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American Journal of Transplantation

Cover image for Vol. 11 Issue 10

October 2011

Volume 11, Issue 10

Pages 1999–2265

  1. The AJT Report

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Special Article
    7. Personal Viewpoint
    8. Original Articles
    9. Brief Communications
    10. Case Reports
    11. Reports From the CDC: MMWR
    12. Book Review
    13. Letters to the Editor
    1. You have free access to this content
      The AJT Report News and issues that affect organ and tissue transplantation (pages 1999–2000)

      SUE PONDROM

      Article first published online: 29 SEP 2011 | DOI: 10.1111/j.1600-6143.2011.03791.x

      Do accountable care organizations make sense for transplantation? This month, “The AJT Report” investigates how this element of healthcare reform may impact transplant patient care and clinical practice. Also this month, we look at new legislation that hopes to expand immunosuppressant drug coverage, and report on findings of a new study focused on risk factors for pediatric heart disease.

  2. Literature Watch

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Special Article
    7. Personal Viewpoint
    8. Original Articles
    9. Brief Communications
    10. Case Reports
    11. Reports From the CDC: MMWR
    12. Book Review
    13. Letters to the Editor
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      LITERATURE Watch Implications for transplantation (page 2001)

      JONATHAN S. BROMBERG

      Article first published online: 29 SEP 2011 | DOI: 10.1111/j.1600-6143.2011.03792.x

      There are likely hundreds of undefined species of bacteria and viruses that contribute to diverse maladies in transplant patients. “Literature Watch” highlights several reports investigating associations between pathogens and specific syndromes that have generated much debate and provided several important implications for clinicians.

  3. Editorials

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Special Article
    7. Personal Viewpoint
    8. Original Articles
    9. Brief Communications
    10. Case Reports
    11. Reports From the CDC: MMWR
    12. Book Review
    13. Letters to the Editor
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      New Partners for Tolerogenic Dendritic Cells (pages 2003–2004)

      L. Zhang and A. W. Thomson

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03654.x

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      The authors provide perspective on the findings of Hill and colleagues that show a novel means by which autologous dendritic cells might facilitate allograft tolerance. See article on page 2036.

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      Reverse Chimerism: Stem Cells Going the Other Way (pages 2005–2006)

      E. M. Kim and N. Zavazava

      Article first published online: 30 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03699.x

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      Mobilized host stem cells populate donor liver allografts, establishing reverse chimerism and tolerance in a highly allogenic rat liver transplantation model. See article by Okabayashi et al on page 2046.

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      Accommodation: How You See It, How You Don’t (pages 2007–2008)

      J. L. Platt

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03648.x

      Commenting on achieving accommodation in presensitized nonhuman primates, the author discusses how complement might contribute to accommodation and why accommodation might fail to be identified. See article by Chen et al on page 2057.

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      Significant Potential Utility for Donor Yield Models: But Proceed With Caution (pages 2009–2011)

      J.D. Schold and D.A. Goldfarb

      Article first published online: 3 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03641.x

      While donor yield models should be viewed as valuable tools for the transplant community, their application for regulatory and quality oversight should be carefully considered given potential for unintended consequences and systematic biases between organ procurement organizations. See article by Messersmith et al on page 2075.

  4. Minireview

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Special Article
    7. Personal Viewpoint
    8. Original Articles
    9. Brief Communications
    10. Case Reports
    11. Reports From the CDC: MMWR
    12. Book Review
    13. Letters to the Editor
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      The Emerging Role of the TIM Molecules in Transplantation (pages 2012–2019)

      M. Y. Yeung, M. McGrath and N. Najafian

      Article first published online: 11 SEP 2011 | DOI: 10.1111/j.1600-6143.2011.03727.x

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      This review highlights the emerging data regarding the T cell immunoglobulin mucin domain family of molecules and their potential in transplantation tolerance.

  5. Special Article

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Special Article
    7. Personal Viewpoint
    8. Original Articles
    9. Brief Communications
    10. Case Reports
    11. Reports From the CDC: MMWR
    12. Book Review
    13. Letters to the Editor
    1. You have free access to this content
      Influenza Vaccination in the Organ Transplant Recipient: Review and Summary Recommendations (pages 2020–2030)

      D. Kumar, E. A. Blumberg, L. Danziger-Isakov, C. N. Kotton, N. B. Halasa, M. G. Ison, R. K. Avery, M. Green, U. D. Allen, K. M. Edwards, G. Miller, M. G. Michaels and on behalf of the AST Infectious Diseases Community of Practice

      Article first published online: 29 SEP 2011 | DOI: 10.1111/j.1600-6143.2011.03753.x

      This article on influenza vaccination after organ transplantation discusses specific evidence-based recommendations for immunization including timing, vaccine type, and the effect of immunosuppressive medication on vaccine response rates. See accompanying general guidelines from the CDC on page 2250.

