Tolerance in renal transplantation after allogeneic bone marrow transplantation-6-year follow-up.

Autor: Sellers MT; Department of Surgery, University of Alabama at Birmingham, 701 South 19th Street, LHRB-728, Birmingham, AL 35294-0007, USA., Deierhoi MH, Curtis JJ, Gaston RS, Julian BA, Lanier DC Jr, Diethelm AG
Jazyk: angličtina
Zdroj: Transplantation [Transplantation] 2001 Jun 15; Vol. 71 (11), pp. 1681-3.
DOI: 10.1097/00007890-200106150-00031
Abstrakt: Despite significant advancements in clinical transplantation, very few reports describe the long-term acceptance of transplanted solid organs without indefinite immunosuppression. The immunosuppressive agents used are nonspecific and have serious potential side effects. We present a patient who received a living-donor renal allograft from the same person who had donated bone marrow to her several years earlier. Tolerance was expected based on previous acceptance of full-thickness skin grafts from the donor. Indeed, there has been no evidence of rejection during a 6-year follow-up period, and no induction or maintenance immunosuppression has been given. All noninvasive parameters of graft function remain normal. This and similar reports prove that genetically disparate solid organs can coexist without pharmacological immunosuppression.
Databáze: MEDLINE