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American Journal of Transplantation

Cover image for Vol. 13 Issue 7

July 2013

Volume 13, Issue 7

Pages 1623–1940

  1. The AJT Report

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Personal Viewpoints
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Book Review
    11. Images in Transplantation
    12. Letters to the Editor
    1. You have free access to this content
      The AJT Report (pages 1623–1624)

      Sue Pondrom

      Article first published online: 26 JUN 2013 | DOI: 10.1111/ajt.12357

      Hispanics are increasingly represented in total transplants performed and on waiting lists. This month, “The AJT Report” examines how several transplant programs and organizations are focusing on ways to serve this population. Also this month, we review an April meeting of international transplant professionals held in Qatar.

  2. Literature Watch

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Personal Viewpoints
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Book Review
    11. Images in Transplantation
    12. Letters to the Editor
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      LITERATURE Watch Implications for transplantation (page 1625)

      Giuseppe Remuzzi and Jonathan S. Bromberg

      Article first published online: 26 JUN 2013 | DOI: 10.1111/ajt.12358

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      Are allo-mesenchymal stromal cells as immunosuppressive as hoped? Small studies with a few patients intensively studied will hopefully help determine when and where these cells should be administered, and how they function to regulate host immunity.

  3. Editorials

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Personal Viewpoints
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Book Review
    11. Images in Transplantation
    12. Letters to the Editor
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      Grading on a Curve: The Use and Disadvantage of the Standardized Mortality Ratio (pages 1627–1628)

      B. E. Hippen

      Article first published online: 26 JUN 2013 | DOI: 10.1111/ajt.12289

      The utility of the Standardized Mortality Ratio as a prognostic tool accurately represents historical more than contemporary outcomes trends, and this may be the harbinger of unintended but foreseeable consequences of a heavy reliance on quality metrics from a single source. See article by Schold et al on page 1703.

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      B Cell Responses to Allograft—More Common Than We Thought? (pages 1629–1630)

      M. R. Clatworthy

      Article first published online: 26 JUN 2013 | DOI: 10.1111/ajt.12309

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      B cell responses to an allograft can be identifi ed using a novel ELISPOT assay. See article by Lynch et al on page 1713.

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      The Burden of Proof in the Design of Early Phase Clinical Trials (pages 1631–1632)

      J. D. Schold

      Article first published online: 26 JUN 2013 | DOI: 10.1111/ajt.12304

      This editorial discusses important considerations for the design and interpretation of early-phase trials in transplantation. See article by Rostaing et al on page 1724.

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      Preserving Flow in Liver Transplant Recipients: mTOR Inhibitors Everolimus and Sirolimus Are Not Peas From a Pod (pages 1633–1635)

      M. Bhat and M. Charlton

      Article first published online: 26 JUN 2013 | DOI: 10.1111/ajt.12290

      The results and implications of the pivotal phase III study of everolimus as primary immunosuppression following liver transplantation that led to FDA approval for everolimus in this setting are considered and discussed. See article by Saliba et al on page 1734.

  4. Personal Viewpoints

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Personal Viewpoints
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Book Review
    11. Images in Transplantation
    12. Letters to the Editor
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      Allowing HIV-Positive Organ Donation: Ethical, Legal and Operational Considerations (pages 1636–1642)

      O. Mgbako, A. Glazier, E. Blumberg and P. P. Reese

      Article first published online: 12 JUN 2013 | DOI: 10.1111/ajt.12311

      In this ethical analysis, the authors contend that the legal prohibition on transplantation using HIV-positive organs should be lifted and describe the many clinical challenges that this practice would entail.

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      How Young Is Too Young to Be a Living Donor? (pages 1643–1649)

      M. Campbell, L. Wright, R. A. Greenberg and D. Grant

      Article first published online: 10 JUN 2013 | DOI: 10.1111/ajt.12307

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      This article explores ethical considerations in the evaluation of young living organ donors, focusing on donor voluntarism, the ability to appreciate the consequences of living donation, and the unique psychosocial risks faced by young living donors.

