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小儿心脏移植的最新进展。长期并发症。

Update on pediatric heart transplantation. Long-term complications.

作者信息

Gajarski R J, Kearney D L, Price J K, Denfield S W

机构信息

Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.

出版信息

Tex Heart Inst J. 1997;24(4):260-8.

PMID:9456478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC325467/
Abstract

Despite evolution to "higher-order" immunosuppressive agents that better control cell-mediated allograft rejection and, therefore, short- and intermediate-term survival, allograft vasculopathy and PTLD remain factors that limit extended graft survival. While improved basic science "bench" techniques have enabled investigation of their pathogenesis at the subcellular and molecular levels, each scientific advance leads the way to the next horizon of complex questions. Only through a more complete understanding of the etiology and pathophysiology of these processes will we be able to design strategies to combat these complications.

摘要

尽管已发展出“高阶”免疫抑制剂,能更好地控制细胞介导的同种异体移植排斥反应,从而提高短期和中期生存率,但同种异体移植血管病变和移植后淋巴组织增生性疾病仍是限制移植长期存活的因素。虽然改进的基础科学“实验室”技术使人们能够在亚细胞和分子水平研究它们的发病机制,但每一项科学进展都会引出下一个复杂问题的新领域。只有更全面地了解这些过程的病因和病理生理学,我们才能设计出应对这些并发症的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea33/325467/7e665b0babd4/thij00027-0035-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea33/325467/1c26126aab65/thij00027-0033-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea33/325467/ca0bc10fb005/thij00027-0033-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea33/325467/c880101bfb42/thij00027-0034-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea33/325467/22ed0edecfc8/thij00027-0035-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea33/325467/7e665b0babd4/thij00027-0035-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea33/325467/1c26126aab65/thij00027-0033-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea33/325467/70a7a76208e7/thij00027-0033-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea33/325467/ca0bc10fb005/thij00027-0033-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea33/325467/c880101bfb42/thij00027-0034-a.jpg
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相似文献

1
Update on pediatric heart transplantation. Long-term complications.小儿心脏移植的最新进展。长期并发症。
Tex Heart Inst J. 1997;24(4):260-8.
2
Post-transplant lymphoproliferative disorder following pediatric heart transplantation.小儿心脏移植后的移植后淋巴细胞增生性疾病
Pediatr Transplant. 2006 Feb;10(1):60-6. doi: 10.1111/j.1399-3046.2005.00401.x.
3
Relationship of immunosuppression to Epstein-Barr viral load and lymphoproliferative disease in pediatric heart transplant patients.小儿心脏移植患者免疫抑制与EB病毒载量及淋巴增殖性疾病的关系
J Heart Lung Transplant. 2008 Jan;27(1):100-5. doi: 10.1016/j.healun.2007.09.027.
4
Immunosuppressive TOR kinase inhibitor everolimus (RAD) suppresses growth of cells derived from posttransplant lymphoproliferative disorder at allograft-protecting doses.免疫抑制性TOR激酶抑制剂依维莫司(RAD)在移植保护剂量下可抑制移植后淋巴细胞增生性疾病来源细胞的生长。
Transplantation. 2003 May 27;75(10):1710-7. doi: 10.1097/01.TP.0000063934.89714.19.
5
Pediatric heart transplantation: 23-year single-center experience.儿科心脏移植:23 年单中心经验。
Eur J Cardiothorac Surg. 2011 May;39(5):e83-9. doi: 10.1016/j.ejcts.2010.12.067. Epub 2011 Feb 26.
6
Post-transplant lymphoproliferative disorder in pediatric heart transplant recipients.儿童心脏移植受者的移植后淋巴组织增生性疾病。
J Heart Lung Transplant. 2010 Jun;29(6):648-57. doi: 10.1016/j.healun.2010.01.013. Epub 2010 Mar 20.
7
Eosinophilic esophagitis in children following cardiac transplantation: association with post-transplant lymphoproliferative disorder and other transplant outcomes.儿童心脏移植后嗜酸性粒细胞性食管炎:与移植后淋巴细胞增生性疾病及其他移植结局的关联
Pediatr Transplant. 2014 Aug;18(5):491-6. doi: 10.1111/petr.12302. Epub 2014 Jun 14.
8
Low incidence of malignancy in heart-transplant recipients in Taiwan: an update and comparison with kidney-transplant recipients.台湾地区心脏移植受者恶性肿瘤发病率低:更新资料及与肾移植受者的比较。
Eur J Cardiothorac Surg. 2010 May;37(5):1117-21. doi: 10.1016/j.ejcts.2009.11.028. Epub 2009 Dec 31.
9
Post-transplant lymphoproliferative disorders: improved outcome after clinico-pathologically tailored treatment.移植后淋巴细胞增生性疾病:经临床病理定制治疗后预后改善
Haematologica. 2002 Jan;87(1):67-77.
10
[Coronary allograft vasculopathy: pathophysiological interaction between the immune system, infections and metabolic syndrome].[冠状动脉移植血管病变:免疫系统、感染与代谢综合征之间的病理生理相互作用]
G Ital Cardiol (Rome). 2007 Feb;8(2):73-82.

