Donation after circulatory death is associated with increased fibrosis on 1‐year post‐transplant kidney allograft surveillance biopsy

2021 ◽  
Author(s):  
Dirk J. Windt ◽  
Rajil Mehta ◽  
Dana R. Jorgensen ◽  
Sundaram Hariharan ◽  
Parmjeet S. Randhawa ◽  
...  

2009 ◽  
Vol 70 ◽  
pp. S55
Author(s):  
Julio C. Delgado ◽  
Igor Y. Pavlov ◽  
Fuad S. Shihab


2017 ◽  
Vol 31 (5) ◽  
pp. 393-401
Author(s):  
Song Liu ◽  
Ji Miao ◽  
Xiaolei Shi ◽  
Yafu Wu ◽  
Chunping Jiang ◽  
...  


2020 ◽  
Vol 34 (2) ◽  
Author(s):  
Dirk J. Windt ◽  
Rajil Mehta ◽  
Dana R. Jorgensen ◽  
Patrick Bou‐Samra ◽  
Sundaram Hariharan ◽  
...  


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Michael Moser ◽  
Sarah Schmid ◽  
Katherine Sawicka ◽  
Tamalina Banerjee ◽  
Erick McNair ◽  
...  

AbstractKidney injury during donation after circulatory determination of death (DCDD) includes warm ischemic (WI) injury from around the time of asystole, and cold ischemic (CI) injury during cold preservation. We have previously shown that Matrix Metalloproteinases (MMPs) are involved in CI injury and that Doxycycline (Doxy), an antibiotic and known MMP inhibitor, protects the transplant kidney during CI. The purpose of our study was to determine if Doxy given before asystole can also prevent injury during WI. A rat model of DCDD was used, including Control, Preemptive Doxy (45 mg/kg iv), and Preemptive and Perfusion (100 microM) Doxy groups. Thirty minutes after asystole, both kidneys were removed. The left kidney was perfused at 4 °C for 22 h, whereas the right was used to establish the degree of warm ischemic injury prior to cold preservation. MMP-2 in the perfusate was significantly reduced in both treatment groups [Control 43.7 ± 7.2 arbitrary units, versus Preemptive Doxy group 23.2 ± 5.5 (p = 0.03), and ‘Preemptive and Perfusion’ group 18.0 ± 5.6 (p = 0.02)]. Reductions in NGAL, LDH, and MMP-9 were also seen. Electron microscopy showed a marked reduction in mitochondrial injury scores in the treatment groups. Pre-arrest Doxy was associated with a reduction in injury markers and morphologic changes. Doxy may be a simple and safe means of protecting transplant kidneys from both WI and CI.



2018 ◽  
Vol 37 (4) ◽  
pp. S15
Author(s):  
E. Pavlushkov ◽  
A. Page ◽  
S. Messer ◽  
A. Kydd ◽  
Y. Abu-Omar ◽  
...  


Nephrology ◽  
2014 ◽  
Vol 19 (12) ◽  
pp. 815-815
Author(s):  
Dominique Guerrot ◽  
Ludivine Lebourg ◽  
Lynda Cheddani ◽  
Nicolas Noel ◽  
Jean-Pierre Louvel ◽  
...  


2020 ◽  
Vol 86 (2) ◽  
Author(s):  
Chiara Lazzeri ◽  
Manuela Bonizzoli ◽  
Fabio Marra ◽  
Paolo Muiesan ◽  
Davide Ghinolfi ◽  
...  


2020 ◽  
Vol 86 (9) ◽  
Author(s):  
Marinella Zanierato ◽  
Daniele Dondossola ◽  
Alessandro Palleschi ◽  
Alberto Zanella


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