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American Journal of Transplantation

Cover image for Vol. 11 Issue 9

September 2011

Volume 11, Issue 9

Pages 1761–1998

  1. The AJT Report

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Note From the Editorial Office
    5. Editorials
    6. Comprehensive Review
    7. Minireview
    8. Special Articles
    9. Personal Viewpoint
    10. Original Articles
    11. Brief Communications
    12. Case Report
    13. Reports From the CDC: MMWR
    14. Book Review
    15. Letters to the Editor
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      The AJT Report News and issues that affect organ and tissue transplantation (pages 1761–1762)

      SUE PONDROM

      Article first published online: 29 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03747.x

      A new study shows off-label use of the drug alemtuzumab resulted in comparable outcomes compared to other induction therapies. We examine the factors weighing on the economy of this off-label strategy. Also this month, we take a look at the Nevada Donor Network's recent designation as a UPTN/UNOS “Member Not in Good Standing.”

  2. Literature Watch

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Note From the Editorial Office
    5. Editorials
    6. Comprehensive Review
    7. Minireview
    8. Special Articles
    9. Personal Viewpoint
    10. Original Articles
    11. Brief Communications
    12. Case Report
    13. Reports From the CDC: MMWR
    14. Book Review
    15. Letters to the Editor
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      LITERATURE Watch Implications for transplantation (page 1763)

      JONATHAN S. BROMBERG

      Article first published online: 29 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03748.x

      In what is likely to set a new standard in genome-wide association studies, a massive meta-analysis for the genetics of blood lipid has identified many new potential targets for study and laid out the validation studies that must be done to ensure quality and veracity of the conclusions. Also this month, we review a new treatment for HCV.

  3. Note From the Editorial Office

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Note From the Editorial Office
    5. Editorials
    6. Comprehensive Review
    7. Minireview
    8. Special Articles
    9. Personal Viewpoint
    10. Original Articles
    11. Brief Communications
    12. Case Report
    13. Reports From the CDC: MMWR
    14. Book Review
    15. Letters to the Editor
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      Note From the Editorial Office (page 1764)

      Allan D. Kirk, Jill K. White and Gillian Hughes

      Article first published online: 29 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03777.x

      A look at AJT's past year, and at features anticipated in the coming year.

  4. Editorials

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Note From the Editorial Office
    5. Editorials
    6. Comprehensive Review
    7. Minireview
    8. Special Articles
    9. Personal Viewpoint
    10. Original Articles
    11. Brief Communications
    12. Case Report
    13. Reports From the CDC: MMWR
    14. Book Review
    15. Letters to the Editor
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      Immunosuppression, Generic Drugs and the FDA (pages 1765–1766)

      G. B. Klintmalm

      Article first published online: 27 JUL 2011 | DOI: 10.1111/j.1600-6143.2011.03616.x

      The author opines that new standards are needed for approval of generic immunosuppression. See article by Momper et al on page 1861.

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      Antibody-Associated Rejection in Liver Transplantation: Keep on Knocking, and the Door Will Be Opened to You (pages 1767–1768)

      D. Briggs and D. H. Adams

      Article first published online: 14 JUN 2011 | DOI: 10.1111/j.1600-6143.2011.03595.x

      The authors comment on the importance and clinical implications of O'Leary and colleagues’ finding that donor HLA-specific antibodies are associated with the chronic rejection of liver allografts. See article on page 1868.

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      The Current State of Tuberculosis in Solid Organ Transplantation: Three Principles for Optimal Management (pages 1769–1770)

      A. Doblas and J. Torre-Cisneros

      Article first published online: 12 JUL 2011 | DOI: 10.1111/j.1600-6143.2011.03626.x

      The authors discuss the value of interferon gamma release assays and the three principles for the optimal management of tuberculosis in transplantation: prevention, rapid diagnosis and adequate treatment. See article by Kim et al on page 1927.

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      KIR-HLA Mismatching in Human Renal Allograft Transplantation: Emergence of a New Concept (pages 1771–1772)

      R. Rajalingam and H. M. Gebel

      Article first published online: 30 JUN 2011 | DOI: 10.1111/j.1600-6143.2011.03619.x

      Although the data are associative and do not address causality, provocative new evidence suggests the absence of donor HLA class I ligands for recipient KIR is associated with reduced long-term renal allograft survival. See brief communication by van Bergen et al on page 1959.

