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Regeneration of trabecular meshwork in primary open angle glaucoma by stem cell therapy: a new treatment approach 干细胞治疗原发性开角型青光眼小梁网再生:一种新的治疗方法
IF 0.9 Q4 TRANSPLANTATION Pub Date : 2019-04-01 DOI: 10.2147/TRRM.S160229
E. Vingolo, A. Chabib, F. Anselmucci
: Primary open angle glaucoma (POAG) is a worldwide disease with IOP being an important risk factor for the disease. Pharmacological and surgical treatments have been mainly targeted on lowering IOP by decreasing aqueous humor production or increasing aqueous humor outflow. Stem cell therapies may open new frontiers in regenerative ophthalmology branch. In POAG there is a strong association with pathologic degeneration of the trabecular meshwork (TM) and regenerative cell-therapy approaches have been focused mainly on modulation of the degeneration. Many different adult stem cell types have been discovered in different parts of the eye such as the corneal endothelium (CE) and anterior non-filtering portion of the TM called Schwalbe’s ring region. These stem cells may supply new cells for the TM and may regenerate the TM structure thus reducing IOP and restore the homeostatic function of the eye. In this paper, we report the studies’ latest findings and present our perspective on approaches that seem promising in the management of POAG.
原发性开角型青光眼(POAG)是一种世界性疾病,眼压是其重要的危险因素。药物和手术治疗主要是通过减少房水产生或增加房水流出来降低IOP。干细胞治疗有望开辟再生眼科的新领域。POAG与小梁网(TM)的病理变性密切相关,再生细胞治疗方法主要集中在变性的调节上。在眼睛的不同部位发现了许多不同类型的成体干细胞,如角膜内皮(CE)和眼膜的前部非滤过部分(称为Schwalbe环区)。这些干细胞可以为TM提供新的细胞,并可以再生TM结构,从而降低IOP并恢复眼睛的稳态功能。在本文中,我们报告了研究的最新发现,并提出了我们对治疗POAG的方法的看法。
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引用次数: 4
Effect of pretransplant depression on neutrophil recovery following hematopoietic stem cell transplantation 移植前抑郁对造血干细胞移植后中性粒细胞恢复的影响
IF 0.9 Q4 TRANSPLANTATION Pub Date : 2019-04-01 DOI: 10.2147/TRRM.S194011
Maria Tavakoli-Ardakani, N. Beyraghi, Mahtabalsadat Mirjalili, Ehsan Mirzaei, M. Mehrpooya
Purpose: Pre-transplantation depression is known to exert negative effects on clinical outcomes after hematopoietic stem cell transplantation (HSCT). Accumulating evidence shows a bidirectional association between inflammation and depression. Systemic inflammation can affect clinical outcomes after transplantation, such as time to engraftment. This study evaluated the effect of pre-transplantation depression and serum level of proinflammatory and anti-inflammatory cytokines on clinical outcomes such as neutrophil recovery time and mortality in patients undergoing HSCT. Patients and methods: In this cross-sectional study, we recruited 73 patients who were autologous or allogeneic HSCT candidates. Hospital Anxiety and Depression Scale questionnaire was used to assess depression in the first 2 days after their hospital admission. Serum levels of IL-10, IL-6, and hs-CRP were measured at the same time. Neutrophil engraftment time, length of hospitalization, rate of mortality, relapses, readmissions, and occurrence of major complications following HSCT in a 1-year follow-up period were recorded as comparative outcomes. Results: Thirty-five patients with depression and 38 patients without depression participated in the study. Among the related outcomes, time of engraftment (P=0.020) and mortality rate (P=0.059) were statistically different between the two groups. Depressed patients had longer neutrophil engraftment time and higher mortality rate 1 year following transplantation (14.14±3.95 days and 31.43) in comparison to non-depressed patients (12.21±2.81 days and 13.16). Depressed patients showed significantly higher serum levels of IL-6 and IL-6-to-IL-10 ratio compared to non-depressed participants (P<0.001 and P=0.004). Conclusion: According to the results, pre-transplant depression can negatively impact neutrophil recovery time and mortality rate following HSCT. Higher levels of inflammatory factors in depressed patients might be one of the mechanisms that negatively affect clinical outcomes after HSCT. © 2019 Tavakoli-Ardakani et al.