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      The Politics of Combating the Organ Trade: Lessons From the Israeli and Pakistani Experience (pages 1650–1654)

      A. Efrat

      Article first published online: 15 MAY 2013 | DOI: 10.1111/ajt.12254

      Focusing on the cases of Israel and Pakistan, the article frames government action against organ traffi cking in terms of a threefold infl uence: advocacy by local physicians, national media coverage, and reinforcement by the efforts of the international medical community.

  5. Original Articles

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

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      Delayed Anti-CD3 Therapy Results in Depletion of Alloreactive T Cells and the Dominance of Foxp3+CD4+ Graft Infiltrating Cells (pages 1655–1664)

      R. Goto, S. You, M. Zaitsu, L. Chatenoud and K. J. Wood

      Article first published online: 10 JUN 2013 | DOI: 10.1111/ajt.12272

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      A delayed, short-course treatment with a CD3-specifi c antibody promotes long-term allograft acceptance and signifi cantly increases Foxp3+ T cells infi ltrating cardiac allografts in mice.

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      The Higher Diabetogenic Risk of Tacrolimus Depends on Pre-Existing Insulin Resistance. A Study in Obese and Lean Zucker Rats (pages 1665–1675)

      A. E. Rodriguez-Rodriguez, J. Triñanes, S. Velazquez-Garcia, E. Porrini, M. J. Vega Prieto, M. L. Diez Fuentes, M. Arevalo, E. Salido Ruiz and A. Torres

      Article first published online: 7 MAY 2013 | DOI: 10.1111/ajt.12236

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      This study describes an animal model of diabetes induced by calcineurin inhibitors using insulin-resistant and -sensitive rats, and shows that the greater diabetogenic effect of tacrolimus compared with cyclosporine depends on the pre-existence of insulin resistance.

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      Enhanced Preservation of Pig Cardiac Allografts by Combining Erythropoietin With Glyceryl Trinitrate and Zoniporide (pages 1676–1687)

      A. J. Watson, L. Gao, L. Sun, J. Tsun, A. Doyle, S. C. Faddy, A. Jabbour, Y. Orr, K. Dhital, M. Hicks, P. C. Jansz and P. S. Macdonald

      Article first published online: 13 MAY 2013 | DOI: 10.1111/ajt.12249

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      Using a porcine model of orthotopic heart transplantation that incorporates donor brain death, the authors demonstrate enhanced donor heart preservation by supplementing the preservation solution with erythropoietin, glyceryl trinitrate and zoniporide.

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      Biliary Epithelial Senescence and Plasticity in Acute Cellular Rejection (pages 1688–1702)

      J. G. Brain, H. Robertson, E. Thompson, E. H. Humphreys, A. Gardner, T. A. Booth, D. E. J. Jones, S. C. Afford, T. von Zglinicki, A. D. Burt and J. A. Kirby

      Article first published online: 10 JUN 2013 | DOI: 10.1111/ajt.12271

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      The authors show that biliary epithelial cell senescence is an early consequence of acute cellular rejection and has the potential to promote disease progression.

    5. Clinical Science

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      The Prognostic Value of Kidney Transplant Center Report Cards (pages 1703–1712)

      J. D. Schold, L. D. Buccini, E. L. G. Heaphy, D. A. Goldfarb, A. R. Sehgal, J. Fung, E. D. Poggio and M. W. Kattan

      Article first published online: 24 MAY 2013 | DOI: 10.1111/ajt.12294

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      Kidney transplant center report cards have strong prognostic value for prospective recipient outcomes. See editorial by Hippen on page 1627.

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      Cryptic B Cell Response to Renal Transplantation (pages 1713–1723)

      R. J. Lynch, I. A. Silva, B. J. Chen, J. D. Punch, M. Cascalho and J. L. Platt

      Article first published online: 10 JUN 2013 | DOI: 10.1111/ajt.12308

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      The authors report that clinical transplantation evokes an appreciable B cell response in most, if not all, transplant recipients, raising the prospect that accommodation might be a more common outcome than previously thought. See editorial by Clatworthy on page 1629.

