells from sensitized kidney transplant recipients correlates with clinically prognostic patterns of interferon-γ production against purified HLA proteins.

    Burton, Hannah / McLaughlin, Laura / Shiu, Kin Yee / Shaw, Olivia / Mamode, Nizam / Spencer, Jo / Dorling, Anthony

    Kidney international

    2022  Volume 102, Issue 2, Page(s) 355–369

    Abstract: B cells play crucial roles in cell-mediated alloimmune responses. In vitro, B cells can support or regulate indirect T-cell alloreactivity in response to donor antigens on ELISpot and these patterns associate with clinical outcome. Previous reports of ... ...

    Abstract B cells play crucial roles in cell-mediated alloimmune responses. In vitro, B cells can support or regulate indirect T-cell alloreactivity in response to donor antigens on ELISpot and these patterns associate with clinical outcome. Previous reports of associations between B-cell phenotype and function have examined global phenotypes and responses to polyclonal stimuli. We hypothesized that studying antigen-specific B cells, using samples from sensitized patients, would inform further study to identify novel targets for intervention. Using biotinylated HLA proteins, which bind HLA-specific B cells via the B-cell receptor in a dose-dependent fashion, we report the specific phenotype of HLA-binding B cells and define how they associated with patterns of anti-HLA response in interferon-γ ELISpot. HLA-binding class-switched and IgM
    MeSH term(s) Graft Rejection/prevention & control ; Histocompatibility ; Interferon-gamma/metabolism ; Kidney Transplantation/adverse effects ; Phenotype ; Prognosis
    Chemical Substances Interferon-gamma (82115-62-6)
    Language English
    Publishing date 2022-04-25
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 120573-0
    ISSN 1523-1755 ; 0085-2538
    ISSN (online) 1523-1755
    ISSN 0085-2538
    DOI 10.1016/j.kint.2022.02.041
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The Clinical Utility of Post-Transplant Monitoring of Donor-Specific Antibodies in Stable Renal Transplant Recipients: A Consensus Report With Guideline Statements for Clinical Practice.

    van den Broek, Dennis A J / Meziyerh, Soufian / Budde, Klemens / Lefaucheur, Carmen / Cozzi, Emanuele / Bertrand, Dominique / López Del Moral, Covadonga / Dorling, Anthony / Emonds, Marie-Paule / Naesens, Maarten / de Vries, Aiko P J

    Transplant international : official journal of the European Society for Organ Transplantation

    2023  Volume 36, Page(s) 11321

    Abstract: Solid phase immunoassays improved the detection and determination of the antigen-specificity of donor-specific antibodies (DSA) to human leukocyte antigens (HLA). The widespread use of SPI in kidney transplantation also introduced new clinical dilemmas, ... ...

    Abstract Solid phase immunoassays improved the detection and determination of the antigen-specificity of donor-specific antibodies (DSA) to human leukocyte antigens (HLA). The widespread use of SPI in kidney transplantation also introduced new clinical dilemmas, such as whether patients should be monitored for DSA pre- or post-transplantation. Pretransplant screening through SPI has become standard practice and DSA are readily determined in case of suspected rejection. However, DSA monitoring in recipients with stable graft function has not been universally established as standard of care. This may be related to uncertainty regarding the clinical utility of DSA monitoring as a screening tool. This consensus report aims to appraise the clinical utility of DSA monitoring in recipients without overt signs of graft dysfunction, using the Wilson & Junger criteria for assessing the validity of a screening practice. To assess the evidence on DSA monitoring, the European Society for Organ Transplantation (ESOT) convened a dedicated workgroup, comprised of experts in transplantation nephrology and immunology, to review relevant literature. Guidelines and statements were developed during a consensus conference by Delphi methodology that took place in person in November 2022 in Prague. The findings and recommendations of the workgroup on subclinical DSA monitoring are presented in this article.
    MeSH term(s) Humans ; Kidney Transplantation ; Graft Rejection ; Isoantibodies ; Kidney ; Organ Transplantation ; HLA Antigens ; Graft Survival ; Transplant Recipients ; Tissue Donors ; Histocompatibility Testing ; Retrospective Studies
    Chemical Substances Isoantibodies ; HLA Antigens
    Language English
    Publishing date 2023-07-25
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 639435-8
    ISSN 1432-2277 ; 0934-0874
    ISSN (online) 1432-2277
    ISSN 0934-0874
    DOI 10.3389/ti.2023.11321
    Database MEDical Literature Analysis and Retrieval System OnLINE

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