目的:已知移植前抑郁会对造血干细胞移植(HSCT)后的临床结果产生负面影响。越来越多的证据表明炎症和抑郁之间存在双向联系。全身炎症可影响移植后的临床结果,如植入时间。本研究评估移植前抑郁和血清促炎和抗炎细胞因子水平对移植患者中性粒细胞恢复时间和死亡率等临床结果的影响。患者和方法:在这项横断面研究中,我们招募了73例自体或异体造血干细胞移植候选患者。采用医院焦虑抑郁量表评估患者入院后2天的抑郁情况。同时测定血清IL-10、IL-6、hs-CRP水平。在1年的随访期间,记录中性粒细胞植入时间、住院时间、死亡率、复发、再入院率和HSCT后主要并发症的发生率作为比较结果。结果:35例抑郁症患者和38例无抑郁症患者参与了研究。相关指标中,两组植皮时间(P=0.020)、死亡率(P=0.059)差异有统计学意义。与非抑郁患者(12.21±2.81天,13.16天)相比,抑郁患者移植中性粒细胞时间更长,移植后1年死亡率更高(14.14±3.95天,31.43天)。抑郁症患者血清IL-6水平和IL-6 / il -10比值显著高于非抑郁症患者(P<0.001和P=0.004)。结论:移植前抑郁会影响移植后中性粒细胞恢复时间和死亡率。抑郁症患者较高水平的炎症因子可能是影响移植后临床结果的机制之一。©2019 Tavakoli-Ardakani et al。
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引用次数: 1
Microbiome alterations following solid-organ transplantation: consequences, solutions, and prevention 固体器官移植后微生物组的改变:后果、解决方案和预防
IF 0.9 Q4 TRANSPLANTATION Pub Date : 2018-04-06 DOI: 10.2147/TRRM.S143063
Hannah Rahim, Michael R. Taylor, S. Hirota, S. Greenway
: Improved long-term survival following solid-organ transplantation (SOT) has remained elusive over the past several decades, despite significant advances in early survival. The microbiome refers to the genetic material belonging to microbes that live in an ecological balance with the human host, and its importance in human health is increasingly recognized. Extensive research pertaining to the human microbiome has demonstrated that compositional changes in the microbiome can contribute to such diseases as inflammatory bowel disease, metabolic syndrome, and (recently) many of the comorbidities that develop after SOT. It is suggested that the microbiome may be an important environmental variable that could influence health outcomes after SOT. Many factors related to SOT, including end-stage organ disease, surgery, and the use of antimicrobial prophylaxis and immunosuppressive drugs, have been shown to affect microbial composition and function negatively. These alterations could compromise health outcomes after SOT through the dysregulation of important host–microbe interactions, including the modulation of local and systemic host immune function by the gut microbiome, and could contribute to morbidity and even allograft rejection. Such interventions as synbiotic therapy and fecal microbiota transplantation have the potential to prevent or reverse disruption of the microbiome related to SOT and thereby improve the longevity of transplant recipients. Although microbiome research is still a relatively new field, progress is accelerating exponentially. Future research on host– microbiome interactions in the context of SOT will facilitate the development of microbiome-directed treatments to improve patient outcomes on pre- and post-SOT.