  6. Personal Viewpoint

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Special Article
    7. Personal Viewpoint
    8. Original Articles
    9. Brief Communications
    10. Case Reports
    11. Reports From the CDC: MMWR
    12. Book Review
    13. Letters to the Editor
    1. You have full text access to this OnlineOpen article
      Liver Transplantation for Hepatocellular Carcinoma: Five Steps to Prevent Recurrence (pages 2031–2035)

      C. Toso, G. Mentha and P. Majno

      Article first published online: 10 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03689.x

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      The authors discuss established and potential ways of improving outcomes after liver transplantation for hepatocellular carcinoma, refining recipient selection, decreasing the release and the engraftment of circulating cancer cells, using anti-cancer drugs and tuning immunity towards cancer clearance.

  7. Original Articles

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Special Article
    7. Personal Viewpoint
    8. Original Articles
    9. Brief Communications
    10. Case Reports
    11. Reports From the CDC: MMWR
    12. Book Review
    13. Letters to the Editor
    1. Basic Science

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      Cell Therapy With Autologous Tolerogenic Dendritic Cells Induces Allograft Tolerance Through Interferon-Gamma and Epstein-Barr Virus-Induced Gene 3 (pages 2036–2045)

      M. Hill, P. Thebault, M. Segovia, C. Louvet, G. Bériou, G. Tilly, E. Merieau, I. Anegon, E. Chiffoleau and M.-C. Cuturi

      Article first published online: 27 JUL 2011 | DOI: 10.1111/j.1600-6143.2011.03651.x

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      The authors describe how the injection of autologous tolerogenic dendritic cells triggers Interferon-gamma and Epstein-Barr virus-induced gene 3-dependent immunoregulatory mechanisms leading to allograft tolerance in a rat model. See editorial by Zhang and Thomson on page 2003.

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      Mobilization of Host Stem Cells Enables Long-Term Liver Transplant Acceptance in a Strongly Rejecting Rat Strain Combination (pages 2046–2056)

      T. Okabayashi, A. M. Cameron, M. Hisada, R. A. Montgomery, G. M. Williams and Z. Sun

      Article first published online: 30 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03698.x

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      Treatment with a brief course of low-dose tacrolimus combined with plerixafor to mobilize host stem cells results in graft repopulation and long-term acceptance without further treatment in a rat strain combination that otherwise rejects liver grafts acutely. See editorial by Kim and Zavazava on page 2005.

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      Complement Inhibition Enables Renal Allograft Accommodation and Long-Term Engraftment in Presensitized Nonhuman Primates (pages 2057–2066)

      S. Chen (Song), S. Zhong, Y. Xiang, J.-H. Li, H. Guo, W.-Y. Wang, Y.-L. Xiong, X.-C. Li, S. Chen (Shi), X.-P. Chen and G. Chen

      Article first published online: 10 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03646.x

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      Short-term inhibition of complement prevents the early antibody response induced against donor antigens and enables renal allograft accommodation and long-term engraftment in donor skin-presensitized cynomolgus monkeys. See editorial by Platt on page 2007.

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      Multiphoton Intravital Microscopy of the Transplanted Mouse Kidney (pages 2067–2074)

      G. Camirand, Q. Li, A. J. Demetris, S. C. Watkins, W. D. Shlomchik, D. M. Rothstein and F. G. Lakkis

      Article first published online: 11 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03671.x

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      This article reports the methodology to perform multiphoton intravital microscopy imaging of transplanted kidneys in mice and measures the early effects of the transplantation procedure on the graft.

    5. Clinical Science

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      Development of Donor Yield Models (pages 2075–2084)

      E. E. Messersmith, C. Arrington, C. Alexander, J. P. Orlowski and R. Wolfe

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03639.x

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      This study shows the potential value of models predicting organ yield per donor as evaluation metrics and tools that can inform practices in donor management and organ utilization. See editorial by Goldfarb and Schold on page 2009.

