INFLUENCE OF PROPHYLACTIC TREATMENT WITH γIMMUNOGLOBULINS ON RENAL FUNCTION AFTER KIDNEY TRANSPLANTATION IN RHESUS MONKEYS

Autor: BORLEFFS, J. C. C., MARQUET, R. L., BY-AGHAI, Z. DE, DOLKART, R. E., PERSIJN, G. G., BALNER, H.
Zdroj: Transplantation; January 1982, Vol. 33 Issue: 1 p27-30, 4p
Abstrakt: The effect of prophylactic i.v. administration of high doses of human γ-immunoglobulin (IgG) on kidney graft survival was investigated in rhesus monkeys treated with azathioprine and prednisolone. In nontransfused recipients not treated with IgG (controls), graft survival ranged from 9 to 22 days; if nontreated animals had been given three pretransplant blood transfusions, graft survival ranged from 9 to 61 days with 42 of the animals showing a prolonged survival time (>22 days). However, in both transfused and nontransfused recipients, the additional pretransplant administration of IgG appeared to have an adverse effect: about 25 of the animals showed accelerated rejection. In addition, serum creatinine levels in IgG-treated recipients were significantly higher on the 3rd day after transplantation than in non-treated monkeys. We concluded that renal transplant patients should be treated with IgG for protection against life-threatening infections only if they have good kidney function.
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