TOLERANCE IN RENAL TRANSPLANTATION AFTER ALLOGENEIC BONE MARROW TRANSPLANTATION???6-YEAR FOLLOW-UP
- 1 June 2001
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Transplantation
- Vol. 71 (11), 1681-1683
- https://doi.org/10.1097/00007890-200106150-00031
Abstract
Despite significant advancements in clinical transplantation, very few reports describe the long-term acceptance of transplanted solid organs without indefinite immunosuppression. The immunosuppressive agents used are nonspecific and have serious potential side effects. We present a patient who received a living-donor renal allograft from the same person who had donated bone marrow to her several years earlier. Tolerance was expected based on previous acceptance of full-thickness skin grafts from the donor. Indeed, there has been no evidence of rejection during a 6-year follow-up period, and no induction or maintenance immunosuppression has been given. All noninvasive parameters of graft function remain normal. This and similar reports prove that genetically disparate solid organs can coexist without pharmacological immunosuppression.Keywords
This publication has 9 references indexed in Scilit:
- Infusion of donor leukocytes to induce tolerance in organ allograft recipientsJournal of Leukocyte Biology, 1999
- Defining the outcome of immunosuppression withdrawal after liver transplantationHepatology, 1998
- The lost chord: microchimerism and allograft survivalImmunology Today, 1996
- Tolerance to an HLA-B,DR disparate kidney allograft after bone-marrow transplantation from same donorThe Lancet, 1994
- Donor-Type Microchimerism Associated with Graft Rejection Eight Years after Liver TransplantationNew England Journal of Medicine, 1994
- CHIMERISM AND DONOR-SPECIFIC NONREACTIVITY 27 TO 29 YEARS AFTER KIDNEY ALLOTRANSPLANTATIONTransplantation, 1993
- Immunologic Tolerance to Renal Allografts after Bone Marrow Transplants from the Same DonorsAnnals of Internal Medicine, 1991
- LONG-TERM RESULTS OF A CONTROLLED PROSPECTIVE STUDY WITH TRANSFUSION OF DONOR-SPECIFIC BONE MARROW IN 57 CADAVERIC RENAL ALLOGRAFT RECIPIENTSTransplantation, 1991
- ‘Actively Acquired Tolerance’ of Foreign CellsNature, 1953