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      Alefacept Combined With Tacrolimus, Mycophenolate Mofetil and Steroids in De Novo Kidney Transplantation: A Randomized Controlled Trial (pages 1724–1733)

      L. Rostaing, B. Charpentier, M. Glyda, P. Rigotti, F. Hettich, B. Franks, J. G. A. Houbiers, R. First and J. M. Holman

      Article first published online: 3 JUN 2013 | DOI: 10.1111/ajt.12303

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      This study shows no clear effi cacy benefi t for the addition of alefacept to the standard triple immunosuppressive regimen of tacrolimus, mycophenolate mofetil and corticosteroids in this population of de novo renal transplant recipients. See editorial by Schold on page 1631.

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      Renal Function at Two Years in Liver Transplant Patients Receiving Everolimus: Results of a Randomized, Multicenter Study (pages 1734–1745)

      F. Saliba, P. De Simone, F. Nevens, L. De Carlis, H. J. Metselaar, S. Beckebaum, S. Jonas, D. Sudan, L. Fischer, C. Duvoux, K. D. Chavin, B. Koneru, M. A. Huang, W. C. Chapman, D. Foltys, G. Dong, P. M. Lopez, J. Fung, G. Junge and for the H2304 Study Group

      Article first published online: 28 MAY 2013 | DOI: 10.1111/ajt.12280

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      Early conversion from tacrolimus to a regimen combining everolimus with low-exposure tacrolimus improves renal function at two years post-liver transplantation. See editorial by Bhat and Charlton on page 1633.

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      Efficacy of Sotrastaurin Plus Tacrolimus After De Novo Kidney Transplantation: Randomized, Phase II Trial Results (pages 1746–1756)

      G. R. Russ, H. Tedesco-Silva, D. R. Kuypers, S. Cohney, R. M. Langer, O. Witzke, J. Eris, C. Sommerer, B. von Zur-Mühlen, E. S. Woodle, J. Gill, J. Ng, J. Klupp, L. Chodoff and K. Budde

      Article first published online: 13 MAY 2013 | DOI: 10.1111/ajt.12251

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      This phase II study demonstrates that sotrastaurin, a novel selective protein-kinase-C inhibitor, shows higher effi cacy failure and higher treatment discontinuation rates, but some improvement in renal allograft function compared to cyclosporine in de novo kidney transplant recipients receiving basiliximab induction, everolimus, and prednisone.

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      Sotrastaurin in Calcineurin Inhibitor–Free Regimen Using Everolimus in De Novo Kidney Transplant Recipients (pages 1757–1768)

      H. Tedesco-Silva, M. M. L. Kho, A. Hartmann, S. Vitko, G. Russ, L. Rostaing, K. Budde, J. M. Campistol, J. Eris, I. Krishnan, U. Gopalakrishnan and J. Klupp

      Article first published online: 9 MAY 2013 | DOI: 10.1111/ajt.12255

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      This non-inferiority study showed that sotrastaurin plus reduced tacrolimus demonstrated comparable effi cacy to enteric-coated mycophenolic acid plus standard tacrolimus in prevention of rejection with no signifi cant difference in renal function in de novo kidney transplant recipients receiving basiliximab induction and corticosteroids.

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      Racial and Ethnic Differences in Pediatric Access to Preemptive Kidney Transplantation in the United States (pages 1769–1781)

      R. E. Patzer, B. A. Sayed, N. Kutner, W. M. McClellan and S. Amaral

      Article first published online: 3 JUN 2013 | DOI: 10.1111/ajt.12299

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      This retrospective cohort study of children with end-stage renal disease shows that black and Hispanic children are signifi cantly less likely than white children to receive a preemptive kidney transplant from a living donor; however, no statistically signifi cant racial/ethnic differences are observed for access to deceased donor preemptive transplant.