:尽管早期生存率取得了重大进展,但在过去几十年中,实体器官移植(SOT)后长期生存率的提高仍然难以捉摸。微生物组是指与人类宿主处于生态平衡中的微生物的遗传物质,其在人类健康中的重要性越来越得到认可。与人类微生物组有关的广泛研究表明,微生物组的组成变化会导致炎症性肠病、代谢综合征等疾病,以及(最近)SOT后出现的许多合并症。有人认为,微生物组可能是影响SOT后健康结果的一个重要环境变量。许多与SOT相关的因素,包括终末期器官疾病、手术以及抗菌预防和免疫抑制药物的使用,已被证明会对微生物组成和功能产生负面影响。这些改变可能会通过重要的宿主-微生物相互作用的失调,包括肠道微生物组对局部和全身宿主免疫功能的调节,影响SOT后的健康结果,并可能导致发病率甚至同种异体移植物排斥反应。合生元治疗和粪便微生物群移植等干预措施有可能预防或逆转与SOT相关的微生物组的破坏,从而提高移植受者的寿命。尽管微生物组研究仍然是一个相对较新的领域,但进展正在呈指数级加速。未来在SOT背景下对宿主-微生物组相互作用的研究将促进微生物组导向治疗的发展,以改善患者在SOT前后的结果。
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引用次数: 7
One-year survival rate of renal transplant: factors influencing the outcome 肾移植术后1年生存率:影响预后的因素
IF 0.9 Q4 TRANSPLANTATION Pub Date : 2017-12-15 DOI: 10.2147/TRRM.S150080
S. Rezapour, A. Yarmohammadi, M. Tavakkoli
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Transplant Research and Risk Management 2017:9 49–56 Transplant Research and Risk Management Dovepress
并纳入知识共享署名-非商业(未移植,v3.0)许可证(http://creativecommons.org/licenses/by-nc/3.0/)。通过访问作品,您在此接受这些条款。允许非商业用途的工作,没有任何进一步的许可,从多芬医学出版社有限公司,只要工作适当署名。关于本作品的商业使用许可,请参阅本条款第4.2条和第5条(https://www.dovepress.com/terms.php)。移植研究与风险管理,2017 (9):49-56
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引用次数: 8
Efficacy of everolimus in ABO-incompatible kidney transplantation: a retrospective study 依维莫司在abo血型不相容肾移植中的疗效:回顾性研究
IF 0.9 Q4 TRANSPLANTATION Pub Date : 2017-09-27 DOI: 10.2147/TRRM.S137727
K. Tsujimura, M. Ota, K. Chinen, Kiyomi Nagayama, M. Oroku, Morikuni Nishihira, Y. Shiohira, K. Iseki, H. Ishida, K. Tanabe
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Transplant Research and Risk Management 2017:9 43–48 Transplant Research and Risk Management Dovepress
并纳入知识共享署名-非商业(未移植,v3.0)许可证(http://creativecommons.org/licenses/by-nc/3.0/)。通过访问作品,您在此接受这些条款。允许非商业用途的工作,没有任何进一步的许可,从多芬医学出版社有限公司,只要工作适当署名。关于本作品的商业使用许可,请参阅本条款第4.2条和第5条(https://www.dovepress.com/terms.php)。移植研究与风险管理,2017 (9):43-48
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引用次数: 1
Response to “Hand transplantation: current challenges and future prospects” 对“手部移植:当前挑战与未来前景”的回应
IF 0.9 Q4 TRANSPLANTATION Pub Date : 2017-07-06 DOI: 10.2147/TRRM.S140390
J. Trofe‐Clark, L. Levin
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Transplant Research and Risk Management 2017:9 39–41 Transplant Research and Risk Management Dovepress
并纳入知识共享署名-非商业(未移植,v3.0)许可证(http://creativecommons.org/licenses/by-nc/3.0/)。通过访问作品,您在此接受这些条款。允许非商业用途的工作,没有任何进一步的许可,从多芬医学出版社有限公司,只要工作适当署名。关于本作品的商业使用许可,请参阅本条款第4.2条和第5条(https://www.dovepress.com/terms.php)。移植研究与风险管理,2017 (9):39-41
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引用次数: 1
Association of depression and anxiety before heart transplant with mortality after transplant: a single-center experience 心脏移植前抑郁和焦虑与移植后死亡率的相关性:一项单中心经验
IF 0.9 Q4 TRANSPLANTATION Pub Date : 2017-03-24 DOI: 10.2147/TRRM.S132400
F. Epstein, Melissa M. Parker, A. Lucero, R. Chaudhary, Eyun Song, D. Weisshaar