  5. Comprehensive Review

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Note From the Editorial Office
    5. Editorials
    6. Comprehensive Review
    7. Minireview
    8. Special Articles
    9. Personal Viewpoint
    10. Original Articles
    11. Brief Communications
    12. Case Report
    13. Reports From the CDC: MMWR
    14. Book Review
    15. Letters to the Editor
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      Major Challenges Limiting Liver Transplantation in the United States (pages 1773–1784)

      J. A. Wertheim, H. Petrowsky, S. Saab, J. W. Kupiec-Weglinski and R. W. Busuttil

      Article first published online: 14 JUN 2011 | DOI: 10.1111/j.1600-6143.2011.03587.x

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      The authors discuss three critical obstacles that confront the field of liver transplantation today and identify solutions that can expand organ transplantation and improve care for a population in need.

  6. Minireview

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Note From the Editorial Office
    5. Editorials
    6. Comprehensive Review
    7. Minireview
    8. Special Articles
    9. Personal Viewpoint
    10. Original Articles
    11. Brief Communications
    12. Case Report
    13. Reports From the CDC: MMWR
    14. Book Review
    15. Letters to the Editor
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      Blood Transfusions in Organ Transplant Patients: Mechanisms of Sensitization and Implications for Prevention (pages 1785–1791)

      J. C. Scornik and H.-U. Meier-Kriesche

      Article first published online: 22 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03705.x

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      Broad sensitization often results from an interplay between blood transfusions and previous pregnancies or transplants, making prevention strategies complex but worthwhile.

  7. Special Articles

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Note From the Editorial Office
    5. Editorials
    6. Comprehensive Review
    7. Minireview
    8. Special Articles
    9. Personal Viewpoint
    10. Original Articles
    11. Brief Communications
    12. Case Report
    13. Reports From the CDC: MMWR
    14. Book Review
    15. Letters to the Editor
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      Guidelines for the Diagnosis of Antibody-Mediated Rejection in Pancreas Allografts—Updated Banff Grading Schema (pages 1792–1802)

      C. B. Drachenberg, J. R. Torrealba, B. J. Nankivell, E. B. Rangel, I. M. Bajema, D. U. Kim, L. Arend, E. R. Bracamonte, J. S. Bromberg, J. A. Bruijn, D. Cantarovich, J. R. Chapman, A. B. Farris, L. Gaber, J. C. Goldberg, A. Haririan, E. Honsová, S. S. Iskandar, D. K. Klassen, E. Kraus, F. Lower, J. Odorico, J. L. Olson, A. Mittalhenkle, R. Munivenkatappa, S. Paraskevas, J. C. Papadimitriou, P. Randhawa, F. P. Reinholt, K. Renaudin, P. Revelo, P. Ruiz, M. D. Samaniego, R. Shapiro, R. J. Stratta, D. E. R. Sutherland, M. L. Troxell, L. Voska, S. V. Seshan, L. C. Racusen and S. T. Bartlett

      Article first published online: 3 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03670.x

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      A multidisciplinary panel makes recommendations for the clinicopathological diagnosis of acute and chronic antibody mediated rejection in the pancreas and updates the Banff pancreas rejection grading schema published in 2008.

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      Managing Risk in Developing Transplant Immunosuppressive Agents: The New Regulatory Environment (pages 1803–1809)

      S. Gabardi, P. F. Halloran and J. Friedewald

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03653.x

      This article outlines the objectives and limitations of the Food and Drug Administration's risk-evaluation and mitigation strategies and post-marketing research, with a focus on how these regulatory measures may impact the clinical specialty of transplantation

  8. Personal Viewpoint

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Note From the Editorial Office
    5. Editorials
    6. Comprehensive Review
    7. Minireview
    8. Special Articles
    9. Personal Viewpoint
    10. Original Articles
    11. Brief Communications
    12. Case Report
    13. Reports From the CDC: MMWR
    14. Book Review
    15. Letters to the Editor
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      Managing Finances of Shipping Living Donor Kidneys for Donor Exchanges (pages 1810–1814)

      D. A. Mast, W. Vaughan, S. Busque, J. L. Veale, J. P. Roberts, B. M. Straube, N. Flores, C. Canari, E. Levy, A. Tietjen, G. Hil and M. L. Melcher

      Article first published online: 10 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03690.x

      The authors present a paradigm to address the financial complexity of multicenter donor kidney exchanges and shipped living donor grafts.

  9. Original Articles

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

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      CD154 Blockade Abrogates Allospecific Responses and Enhances CD4+ Regulatory T-Cells in Mouse Orthotopic Lung Transplant (pages 1815–1824)

      J. M. Dodd-o, E. A. Lendermon, H. L. Miller, Q. Zhong, E. R. John, W. M. Jungraithmayr, F. R. D’Alessio and J. F. McDyer

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03623.x

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      The authors find that CD154/CD40 costimulation blockade alone in a mouse model of orthotopic lung transplant results in abrogation of allospecific T-cell responses and increased regulatory T cells.

