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Kidney transplantation is the best therapy method for patients with uremia. The main factors affecting the long-term survival of the graft were chronic antibody-mediated rejection and the death of the patients. Newborn donor special antibody (DSA) is a major risk factor for chronic antibody-mediated rejection (AMR) and poor transplantation outcomes. Detection of mycophenolate mofetil (MMF) trough concentration can help estimate its exposure. Deficient exposure of MMF can lead to AMR after transplantation surgery. The aim of this study is to estimate the risk factors of one-year DSA after transplantation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MMF group | Post-transplant patients accept immunosuppression protocol based on MMF for at least 12 months. |
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| Measure | Description | Time Frame |
|---|---|---|
| DSA 12 month | newborn DSA in recipient serum in the first 12 month after transplantation | 2021.5-2023.5 |
| Measure | Description | Time Frame |
|---|---|---|
| DSA 6 month | newborn DSA in recipient serum in the first 6 month after transplantation | 2020.12-2022.12 |
| DSA risk factors | risk factors of newborn DSA |
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Inclusion Criteria:
Exclusion Criteria:
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Recipients after kidney transplantation using triple immunosuppression protocol based on MMF
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wujun Xue, Prof. | Contact | +86 13991990128 | xwujun163@mail.xjtu.edu.cn | |
| Jin Zheng, Prof. | Contact | +86 18133916118 | jzheng@mail.xjtu.edu.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Xi'an Jiaotong University | Recruiting | Xi'an | Shaanxi | 710061 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25545626 | Background | Huang J, Millis JM, Mao Y, Millis MA, Sang X, Zhong S. Voluntary organ donation system adapted to Chinese cultural values and social reality. Liver Transpl. 2015 Apr;21(4):419-22. doi: 10.1002/lt.24069. Epub 2015 Feb 13. | |
| 21993970 | Background | Miettinen J, Perasaari J, Lauronen J, Qvist E, Valta H, Pakarinen M, Merenmies J, Jalanko H. Donor-specific HLA antibodies and graft function in children after renal transplantation. Pediatr Nephrol. 2012 Jun;27(6):1011-9. doi: 10.1007/s00467-012-2101-4. Epub 2011 Oct 13. |
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blood sample to dectect MMF trough concentration
| 2020.5-2023.5 |
| MPA-AUC | trough concentration of MMF in recipients' serum | 2020.5-2023.5 |
| AR | AMR after transplantation | 2020.5-2023.5 |
| allograft function | serum creatinine and creatinine clearance in 1 year after transplantation | 2021.5-2023.5 |
| 14961990 | Background | Meier-Kriesche HU, Schold JD, Srinivas TR, Kaplan B. Lack of improvement in renal allograft survival despite a marked decrease in acute rejection rates over the most recent era. Am J Transplant. 2004 Mar;4(3):378-83. doi: 10.1111/j.1600-6143.2004.00332.x. |
| 22959074 | Background | Ginevri F, Nocera A, Comoli P, Innocente A, Cioni M, Parodi A, Fontana I, Magnasco A, Nocco A, Tagliamacco A, Sementa A, Ceriolo P, Ghio L, Zecca M, Cardillo M, Garibotto G, Ghiggeri GM, Poli F. Posttransplant de novo donor-specific hla antibodies identify pediatric kidney recipients at risk for late antibody-mediated rejection. Am J Transplant. 2012 Dec;12(12):3355-62. doi: 10.1111/j.1600-6143.2012.04251.x. Epub 2012 Sep 7. |
| 10580071 | Result | Wolfe RA, Ashby VB, Milford EL, Ojo AO, Ettenger RE, Agodoa LY, Held PJ, Port FK. Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N Engl J Med. 1999 Dec 2;341(23):1725-30. doi: 10.1056/NEJM199912023412303. |