Objective: The purpose of this study was to evaluate the effects of depression and anxiety before heart transplant on all-cause mortality after heart transplant in a Northern California cohort. Methods: A total of 130 adult patients with heart transplants enrolled at Kaiser Permanente between June 2005 and December 2013 were included in a retrospective chart review. Preoperative depression and anxiety, evidenced by diagnoses, and other risk factors for all-cause mortality were investigated. Statistical methods included Kaplan–Meier survival analysis and Cox proportional hazard regression models. Results: After risk adjustment, patients with preoperative depression and anxiety diagnoses had higher risk of all-cause mortality at 2 years (hazard ratio [HR] = 4.2, 95% confidence interval [CI]: 1.1, 15.0, p = 0.03) and 3 years (HR = 3.7, 95% CI: 1.2, 11.9, p = 0.04) following heart transplant than those without depression or anxiety. This finding did not reach statistical significance at 5 years post-heart transplant (HR = 2.0, 95% CI: 0.8, 5.3, p = 0.14). Conclusion: The findings suggest an association between preoperative depression and anxiety with mortality in heart transplant patients 2 and 3 years post-transplant.
目的:本研究的目的是在北加利福尼亚州的一个队列中评估心脏移植前的抑郁和焦虑对心脏移植后全因死亡率的影响。方法:在2005年6月至2013年12月期间,共有130名在Kaiser Permanente接受心脏移植的成年患者被纳入一项回顾性图表审查。对诊断证明的术前抑郁和焦虑以及其他导致全因死亡率的危险因素进行了调查。统计方法包括Kaplan–Meier生存分析和Cox比例风险回归模型。结果:在风险调整后,术前诊断为抑郁和焦虑的患者在心脏移植后2年(危险比[HR]=4.2,95%置信区间[CI]:1.1,15.0,p=0.03)和3年(HR=3.7,95%CI:1.2,11.9,p=0.04)发生全因死亡的风险高于无抑郁或焦虑的患者。这一发现在心脏移植后5年没有达到统计学意义(HR=2.0,95%CI:0.8,5.3,p=0.14)。结论:研究结果表明,心脏移植患者术前抑郁和焦虑与移植后2年和3年的死亡率之间存在关联。
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引用次数: 5
Hand transplantation: current challenges and future prospects 手移植:当前的挑战和未来的前景
IF 0.9 Q4 TRANSPLANTATION Pub Date : 2017-02-21 DOI: 10.2147/TRRM.S94298
Noor Alolabi, Haley F. M. Augustine, A.M.T. ThomÃ
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Transplant Research and Risk Management 2017:9 23–29 Transplant Research and Risk Management Dovepress
并纳入知识共享署名-非商业(未移植,v3.0)许可证(http://creativecommons.org/licenses/by-nc/3.0/)。通过访问作品,您在此接受这些条款。允许非商业用途的工作,没有任何进一步的许可,从多芬医学出版社有限公司,只要工作适当署名。关于本作品的商业使用许可,请参阅本条款第4.2条和第5条(https://www.dovepress.com/terms.php)。移植研究与风险管理2017 (9):23-29
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引用次数: 15
Risk factors, diagnosis, and management of posttransplant lymphoproliferative disorder: improving patient outcomes with a multidisciplinary treatment approach 移植后淋巴增生性疾病的危险因素、诊断和管理:通过多学科治疗方法改善患者预后
IF 0.9 Q4 TRANSPLANTATION Pub Date : 2017-01-27 DOI: 10.2147/TRRM.S84744
K. Ligeti, L. Müller, C. Müller-Tidow, T. Weber
: Posttransplant lymphoproliferative disease (PTLD) is a major complication after solid organ transplantation and allogeneic hematopoietic stem cell transplantation. The spectrum of PTLD ranges from benign hyperplasia to malignant lymphoma, representing one of the most relevant malignancies in these patients. Most PTLDs are driven by latent Epstein–Barr virus infections. The backbone of treatment is reduction of immunosuppression. Further treatment depends on the type of PTLD and the type of transplantation. A multidisciplinary approach involving transplant team, hematologists, and other disciplines is crucial for the diagnosis and treatment of PTLD and for concurrent preservation of the transplant function. In this study, known pathomechanisms, risk preemptive and especially emerging treatment algorithms in PTLD were reviewed.