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      Predicting End-Stage Renal Disease After Liver Transplant (pages 1782–1792)

      A. K. Israni, H. Xiong, J. Liu, N. Salkowski, J. F. Trotter, J. J. Snyder and B. L. Kasiske

      Article first published online: 13 MAY 2013 | DOI: 10.1111/ajt.12257

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      The authors describe their process of developing risk-prediction equations with good calibration and discrimination that can be used to aid in understanding the risk of end-stage renal disease after liver transplant.

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      Pretransplant Immediately Early-1-Specific T Cell Responses Provide Protection for CMV Infection After Kidney Transplantation (pages 1793–1805)

      O. Bestard, M. Lucia, E. Crespo, B. Van Liempt, D. Palacio, E. Melilli, J. Torras, I. Llaudó, G. Cerezo, O. Taco, S. Gil-Vernet, J. M. Grinyó and J. M. Cruzado

      Article first published online: 24 MAY 2013 | DOI: 10.1111/ajt.12256

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      Evaluation of human cytomegalovirus-specifi c recall T cell responses against Immediate Early-1 antigen using an IFN-γ Elispot before kidney transplantation identifi es patients at higher risk of cytomegalovirus infection after kidney transplantation.

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      Simultaneous Thoracic and Abdominal Transplantation: Can We Justify Two Organs for One Recipient? (pages 1806–1816)

      J. H. Wolf, M. E. Sulewski, J. R. Cassuto, M. H. Levine, A. Naji, K. M. Olthoff, A. Shaked and P. L. Abt

      Article first published online: 29 MAY 2013 | DOI: 10.1111/ajt.12291

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      This study fi nds that simultaneous thoracic and abdominal transplantation candidates have a greater waitlist mortality and similar recipient outcomes for thoracic but not abdominal organs compared to recipients of single-organ transplants.

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      Regional Variation in Survival Before and After Pediatric Heart Transplantation—An Analysis of The UNOS Database (pages 1817–1829)

      R. R. Davies, S. Haldeman and C. Pizarro

      Article first published online: 28 MAY 2013 | DOI: 10.1111/ajt.12259

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      The authors examine the United Network for Organ Sharing database and demonstrate that in pediatric patients, there is a signifi cant correlation between the region of listing and transplantation and survival before and after heart transplantation.

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      Long-Term Outcomes of Pediatric Living Donor Liver Transplantation in Japan: An Analysis of More Than 2200 Cases Listed in the Registry of the Japanese Liver Transplantation Society (pages 1830–1839)

      M. Kasahara, K. Umeshita, Y. Inomata, S. Uemoto and Japanese Liver Transplantation Society

      Article first published online: 24 MAY 2013 | DOI: 10.1111/ajt.12276

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      This Japanese pediatric living donor liver transplantation series achieved satisfactory long-term recipient survival with excellent outcomes for the living donors.

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      A Composite Risk Model for Predicting Technical Failure in Pancreas Transplantation (pages 1840–1849)

      E. B. Finger, D. M. Radosevich, T. B. Dunn, S. Chinnakotla, D. E. R. Sutherland, A. J. Matas, T. L. Pruett and R. Kandaswamy

      Article first published online: 24 MAY 2013 | DOI: 10.1111/ajt.12269

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      This study examines risk factors for technical failure in pancreas transplantation and identifi es four main parameters (donor age > 50, donor terminal Cr ≥ 2.5, donor BMI > 30, and preservation time > 20 hours), which alone or in combination signifi cantly increases risk for technical failure.

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      Multicenter Australian Trial of Islet Transplantation: Improving Accessibility and Outcomes (pages 1850–1858)

      P. J. O'Connell, D. J. Holmes-Walker, D. Goodman, W. J. Hawthorne, T. Loudovaris, J. E. Gunton, H. E. Thomas, S. T. Grey, C. J. Drogemuller, G. M. Ward, D. J. Torpy, P. T. Coates, T. W. Kay and On behalf of the Australian Islet Transplant Consortium

      Article first published online: 13 MAY 2013 | DOI: 10.1111/ajt.12250

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      This multicenter Australian trial of islet transplantation alone, using antithymocyte globulin, tacrolimus, and mycophenolate mofetil, confi rms improving outcomes for the procedure and demonstrates that it is possible to develop new islet centers, thereby improving accessibility for patients.