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      Lifetime Probabilities of Needing an Organ Transplant Versus Donating an Organ After Death (pages 2085–2092)

      S. D. Shemie, L. Hornby, J. Chandler, P. Nickerson and J. Burkell

      Article first published online: 3 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03675.x

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      Based on an actuarial analysis of lifetime probabilities, the authors find that Canadians are 5 to 6 times more likely to need an organ transplant than to become a deceased organ donor, and depending on age, 30–40% of those in need of a transplant will never receive one.

    7. You have full text access to this OnlineOpen article
      Systematic Review: Kidney Transplantation Compared With Dialysis in Clinically Relevant Outcomes (pages 2093–2109)

      M. Tonelli, N. Wiebe, G. Knoll, A. Bello, S. Browne, D. Jadhav, S. Klarenbach and J. Gill

      Article first published online: 30 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03686.x

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      In a systematic review of kidney transplantation compared with dialysis, the authors find that the relative magnitude of the benefit due to transplantation appears to increase over time.

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      MicroRNA Profiles in Allograft Tissues and Paired Urines Associate With Chronic Allograft Dysfunction With IF/TA (pages 2110–2122)

      M. J. Scian, D. G. Maluf, K. G. David, K. J. Archer, J. L. Suh, A. R. Wolen, M. U. Mba, H. D. Massey, A. L. King, T. Gehr, A. Cotterell, M. Posner and V. Mas

      Article first published online: 27 JUL 2011 | DOI: 10.1111/j.1600-6143.2011.03666.x

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      The authors identify a characteristic microRNA signature for chronic allograft dysfunction with interstitial fibrosis and tubular atrophy that correlates with paired urine samples from kidney transplant recipients.

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      Early Ultrastructural Changes in Renal Allografts: Correlation With Antibody-Mediated Rejection and Transplant Glomerulopathy (pages 2123–2131)

      M. Haas and J. Mirocha

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03647.x

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      Ultrastructural changes of glomerular endothelial injury are frequently seen in early renal allograft biopsies showing C4d-positive or C4d-negative antibody-mediated rejection, and treatment in this setting significantly reduces subsequent progression to overt transplant glomerulopathy.

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      Revisiting Traditional Risk Factors for Rejection and Graft Loss After Kidney Transplantation (pages 2132–2143)

      T. B. Dunn, H. Noreen, K. Gillingham, D. Maurer, O. G. Ozturk, T. L. Pruett, R. A. Bray, H. M. Gebel and A. J. Matas

      Article first published online: 3 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03640.x

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      When stratifying kidney transplant recipients by sensitization history and day of transplant serum analysis, univariate and multivariate analysis reveals donor-specific sensitization to be the most important risk factor for rejection.

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      Autoantibodies Specific for the Phospholipase A2 Receptor in Recurrent and De Novo Membranous Nephropathy (pages 2144–2152)

      H. Debiec, L. Martin, C. Jouanneau, G. Dautin, L. Mesnard, E. Rondeau, C. Mousson and P. Ronco

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03643.x

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      Autoantibodies specific for the phospholipase A2 receptor are present in 5 of 10 patients with recurrent membranous nephropathy, in none of 9 patients with de novo membranous nephropathy, and in 3 of 6 patients who have not recurred, which questions their predictive value.

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      Long-term Impact of Subclinical Inflammation Diagnosed by Protocol Biopsy One Year After Renal Transplantation (pages 2153–2161)

      A. Thierry, E. Thervet, V. Vuiblet, J.-M. Goujon, M.-C. Machet, L.-H. Noel, N. Rioux-Leclercq, F. Comoz, C. Cordonnier, A. François, L. Marcellin, S. Girardot-Seguin and G. Touchard

      Article first published online: 22 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03695.x

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      Subclinical inflammation, as diagnosed by protocol biopsy at 1 year, in renal transplant patients switched from cyclosporin A to sirolimus at month 3, is significantly more frequent in the sirolimus arm and associated with subsequent lower renal function.

    13. You have full text access to this OnlineOpen article
      Intragraft Regulatory T Cells in Protocol Biopsies Retain Foxp3 Demethylation and Are Protective Biomarkers for Kidney Graft Outcome (pages 2162–2172)

      O. Bestard, L. Cuñetti, J. M. Cruzado, M. Lucia, R. Valdez, S. Olek, E. Melilli, J. Torras, R. Mast, M. Gomà, M. Franquesa and J. M. Grinyó

      Article first published online: 12 JUL 2011 | DOI: 10.1111/j.1600-6143.2011.03633.x

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      Bona fide Tregs in clinically stable acute cellular infiltrates in renal transplant recipients maintain Foxp3 demethylation at the TSDR level, and are associated with a favorable graft outcome.