本文引用的文献

1
The Registry of the International Society for Heart and Lung Transplantation: twelfth official report--1995.国际心肺移植学会注册处:1995年第十二次官方报告
J Heart Lung Transplant. 1995 Sep-Oct;14(5):805-15.
2
Fish oil and antioxidants after heart transplantation: future strategies or eye of newt and wing of bat revisited?心脏移植后使用鱼油和抗氧化剂:是未来策略还是重提的荒诞之物?
J Heart Lung Transplant. 1995 Nov-Dec;14(6 Pt 2):S250-4.
3
Impact of converting enzyme inhibitors and calcium entry blockers on cardiac allograft vasculopathy: from bench to bedside.
J Heart Lung Transplant. 1995 Nov-Dec;14(6 Pt 2):S246-9.
4
Role of lipids in allograft vascular disease: a multicenter study of intimal thickening detected by intravascular ultrasound.脂质在同种异体移植血管疾病中的作用:一项通过血管内超声检测内膜增厚的多中心研究。
J Heart Lung Transplant. 1995 Nov-Dec;14(6 Pt 2):S234-7.
5
The impact of cyclosporine dose and level on the development and progression of allograft coronary disease. Sandoz/CVIS Investigators.
J Heart Lung Transplant. 1995 Nov-Dec;14(6 Pt 2):S227-34.
6
Does acute rejection correlate with the development of transplant coronary artery disease? A multicenter study using intravascular ultrasound. Sandoz/CVIS Investigators.急性排斥反应与移植冠状动脉疾病的发生有关吗?一项使用血管内超声的多中心研究。山德士/CVIS研究人员。
J Heart Lung Transplant. 1995 Nov-Dec;14(6 Pt 2):S221-6.
7
Quantitative analysis of transplant coronary artery disease with use of intracoronary ultrasound.使用冠状动脉内超声对移植冠状动脉疾病进行定量分析。
J Heart Lung Transplant. 1995 Nov-Dec;14(6 Pt 2):S198-202.
8
The role of histoincompatibility in cardiac allograft vasculopathy.组织不相容性在心脏移植血管病变中的作用。
J Heart Lung Transplant. 1995 Nov-Dec;14(6 Pt 2):S180-4.
9
Cardiac allograft vasculopathy: the central pathogenetic role of ischemia-induced endothelial cell injury.
J Heart Lung Transplant. 1995 Nov-Dec;14(6 Pt 2):S142-9.
10
Mice lacking major histocompatibility complex class I and class II molecules.缺乏主要组织相容性复合体I类和II类分子的小鼠。
Proc Natl Acad Sci U S A. 1993 May 1;90(9):3913-7. doi: 10.1073/pnas.90.9.3913.