移植后淋巴细胞增生性疾病(PTLD)是实体器官移植和异体造血干细胞移植后的主要并发症。PTLD的范围从良性增生到恶性淋巴瘤,是这些患者中最相关的恶性肿瘤之一。大多数ptld是由潜在的爱泼斯坦-巴尔病毒感染驱动的。治疗的核心是减少免疫抑制。进一步的治疗取决于PTLD的类型和移植类型。包括移植团队、血液学家和其他学科在内的多学科方法对于PTLD的诊断和治疗以及同时保存移植功能至关重要。在这项研究中,已知的病理机制,风险预防,特别是新兴的治疗算法在PTLD综述。
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引用次数: 5
Urinary neutrophil gelatinase-associated lipocalin is a biomarker of delayed graft function after kidney transplantation 尿中性粒细胞明胶酶相关脂钙蛋白是肾移植后延迟移植功能的生物标志物
IF 0.9 Q4 TRANSPLANTATION Pub Date : 2017-01-20 DOI: 10.2147/TRRM.S122090
I. Capelli, O. Baraldi, G. Comai, E. Sala, M. Cappuccilli, C. Donadei, V. Cuna, M. Angelini, G. Donati, G. Manna
Background: Acute kidney injury occurring after kidney transplantation frequently leads to delayed graft function with detrimental long-term effects on graft survival. Neutrophil gelati-nase-associated lipocalin (NGAL) has been validated as a biomarker for posttransplant acute kidney injury. This observational study aimed to assess the effectiveness of urinary NGAL as a predictive marker of delayed graft function. Materials and methods: Forty-three consecutive patients who received renal transplant were included in the study. Urine samples were collected before transplant (if available) and at days 1, 3, 7, 14, and 30 after transplant, and urinary NGAL levels were quantified by enzyme-linked immunosorbent assay. Results: Urinary NGAL progressively decreased after transplant in patients with both delayed and immediate graft function. However, urinary NGAL concentration remained significantly higher in the presence of delayed graft function in the first 14 days after transplant. The area under the receiver operating characteristic curve showed that the ability of urinary NGAL to predict delayed graft function was accurate at 1st and 3rd days after transplant. Conclusion: The relative decrease of urinary NGAL concentration rather than its absolute value may be relevant to predict delayed graft function after renal transplant. In particular, urinary NGAL area under the curve for 3 days seems to be a more valuable parameter of decision making in the early posttransplant period.
背景:肾移植后发生的急性肾损伤经常导致移植物功能延迟,对移植物的长期存活有不利影响。中性粒细胞明胶酶相关脂钙蛋白(NGAL)已被证实是移植后急性肾损伤的生物标志物。本观察性研究旨在评估尿NGAL作为延迟移植物功能预测标志物的有效性。材料与方法:连续43例肾移植患者纳入研究。在移植前(如果有的话)和移植后第1、3、7、14和30天收集尿液样本,用酶联免疫吸附法测定尿液NGAL水平。结果:移植后延迟和立即移植患者尿NGAL逐渐降低。然而,在移植后的最初14天内,存在移植功能延迟的尿NGAL浓度仍显着升高。受者工作特征曲线下面积显示,尿NGAL预测移植后第1天和第3天延迟移植功能的能力是准确的。结论:尿NGAL浓度的相对降低值可能与肾移植术后移植延迟功能的预测有关,而不是其绝对值。特别是,在移植后早期,3天内尿NGAL曲线下面积似乎是一个更有价值的决策参数。
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引用次数: 2
期刊
Transplant Research and Risk Management
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