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      Donor Kidney Adapts to Body Dimensions of Recipient: No Influence of Donor Gender on Renal Function After Transplantation (pages 2173–2180)

      H. Tent, A. T. Lely, T. J. Toering, M. R. M. San Giorgi, M. Rook, S. P. M. Lems, B. G. Hepkema, H. S. Hofker, R. J. Ploeg, J. J. Homan van der Heide and G. J. Navis

      Article first published online: 10 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03687.x

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      The living donor kidney adapts to body dimensions of the recipient, irrespective of gender.

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      Association of Cytomegalovirus Infection and Disease With Death and Graft Loss After Liver Transplant in High-Risk Recipients (pages 2181–2189)

      W. Bosch, M. G. Heckman, N. N. Diehl, J. A. Shalev, S. Pungpapong and W. C. Hellinger

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03618.x

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      The authors perform a restrospective analysis of 227 cytomegalovirus donor seropositive, recipient seronegative liver transplant recipients, and find an increased risk of death and graft loss associated with subsequent cytomegalovirus infection and disease within the first year after transplant.

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      Cytomegalovirus Replication Within the Lung Allograft Is Associated With Bronchiolitis Obliterans Syndrome (pages 2190–2196)

      M. Paraskeva, M. Bailey, B. J. Levvey, A. P. Griffiths, T. C. Kotsimbos, T. P. Williams, G. Snell and G. Westall

      Article first published online: 27 JUL 2011 | DOI: 10.1111/j.1600-6143.2011.03663.x

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      Examining a cohort of lung transplant recipients receiving short-course cytomegalovirus prophylaxis, the authors find that 41% of recipients develop evidence of cytomegalovirus replication in the bronchoalveolar lavage fluid and that this is associated with an increased risk of bronchiolitis obliterans syndrome.

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      The Impact of Pretransplant Mechanical Ventilation on Short- and Long-Term Survival After Lung Transplantation (pages 2197–2204)

      J. P. Singer, P. D. Blanc, C. Hoopes, J. A. Golden, J. L. Koff, L. E. Leard, S. Cheng and H. Chen

      Article first published online: 10 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03684.x

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      The authors show that poorer posttransplant survival in lung transplant recipients who are mechanically ventilated at the time of organ matching is limited to the early posttransplant period and to certain listing diagnoses.

  8. Brief Communications

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Special Article
    7. Personal Viewpoint
    8. Original Articles
    9. Brief Communications
    10. Case Reports
    11. Reports From the CDC: MMWR
    12. Book Review
    13. Letters to the Editor
    1. You have free access to this content
      Therapy With m-TOR Inhibitors Decreases the Response to the Pandemic Influenza A H1N1 Vaccine in Solid Organ Transplant Recipients (pages 2205–2213)

      E. Cordero, A. Perez-Ordoñez, T. A. Aydillo, J. Torre-Cisneros, J. Gavalda, R. Lara, C. Segura, O. Len, E. Cabral, A. Gasch, J. Pachon and P. Perez-Romero

      Article first published online: 10 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03692.x

      This study assesses the immunogenicity, efficacy and safety of the pandemic H1N1 vaccine in solid organ transplant recipients, and shows that although the pandemic vaccine elicits an adequate response, patients receiving mTOR inhibitors achieve lower seroprotection rates.

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      The Prognostic Value of Renal Resistance During Hypothermic Machine Perfusion of Deceased Donor Kidneys (pages 2214–2220)

      I. Jochmans, C. Moers, J. M. Smits, H. G. D. Leuvenink, J. Treckmann, A. Paul, A. Rahmel, J-P. Squifflet, E. van Heurn, D. Monbaliu, R. J. Ploeg and J. Pirenne

      Article first published online: 11 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03685.x

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      Increased renal resistance during hypothermic machine perfusion of deceased donor kidneys associates with the development of delayed graft function and 1-year graft survival, but cannot be used exclusively in the process of accepting a kidney graft.