  6. Brief Communications

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Personal Viewpoints
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Book Review
    11. Images in Transplantation
    12. Letters to the Editor
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      Comprehensive Assessment and Standardization of Solid Phase Multiplex-Bead Arrays for the Detection of Antibodies to HLA (pages 1859–1870)

      E. F. Reed, P. Rao, Z. Zhang, H. Gebel, R. A. Bray, I. Guleria, J. Lunz, T. Mohanakumar, P. Nickerson, A. R. Tambur, A. Zeevi, P. S. Heeger and D. Gjertson

      Article first published online: 13 JUN 2013 | DOI: 10.1111/ajt.12287

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      Using a reference set of sera and identical test reagents exchanged among multiple laboratories, this study elucidates the sources and magnitudes of variation present in solid phase multiplex-bead arrays for the detection and characterization of HLA antibodies and suggests that assay variability can be reduced to near quantitative accuracy with protocol standardization and use of appropriate normalization strategies. See more in the Clinical Trials in Organ Transplantation series, pages 1859–1904.

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      Standardization and Cross Validation of Alloreactive IFNγ ELISPOT Assays Within the Clinical Trials in Organ Transplantation Consortium (pages 1871–1879)

      I. Ashoor, N. Najafian, Y. Korin, E. F. Reed, T. Mohanakumar, D. Ikle, P. S. Heeger and M. Lin

      Article first published online: 24 MAY 2013 | DOI: 10.1111/ajt.12286

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      This study demonstrates the high reproducibility across centers for IFNγ ELISPOT assays that are performed following set standard operating procedures in conjunction with centralized data analysis. See more in the CTOT series, pages 1859–1904.

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      Cross-Validation of IFN-γ Elispot Assay for Measuring Alloreactive Memory/Effector T Cell Responses in Renal Transplant Recipients (pages 1880–1890)

      O. Bestard, E. Crespo, M. Stein, M. Lúcia, D. L. Roelen, Y. J. de Vaal, M. P. Hernandez-Fuentes, L. Chatenoud, K. J. Wood, F. H. Claas, J. M. Cruzado, J. M. Grinyó, H. D. Volk and P. Reinke

      Article first published online: 13 JUN 2013 | DOI: 10.1111/ajt.12285

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      Using a set of standardized operating procedures investigators can accurately assess circulating alloreactive memory/effector T cells in the context of kidney transplantation. See more in the CTOT series, pages 1859–1904.

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      Multicenter evaluation of a standardized protocol for noninvasive gene expression profiling (pages 1891–1897)

      K. S. Keslar, M. Lin, A. A. Zmijewska, T. K. Sigdel, T. Q. Tran, L. Ma, M. Bhasin, P. Rao, R. Ding, D. N. Iklé, R. B. Mannon, M. M. Sarwal, T. B. Strom, E. F. Reed, P. S. Heeger, M. Suthanthiran and R. L. Fairchild

      Article first published online: 26 JUN 2013 | DOI: 10.1111/ajt.12284

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      A standardized protocol for isolating RNA from urine sediments to perform quantitative PCR analyses of proinfl ammatory cytokines gene transcripts is developed and validated by six individual laboratories. See more in the CTOT series, pages 1859–1904.

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      Gene Set Enrichment Analysis Identifies Key Innate Immune Pathways in Primary Graft Dysfunction After Lung Transplantation (pages 1898–1904)

      E. Cantu, D. J. Lederer, K. Meyer, K. Milewski, Y. Suzuki, R. J. Shah, J. M. Diamond, N. J. Meyer, J. W. Tobias, D. A. Baldwin, V. M. Van Deerlin, K. M. Olthoff, A. Shaked, J. D. Christie and for the CTOT Investigators

      Article first published online: 24 MAY 2013 | DOI: 10.1111/ajt.12283

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      Gene set enrichment analysis of bronchoalveolar lavage cells implicates infl ammasome-mediated and innate-immune signaling pathways as key mediators in the development of primary graft dysfunction following lung transplantation. See more in the CTOT series, pages 1859–1904.