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      Minor Antigens on Transfused RBCs Crossprime CD8 T Cells but Do Not Induce Full Effector Function (pages 1825–1834)

      M. Desmarets, G. Mylvaganam, E. K. Waller, C. D. Josephson, C. Pack, A. E. Lukacher and J. C. Zimring

      Article first published online: 29 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03730.x

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      Minor alloantigens on transfused RBCs are cross-presented to recipient CD8+ T cells and result in activation and proliferation, but do not induce a full effector phenotype or promote BMT rejection.

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      Targeted Gene Silencing of TLR4 Using Liposomal Nanoparticles for Preventing Liver Ischemia Reperfusion Injury (pages 1835–1844)

      N. Jiang, X. Zhang, X. Zheng, D. Chen, Y. Zhang, L. K. S. Siu, H.-B. Xin, R. Li, H. Zhao, N. Riordan, T. E. Ichim, D. Quan, A. M. Jevnikar, G. Chen and W. Min

      Article first published online: 27 JUL 2011 | DOI: 10.1111/j.1600-6143.2011.03660.x

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      Pretreatment with Toll-like Receptor 4 siRNA delivered by targeted liposomal nanoparticles can prevent experimental liver ischemia reperfusion injury.

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      Supplementation With a New Therapeutic Oxygen Carrier Reduces Chronic Fibrosis and Organ Dysfunction in Kidney Static Preservation (pages 1845–1860)

      R. Thuillier, D. Dutheil, M. T. N. Trieu, V. Mallet, G. Allain, M. Rousselot, M. Denizot, J.-M. Goujon, F. Zal and T. Hauet

      Article first published online: 22 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03614.x

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      The authors demonstrate that the addition of M101, an oxygen transporter, to a kidney cold storage solution increases graft quality and outcome.

    5. Clinical Science

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      The Impact of Conversion From Prograf to Generic Tacrolimus in Liver and Kidney Transplant Recipients With Stable Graft Function (pages 1861–1867)

      J. D. Momper, T. A. Ridenour, K. S. Schonder, R. Shapiro, A. Humar and R. Venkataramanan

      Article first published online: 30 JUN 2011 | DOI: 10.1111/j.1600-6143.2011.03615.x

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      This study demonstrates that switching from the reference tacrolimus product to a generic formulation results in lower concentration to dose ratios and a small but significant drop in tacrolimus concentrations in liver and kidney transplant patients. See editorial by Klintmalm on page 1765.

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      High Mean Fluorescence Intensity Donor-Specific Anti-HLA Antibodies Associated With Chronic Rejection Postliver Transplant (pages 1868–1876)

      J. G. O’Leary, H. Kaneku, B. M. Susskind, L. W. Jennings, M. A. Neri, G. L. Davis, G. B. Klintmalm and P. I. Terasaki

      Article first published online: 14 JUN 2011 | DOI: 10.1111/j.1600-6143.2011.03593.x

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      Serial serum samples from 39 chronic rejection and 39 comparator liver transplant recipients show a strong association between donor-specific antibody and chronic rejection, and the effects of preformed donor class I specific antibody can be mitigated by antibody induction therapy. See editorial by Briggs and Adams on page 1767.

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      Association of Surgeon With Surgical Site Infection After Liver Transplantation (pages 1877–1884)

      W. C. Hellinger, M. G. Heckman, J. E. Crook, C. B. Taner, D. L. Willingham, N. N. Diehl, A. C. Zubair, J. A. Shalev and J. H. Nguyen

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03644.x

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      Risk of surgical site infection can vary between surgeons.

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      Complement Activation During Liver Transplantation—Special Emphasis on Patients With Atypical Hemolytic Uremic Syndrome (pages 1885–1895)

      A. R. Koskinen, E. Tukiainen, J. Arola, A. Nordin, H. K. Höckerstedt, B. Nilsson, H. Isoniemi and T. S. Jokiranta

      Article first published online: 3 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03612.x

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      The authors describe how liver transplantation, in general and in patients with atypical hemolytic uremic syndrome, leads to complement activation and shows that elevated concentration of perioperative plasma terminal complement complex SC5b-9 is associated with liver damage.

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      The Impact of MELD/PELD Revisions on the Mortality of Liver–Intestine Transplantation Candidates (pages 1896–1904)

      J. Kaplan, L. Han, W. Halgrimson, E. Wang and J. Fryer

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03628.x

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      Through analysis of OPTN data separated into time periods based on MELD/PELD policy revisions, this study demonstrates a disparity in the waiting list mortality of liver-only and liver-intestine transplantation candidates despite the implementation of policies designed to equalize this gap.

