Incidence and early outcomes associated with pre-transplant antivimentin antibodies in the cardiac transplantation population.
Title: | Incidence and early outcomes associated with pre-transplant antivimentin antibodies in the cardiac transplantation population. |
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Authors: | Young, Raymond K.1, Dale, Bethany2, Russell, Stuart D.1, Zachary, Andrea A.2, Tedford, Ryan J.1 |
Source: | Clinical Transplantation. Aug2015, Vol. 29 Issue 8, p685-688. 4p. |
Subject Terms: | *HEALTH outcome assessment, *VIMENTIN, *HEART transplantation, *IMMUNOGLOBULINS, *ENDOTHELIAL cells |
Abstract: | Background In cardiac transplant recipients, the development of antibodies to the endothelial intermediate filament protein vimentin (antivimentin antibodies, AVA) has been associated with rejection and poor outcomes. However, the incidence of these antibodies prior to transplantation and their association with early rejection has not been investigated. Methods Pre-transplant serum was analyzed from 50 patients who underwent de novo cardiac transplant at Johns Hopkins Hospital from 2004 to 2012. Demographic, one-yr rejection, and survival data were obtained from the transplant database. Results The incidence of pre-transplant AVA was 34%. AVA-positive patients were younger (p = 0.03), and there was an a trend toward incidence in females (p = 0.08). Demographic data were similar among both groups. AVA positivity did not predict rejection in the first year post-transplant. There was no difference in rejection-free graft survival (53 vs. 52%, p = 0.85) at one yr. Similarly, there was no difference in graft survival at one yr (82 vs. 88%, p = 0.56) or graft survival at a median follow-up of 23 and 26 months, respectively (76 vs. 85%, p = 0.41). Conclusions AVA is common in the cardiac pre-transplant population with a higher incidence in the young. The presence of detectable AVA did not correlate with early post-transplant rejection or graft survival. [ABSTRACT FROM AUTHOR] |
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Items | – Name: Title Label: Title Group: Ti Data: Incidence and early outcomes associated with pre-transplant antivimentin antibodies in the cardiac transplantation population. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Young%2C+Raymond+K%2E%22">Young, Raymond K.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Dale%2C+Bethany%22">Dale, Bethany</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Russell%2C+Stuart+D%2E%22">Russell, Stuart D.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Zachary%2C+Andrea+A%2E%22">Zachary, Andrea A.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Tedford%2C+Ryan+J%2E%22">Tedford, Ryan J.</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Clinical+Transplantation%22">Clinical Transplantation</searchLink>. Aug2015, Vol. 29 Issue 8, p685-688. 4p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22HEALTH+outcome+assessment%22">HEALTH outcome assessment</searchLink><br />*<searchLink fieldCode="DE" term="%22VIMENTIN%22">VIMENTIN</searchLink><br />*<searchLink fieldCode="DE" term="%22HEART+transplantation%22">HEART transplantation</searchLink><br />*<searchLink fieldCode="DE" term="%22IMMUNOGLOBULINS%22">IMMUNOGLOBULINS</searchLink><br />*<searchLink fieldCode="DE" term="%22ENDOTHELIAL+cells%22">ENDOTHELIAL cells</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background In cardiac transplant recipients, the development of antibodies to the endothelial intermediate filament protein vimentin (antivimentin antibodies, AVA) has been associated with rejection and poor outcomes. However, the incidence of these antibodies prior to transplantation and their association with early rejection has not been investigated. Methods Pre-transplant serum was analyzed from 50 patients who underwent de novo cardiac transplant at Johns Hopkins Hospital from 2004 to 2012. Demographic, one-yr rejection, and survival data were obtained from the transplant database. Results The incidence of pre-transplant AVA was 34%. AVA-positive patients were younger (p = 0.03), and there was an a trend toward incidence in females (p = 0.08). Demographic data were similar among both groups. AVA positivity did not predict rejection in the first year post-transplant. There was no difference in rejection-free graft survival (53 vs. 52%, p = 0.85) at one yr. Similarly, there was no difference in graft survival at one yr (82 vs. 88%, p = 0.56) or graft survival at a median follow-up of 23 and 26 months, respectively (76 vs. 85%, p = 0.41). Conclusions AVA is common in the cardiac pre-transplant population with a higher incidence in the young. The presence of detectable AVA did not correlate with early post-transplant rejection or graft survival. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Clinical Transplantation is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/ctr.12567 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 4 StartPage: 685 Subjects: – SubjectFull: HEALTH outcome assessment Type: general – SubjectFull: VIMENTIN Type: general – SubjectFull: HEART transplantation Type: general – SubjectFull: IMMUNOGLOBULINS Type: general – SubjectFull: ENDOTHELIAL cells Type: general Titles: – TitleFull: Incidence and early outcomes associated with pre-transplant antivimentin antibodies in the cardiac transplantation population. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Young, Raymond K. – PersonEntity: Name: NameFull: Dale, Bethany – PersonEntity: Name: NameFull: Russell, Stuart D. – PersonEntity: Name: NameFull: Zachary, Andrea A. – PersonEntity: Name: NameFull: Tedford, Ryan J. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 08 Text: Aug2015 Type: published Y: 2015 Identifiers: – Type: issn-print Value: 09020063 Numbering: – Type: volume Value: 29 – Type: issue Value: 8 Titles: – TitleFull: Clinical Transplantation Type: main |
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