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临床肝移植免疫耐受:未来之路
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作者 奚志峰 夏强 《肝脏》 2017年第5期394-395,共2页
在近期《Hepatology》期刊中,Feng等报道了12例儿童肝移植(LT)患者停止使用免疫抑制剂后的长期免疫学、组织学和临床结果。本文讨论该研究所产生的广泛影响和一些肝脏免疫耐受的重要问题。尽管器官移植的短期预后很好,但随着时间的推... 在近期《Hepatology》期刊中,Feng等报道了12例儿童肝移植(LT)患者停止使用免疫抑制剂后的长期免疫学、组织学和临床结果。本文讨论该研究所产生的广泛影响和一些肝脏免疫耐受的重要问题。尽管器官移植的短期预后很好,但随着时间的推移会持续恶化,受者也需承受长期服用免疫抑制剂所带来的不良反应。 展开更多
关键词 肝脏免疫耐受 临床肝移植 儿童肝移植 免疫抑制剂 器官移植 肝移植患者 免疫学特征 儿童活体肝移植 胆道并发症 移植肝功能
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INTRATHYMIC INOCULATION OF LIVER SPECIFIC ANTIGEN ALLEVIATES LIVER TRANSPLANT REJECTION 被引量:8
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作者 贾长库 郑树森 朱有法 《Chinese Medical Sciences Journal》 CAS CSCD 2004年第1期38-43,共6页
Objective To study the effects of liver specific antigen(LSA)on liver allotransplantation rejection. Methods Orthotopic liver transplantation was performed in this study. GroupⅠ: syngeneic control(Wistar-to-Wistar); ... Objective To study the effects of liver specific antigen(LSA)on liver allotransplantation rejection. Methods Orthotopic liver transplantation was performed in this study. GroupⅠ: syngeneic control(Wistar-to-Wistar); GroupⅡ: acute rejection(SD-to-Wistar). GroupIII: thymic inoculation of SD rat LSA day 7 before transplantation. The observation of general condition and survival time, rejection grades and the NF-кB activity of splenocytes were used to analyze severity of acute rejection and immune state of animals in different groups. Results The general condition of groupⅠwas fair post transplantation with no sign of rejection. All recipients of group Ⅱ died within days 9 to 13 post transplantation with median survival time of 10.7 ±1.37 days. As for group III, 5 out of 6 recipients survived for a long period with remarkably better ge-neral condition than that of group Ⅱ. Its rejection grades were significantly lower than groupⅡ(P < 0.05).NF-кB activity was only detected in groupⅠbetween days 5 and 7 after transplantation, whereas highactivity of NF-кB was detected at all points in group Ⅱ and low NF-кB activity was detected in group III which was significantly lower than that of group Ⅱ(P < 0.05). Conclusions LSA is an important transplantation antigen directly involved in the immunorejection of liver transplantation. Intrathymic inoculation of LSA can alleviate the rejection of liver allotransplantation,grafts survive for a period of time thereby, allowing a novel way to liver transplantation immunotolerance. 展开更多
关键词 liver specific antigen liver transplantation IMMUNOTOLERANCE
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