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      Chronic Kidney Disease After Liver Transplantation for Acute Liver Failure Is Not Associated With Perioperative Renal Dysfunction (pages 1905–1915)

      J. A. Leithead, J. W. Ferguson, C. M. Bates, J. S. Davidson, K. J. Simpson and P. C. Hayes

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03649.x

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      In patients transplanted for acute liver failure, perioperative renal dysfunction is not predictive of posttransplant chronic kidney disease and, despite greater perioperative physiological derangement, long-term renal function is similar to matched patients transplanted for chronic liver disease.

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      Comparison of Transcriptional and Blood Cell-Phenotypic Markers Between Operationally Tolerant Liver and Kidney Recipients (pages 1916–1926)

      J. J. Lozano, A. Pallier, M. Martinez-Llordella, R. Danger, M. López, M. Giral, M. C. Londoño, A. Rimola, J. P. Soulillou, S. Brouard and A. Sánchez-Fueyo

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03638.x

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      Comparison of blood transcriptional profiles from kidney and liver operationally tolerant recipients reveals several highly reproducible immune features but very little overlap between the two clinical settings.

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      A Prospective Longitudinal Study Evaluating the Usefulness of a T-Cell-Based Assay for Latent Tuberculosis Infection in Kidney Transplant Recipients (pages 1927–1935)

      S.-H. Kim, S.-O. Lee, J. B. Park, I.-A. Park, S. J. Park, S.-C. Yun, J. H. Jung, Y. H. Kim, S. C. Kim, S.-H. Choi, J.-Y. Jeong, Y. S. Kim, J. H. Woo, S.-K. Park, J. S. Park and D. J. Han

      Article first published online: 12 JUL 2011 | DOI: 10.1111/j.1600-6143.2011.03625.x

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      Positive results of an interferon-gamma releasing assay anticipate the subsequent development of tuberculosis in kidney transplant recipients in whom latent tuberculosis infection cannot be detected by tuberculin skin test or who lack clinical risk factors for latent tuberculosis infection. See editorial by Torre-Cisneros and Doblas on page 1769.

      Corrected by:

      Erratum

      Vol. 11, Issue 11, 2541, Article first published online: 26 OCT 2011

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      Impact of Cytomegalovirus Disease in D+/R– Kidney Transplant Patients Receiving 6 Months Low-Dose Valganciclovir Prophylaxis (pages 1936–1942)

      F. L. Luan, M. Kommareddi and A. O. Ojo

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03611.x

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      Late-onset cytomegalovirus disease negatively affects kidney graft survival despite 6 months of valganciclovir prophylaxis.

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      Association of Serum Uric Acid With Graft Survival After Kidney Transplantation: A Time-Varying Analysis (pages 1943–1950)

      A. Haririan, M. Metireddy, C. Cangro, J. M. Nogueira, F. Rasetto, M. Cooper, D. K. Klassen and M. R. Weir

      Article first published online: 3 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03613.x

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      Serum uric acid, as a time-varying factor, is associated with renal allograft survival, even after adjustment for graft function and other confounding factors.

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      The Impact of Pancreas Transplantation on Kidney Allograft Survival (pages 1951–1958)

      S. Browne, J. Gill, J. Dong, C. Rose, O. Johnston, P. Zhang, D. Landsberg and J. S. Gill

      Article first published online: 12 JUL 2011 | DOI: 10.1111/j.1600-6143.2011.03627.x

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      Data taken from the UNOS and USRDS registries demonstrate that despite an increased risk of kidney allograft failure immediately after pancreas transplantation, pancreas after kidney transplantation is associated with a long-term kidney allograft survival advantage.

  10. Brief Communications

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Note From the Editorial Office
    5. Editorials
    6. Comprehensive Review
    7. Minireview
    8. Special Articles
    9. Personal Viewpoint
    10. Original Articles
    11. Brief Communications
    12. Case Report
    13. Reports From the CDC: MMWR
    14. Book Review
    15. Letters to the Editor
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      KIR-Ligand Mismatches Are Associated With Reduced Long-Term Graft Survival in HLA-Compatible Kidney Transplantation (pages 1959–1964)

      J. van Bergen, A. Thompson, G. W. Haasnoot, J. I. Roodnat, J. W. de Fijter, F. H. J. Claas, F. Koning and I. I. N. Doxiadis

      Article first published online: 30 JUN 2011 | DOI: 10.1111/j.1600-6143.2011.03621.x

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      In this retrospective study, KIR and HLA typing reveals that in kidney transplantations compatible for HLA-A, B and DR, the presence of KIR-ligand mismatches is associated with a significant reduction in 10-year death-censored graft survival. See editorial by Rajalingam and Gebel on page 1771.