      Corrected by:

      Erratum

      Vol. 12, Issue 1, 267, Article first published online: 13 JAN 2012

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      Urinary miR-210 as a Mediator of Acute T-Cell Mediated Rejection in Renal Allograft Recipients (pages 2221–2227)

      J. M. Lorenzen, I. Volkmann, J. Fiedler, M. Schmidt, I. Scheffner, H. Haller, W. Gwinner and T. Thum

      Article first published online: 3 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03679.x

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      The authors find that low levels of miR-210 in urine identifies patients with acute T-cell mediated rejection and predicts long-term kidney function, thus serving as a novel biomarker of acute kidney rejection.

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      Urinary Chemokines CXCL9 and CXCL10 Are Noninvasive Markers of Renal Allograft Rejection and BK Viral Infection (pages 2228–2234)

      J. A. Jackson, E. J. Kim, B. Begley, J. Cheeseman, T. Harden, S. D. Perez, S. Thomas, B. Warshaw and A. D. Kirk

      Article first published online: 3 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03680.x

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      Urinary chemokines CXCL9 and CXCL10 sensitively identify renal allograft inflammation, distinguishing acute rejection and BK nephropathy from noninflammatory causes of renal allograft dysfunction.

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      The Use of Drug-Eluting Stents in the Management of Transplant Renal Artery Stenosis (pages 2235–2241)

      M. T. Abate, J. Kaur, H. Suh, F. Darras, A. Mani and E. P. Nord

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03652.x

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      The authors report that transplant renal artery stenosis can be effectively managed by endovascular intervention with placement of drug-eluting stents resulting in improvement in blood pressure and renal function.

  9. Case Reports

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Special Article
    7. Personal Viewpoint
    8. Original Articles
    9. Brief Communications
    10. Case Reports
    11. Reports From the CDC: MMWR
    12. Book Review
    13. Letters to the Editor
    1. You have full text access to this OnlineOpen article
      Robotic-Assisted Laparoscopic Partial Nephrectomy for a 7-cm Mass in a Renal Allograft (pages 2242–2246)

      J. H. Kaouk, G. Spana, S. P. Hillyer, M. A. White, G.-P. Haber and D. Goldfarb

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03655.x

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      Robotic-assisted laparoscopic partial nephrectomy in a renal allograft is feasible.

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      Successful Organ Donation From Brain Dead Donors in a Chinese Organ Transplantation Center (pages 2247–2249)

      W. G. Sui, Q. Yan, S. P. Xie, H. Z. Chen, D. Li, C. X. Hu, W. J. Peng and Y. Dai

      Article first published online: 22 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03694.x

      Utilization of organs from brain dead donors is uncommon in China; the authors describe their initial experience with 3 brain dead donors that illustrates the ongoing challenges facing transplantation in China, but also how donation from brain dead donors can be achieved.

  10. Reports From the CDC: MMWR

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Special Article
    7. Personal Viewpoint
    8. Original Articles
    9. Brief Communications
    10. Case Reports
    11. Reports From the CDC: MMWR
    12. Book Review
    13. Letters to the Editor
    1. You have free access to this content
      Prevention and Control of Influenza With Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2011 (pages 2250–2255)

      Article first published online: 29 SEP 2011 | DOI: 10.1111/j.1600-6143.2011.03793.x

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      The recommendations for this year's influenza vaccine administration are detailed in this report.

  11. Book Review

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Special Article
    7. Personal Viewpoint
    8. Original Articles
    9. Brief Communications
    10. Case Reports
    11. Reports From the CDC: MMWR
    12. Book Review
    13. Letters to the Editor
    1. You have full text access to this OnlineOpen article
  12. Letters to the Editor

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Minireview
    6. Special Article
    7. Personal Viewpoint
    8. Original Articles
    9. Brief Communications
    10. Case Reports
    11. Reports From the CDC: MMWR
    12. Book Review
    13. Letters to the Editor
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      Response to Mechanism of Action of APOL1 in Renal Allograft Survival (and Native CKD) Remains Unclear (page 2260)

      A. M. Reeves-Daniel, J. Divers, C. D. Langefeld and B. I. Freedman

      Article first published online: 3 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03672.x

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      Sequence of Multiorgan Procurement Involving Face Allograft (page 2261)

      T. Gomez-Cia, P. Infante-Cossio, D. Sicilia-Castro, P. Gacto-Sanchez and J. D. Gonzalez-Padilla

      Article first published online: 3 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03678.x

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