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耐受性:终身一次移植。

Tolerance: one transplant for life.

作者信息

Kawai Tatsuo, Leventhal Joseph, Madsen Joren C, Strober Samuel, Turka Laurence A, Wood Kathryn J

机构信息

1 Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA. 2 Department of Medicine, Northwestern University School of Medicine, Chicago, IL. 3 Transplantation Biology Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA. 4 Department of Medicine, Stanford University School of Medicine, Palo Alto, CA. 5 Immune Tolerance Network, Massachusetts General Hospital, Harvard Medical School, Boston, MA. 6 Nuffield Department of Surgical Sciences, Oxford University, Oxford, United Kingdom. 7 Address correspondence to: Laurence A. Turka, M.D., Transplantation Biology Research Center, Department of Surgery, Massachusetts General Hospital, 149 13th St, Room 5101, Boston, MA 02129.

出版信息

Transplantation. 2014 Jul 27;98(2):117-21. doi: 10.1097/TP.0000000000000260.

DOI:10.1097/TP.0000000000000260
PMID:24926829
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4101034/
Abstract

Recently, The Transplantation Society convened a workshop to address the question, "What do we need to have in place to make tolerance induction protocols a 'standard of care' for organ transplant recipients over the next decade?" In a productive 2-day meeting, there was wide-ranging discussion on a broad series of topics, resulting in five consensus recommendations as follows: (1) establish a registry of results for patients enrolled in tolerance trials; (2) establish standardized protocols for sample collection and storage; (3) establish standardized biomarkers and assays; (4) include children 12 years and older in protocols that have been validated in adults; and (5) establish a task force to engage third-party payers in discussions of how to fund tolerance trials. Future planned workshops will focus on progress in implementing these recommendations and identifying other steps that the community needs to take.

摘要

最近,移植学会召开了一次研讨会,以探讨“为使耐受性诱导方案在未来十年成为器官移植受者的‘护理标准’,我们需要具备哪些条件?” 在为期两天卓有成效的会议中,就一系列广泛的主题进行了广泛讨论,形成了以下五项共识建议:(1)为参与耐受性试验的患者建立结果登记册;(2)建立样本采集和储存的标准化方案;(3)建立标准化的生物标志物和检测方法;(4)在已在成人中得到验证的方案中纳入12岁及以上的儿童;(5)成立一个特别工作组,促使第三方支付方参与关于如何为耐受性试验提供资金的讨论。未来计划召开的研讨会将聚焦于实施这些建议的进展情况,并确定该领域需要采取的其他措施。

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本文引用的文献

1
Tolerance and withdrawal of immunosuppressive drugs in patients given kidney and hematopoietic cell transplants.肾和造血细胞移植患者的免疫抑制药物耐受和撤药。
Am J Transplant. 2012 May;12(5):1133-45. doi: 10.1111/j.1600-6143.2012.03992.x. Epub 2012 Mar 8.
2
Chimerism and tolerance without GVHD or engraftment syndrome in HLA-mismatched combined kidney and hematopoietic stem cell transplantation.在 HLA mismatched 联合肾和造血干细胞移植中无移植物抗宿主病或植入综合征的嵌合体和耐受。
Sci Transl Med. 2012 Mar 7;4(124):124ra28. doi: 10.1126/scitranslmed.3003509.
3
HLA-mismatched renal transplantation without maintenance immunosuppression.无维持免疫抑制的HLA错配肾移植
N Engl J Med. 2008 Jan 24;358(4):353-61. doi: 10.1056/NEJMoa071074.
4
Renal allograft rejection is prevented by adoptive transfer of anergic T cells in nonhuman primates.在非人类灵长类动物中,通过过继转移无反应性T细胞可预防同种异体肾移植排斥反应。
J Clin Invest. 2005 Jul;115(7):1896-902. doi: 10.1172/JCI23743. Epub 2005 Jun 9.