Incidence and early outcomes associated with pre-transplant antivimentin antibodies in the cardiac transplantation population.

Bibliographic Details
Title: Incidence and early outcomes associated with pre-transplant antivimentin antibodies in the cardiac transplantation population.
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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  Data: Incidence and early outcomes associated with pre-transplant antivimentin antibodies in the cardiac transplantation population.
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  Data: <searchLink fieldCode="JN" term="%22Clinical+Transplantation%22">Clinical Transplantation</searchLink>. Aug2015, Vol. 29 Issue 8, p685-688. 4p.
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  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
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  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]
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  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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