@transplantation.bsky.social

Why do some children develop food allergies after liver transplantation? Study shows that pediatric LT recipients with LT-associated food allergy have heightened T-cell activation & elevated inflammatory cytokines, suggesting persistent immune activation. tinyurl.com/bdfs3wds

This review explores how exposure to partner alloantigens induces FOXP3⁺ Tregs promote fertility & fetal–maternal tolerance, while in some individuals triggering alloantibodies linked to infertility & potentially increased organ transplant rejection. tinyurl.com/2kzb8f92

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What ethical safeguards are essential for organ donation after MAiD? This international review identifies three priorities: preserving voluntariness and informed consent, ensuring ethical donation practices, and protecting patient care relationships. tinyurl.com/yvt7pkmk

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#TBT to this week's featured top downloaded paper from 2024: Late Treatment With Autologous Expanded Regulatory T-cell Therapy After Alemtuzumab Induction Is Safe and Facilitates Immunosuppression Minimization in Living Donor Renal Transplantation tinyurl.com/yk577auu

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🫁 What if a lung transplant could "tell" us it's rejecting—before clinical signs appear? This study identifies distinct BAL macrophage signatures linked to rejection and poorer outcomes, opening avenues for early detection. tinyurl.com/25kmb2p6

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Who benefits from SLKT? Analysis of US liver transplants shows: No survival benefit of SLKT when pretransplant eGFR ≥30. Clear survival benefit for patients with eGFR <30. The findings support stage-specific SLKT allocation and OPTN "Safety Net" policy. tinyurl.com/yzjjpr2r

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In a study of 1,146 liver transplants with up to 10 years of follow-up by Pollmann et al., sex mismatch was not an independent predictor of survival after adjustment. Bottom line: donor sex alone should not limit donor selection. 🫀➡️🫁 tinyurl.com/45s85xf4

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French nationwide study: High-Emergency Lung Transplantation (HELT) was linked to higher postoperative morbidity but not higher 1-year mortality after adjustment. Findings support HELT as an effective strategy for the sickest patients. tinyurl.com/2w38ubkc

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New study shows remarkable growth in U.S. Good Samaritan kidney donation. From 2000–2024, annual donations increased from 17 to 439. Voucher-based nondirected donation grew from 2 donors in 2015 to 314 in 2024, representing 72% of Good Samaritan donations. tinyurl.com/msd6wbxb

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After liver transplantation, adding everolimus to CNI therapy: ✅ Reduced cancer risk ⚠️ Increased infection risk 💰 Remained highly cost-effective When accounting for cancer, infection, and kidney dysfunction, EVR-based therapy delivered good value. tinyurl.com/ye93kk9p

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Prior Roux-en-Y gastric bypass may increase the risk of malabsorption, sarcopenia, recurrent steatohepatitis, and graft loss after liver transplantation. These cases highlight the importance of careful nutritional assessment and long-term monitoring. tinyurl.com/bpn6jke3

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