Brief report: Chimerism and tolerance in a recipient of a deceased-donor liver transplant

被引:126
作者
Alexander, Stephen I. [1 ,2 ,3 ]
Smith, Neil [2 ,3 ]
Hu, Min [1 ]
Verran, Deborah [4 ]
Shun, Albert [2 ,3 ,4 ]
Dorney, Stuart [2 ,3 ,4 ]
Smith, Arabella [2 ,3 ]
Webster, Boyd [2 ,3 ]
Shaw, Peter John [2 ,3 ]
Lammi, Ahti [2 ,3 ]
Stormon, Michael O. [2 ,3 ,4 ]
机构
[1] Univ Sydney, Ctr Kidney Res, Sydney, NSW 2006, Australia
[2] Univ Sydney, Childrens Hosp Westmead, Sydney, NSW 2006, Australia
[3] Univ Sydney, Dept Paediat & Child Hlth, Sydney, NSW 2006, Australia
[4] Australian Natl Liver Transplant Unit, Sydney, NSW, Australia
关键词
D O I
10.1056/NEJMoa0707255
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Complete hematopoietic chimerism and tolerance of a liver allograft from a deceased male donor developed in a 9- year- old girl, with no evidence of graft- versus- host disease 17 months after transplantation. The tolerance was preceded by a period of severe hemolysis, reflecting partial chimerism that was refractory to standard therapies. The hemolysis resolved after the gradual withdrawal of all immunosuppressive therapy.
引用
收藏
页码:369 / 374
页数:6
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