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      Efficacy and Safety of Conversion from Twice-daily to Once-daily Tacrolimus in a Large Cohort of Stable Kidney Transplant Recipients (pages 1965–1971)

      L. Guirado, C. Cantarell, A. Franco, E. G. Huertas, A. S. Fructuoso, A. Fernández, M. A. Gentil, A. Rodríguez, J. Paul, J. V. Torregrossa, A. Rodríguez, A. Alonso, D. Hernández, D. Burgos, C. Jiménez, L. Jimeno, R. Lauzurica, A. Mazuecos, A. Osuna, J. S. Plumed, J. C. Ruiz, S. Zárraga and GREAT Study Group

      Article first published online: 10 JUN 2011 | DOI: 10.1111/j.1600-6143.2011.03571.x

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      This study of 1832 renal transplant patients reports that conversion from twice-daily tacrolimus to the once-daily prolonged-release formulation in a routine clinical practice setting results in stable renal function and a low acute rejection rate with a good tolerability profile.

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      Clinical and Plasma Proteomic Markers Correlating With Chronic Kidney Disease After Liver Transplantation (pages 1972–1978)

      J. Levitsky, D. R. Salomon, M. Abecassis, P. Langfelder, S. Horvath, J. Friedewald, E. Wang, S. M. Kurian, T. Mondala, S. Gil, R. McDade, K. Ballard and L. Gallon

      Article first published online: 27 JUL 2011 | DOI: 10.1111/j.1600-6143.2011.03669.x

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      This analysis identifies a candidate plasma proteomic signature correlating with new onset chronic kidney disease after liver transplantation that can now be prospectively evaluated in studies aimed at identifying early-onset kidney injury to preserve post-operative renal function.

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      Proliferation of CD8-Positive T Cells in Blood Vessels of Rat Renal Allografts (pages 1979–1985)

      V. Grau, G. Fuchs-Moll, S. Wilker, R. Weimer and W. Padberg

      Article first published online: 9 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03642.x

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      The authors find that a high proportion of CD8-positive T cells proliferate in the lumina of graft blood vessels during the onset of acute rejection of fully allogeneic rat kidneys.

  11. Case Report

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Note From the Editorial Office
    5. Editorials
    6. Comprehensive Review
    7. Minireview
    8. Special Articles
    9. Personal Viewpoint
    10. Original Articles
    11. Brief Communications
    12. Case Report
    13. Reports From the CDC: MMWR
    14. Book Review
    15. Letters to the Editor
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      Ex Vivo Cryoablation of Wolff-Parkinson-White in a Donor Heart Prior to Pediatric Heart Transplantation (pages 1986–1988)

      S. R. Ceresnak, D. T. Hsu, J. M. Lamour, S. Weinstein and R. H. Pass

      Article first published online: 27 JUL 2011 | DOI: 10.1111/j.1600-6143.2011.03657.x

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      This report describes the successful surgical cryoablation of a donor heart with Wolff-Parkinson-White syndrome at the time of pediatric heart transplantation.

  12. Reports From the CDC: MMWR

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Note From the Editorial Office
    5. Editorials
    6. Comprehensive Review
    7. Minireview
    8. Special Articles
    9. Personal Viewpoint
    10. Original Articles
    11. Brief Communications
    12. Case Report
    13. Reports From the CDC: MMWR
    14. Book Review
    15. Letters to the Editor
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      Emergence of Cryptococcus gattii—Pacific Northwest, 2004–2010 (pages 1989–1992)

      Article first published online: 29 AUG 2011 | DOI: 10.1111/j.1600-6143.2011.03749.x

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      Cryptococcus gattii has been increasing in the Pacific Northwest, where it has been seen in organ transplant recipients and normal hosts, in addition to other populations.

  13. Book Review

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

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Note From the Editorial Office
    5. Editorials
    6. Comprehensive Review
    7. Minireview
    8. Special Articles
    9. Personal Viewpoint
    10. Original Articles
    11. Brief Communications
    12. Case Report
    13. Reports From the CDC: MMWR
    14. Book Review
    15. Letters to the Editor
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      On Heart Transplants and Distress: A Qualitative Response to Selves & Burroughs’ Letter (pages 1996–1997)

      J. M. Poole, M. Shildrick, E. De Luca, S. E. Abbey, O. E. Mauthner, P. D. McKeever and H. J. Ross

      Article first published online: 27 JUL 2011 | DOI: 10.1111/j.1600-6143.2011.03664.x

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