  7. Case Reports

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Personal Viewpoints
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Book Review
    11. Images in Transplantation
    12. Letters to the Editor
    1. You have free access to this content
      The First Simultaneous Kidney–Adrenal Gland–Pancreas Transplantation: Outcome at 1 Year (pages 1905–1909)

      J. Vouillarmet, F. Buron, C. Houzard, M. C. Carlier, C. Chauvet, M. Brunet, C. Thivolet, E. Morelon and L. Badet

      Article first published online: 3 JUN 2013 | DOI: 10.1111/ajt.12296

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      In a patient with adrenal insuffi ciency awaiting kidney transplantation, transplantation of an adrenal gland en bloc with the left kidney permits the correction of adrenal insuffi ciency without additional morbidity.

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      Combined Kidney and Intestinal Transplantation in Patients With Enteric Hyperoxaluria Secondary to Short Bowel Syndrome (pages 1910–1914)

      L. J. Ceulemans, Y. Nijs, F. Nuytens, G. De Hertogh, K. Claes, B. Bammens, M. Naesens, P. Evenepoel, D. Kuypers, Y. Vanrenterghem, D. Monbaliu and J. Pirenne

      Article first published online: 3 JUN 2013 | DOI: 10.1111/ajt.12305

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      Transplanting the intestine in addition to the kidney is a valuable treatment option for enteric hyperoxaluria secondary to short bowel syndrome.

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      Successful Heart Transplantation From a Donor With Ullrich Congenital Muscular Dystrophy (pages 1915–1917)

      C. Plonka, P. D. Wearden, V. O. Morell, S. A. Miller, S. A. Webber and B. Feingold

      Article first published online: 13 MAY 2013 | DOI: 10.1111/ajt.12246

      The authors report the successful transplantation and fi ve-year follow-up of a heart from a pediatric donor with Ullrich congenital muscular dystrophy that was declined by multiple other centers over concerns about organ quality, despite having normal cardiac function by echocardiography on minimal inotropic support.

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      Pregnancy in a Methylmalonic Acidemia Patient With Kidney Transplantation: A Case Report (pages 1918–1922)

      R. Lubrano, E. Bellelli, I. Gentile, S. Paoli, C. Carducci, C. Carducci, S. Santagata, B. Pérez, M. Ugarte, D. Labriola and M. Elli

      Article first published online: 24 MAY 2013 | DOI: 10.1111/ajt.12282

      Methylmalonic acidemia cobalamin defi ciency, even when treated with renal transplantation for inherent end-stage renal disease, is no contraindication to pregnancy, and a functioning transplanted kidney contributes to improve metabolic parameters.

  8. Reports From the CDC: MMWR

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Personal Viewpoints
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Book Review
    11. Images in Transplantation
    12. Letters to the Editor
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      Transmission of Strongyloides stercoralis Through Transplantation of Solid Organs—Pennsylvania, 2012 (pages 1923–1925)

      Article first published online: 26 JUN 2013 | DOI: 10.1111/ajt.12359

      This report of donor-derived Strongyloides highlights the need for testing of at-risk donors and prompt communication between centers and OPOs to avoid adverse consequences of donor-derived infection.

  9. Book Review

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Personal Viewpoints
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Book Review
    11. Images in Transplantation
    12. Letters to the Editor
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  10. Images in Transplantation

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Personal Viewpoints
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Book Review
    11. Images in Transplantation
    12. Letters to the Editor
    1. CME

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  11. Letters to the Editor

    1. Top of page
    2. The AJT Report
    3. Literature Watch
    4. Editorials
    5. Personal Viewpoints
    6. Original Articles
    7. Brief Communications
    8. Case Reports
    9. Reports From the CDC: MMWR
    10. Book Review
    11. Images in Transplantation
    12. Letters to the Editor
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