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Ius F, Sommer W, Verboom M, Salman J, Siemeni T, Kühn C, Avsar M, Bobylev D, Hallensleben M, Schwerk N, Müller C, Haverich A, Tudorache I, Warnecke G. Five-Year Results of an IgA- and IgM-Enriched Human Immunoglobulin-Based Therapy for Early anti-HLA Donor-Specific Antibodies after Lung Transplantation. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Siemeni T, Knofel AK, Ius F, Salman J, Sommer W, Avsar M, Kühn C, Falk C, Tudorache I, Haverich A, Warnecke G. Transplant Arteriosclerosis in Humanized Mice Reflects the Presence of Early Donor-Specific Antibodies in Lung Transplant Recipients and Is Controlled by Autologous Regulatory T Cells. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Ius F, Salman J, Knofel AK, Nakagiri T, Sommer W, Siemeni T, Kuehn C, Avsar M, Welte T, Haverich A, Tudorache I, Warnecke G. Increased Frequency of Regulatory CD127low T Cells Early after Lung Transplant Is Associated with Improved Graft Survival. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Rojas S, Ius F, Schibilsky D, Kaufeld T, Benk C, Goecke T, Avsar M, Poyanmehr R, Rümke S, Mogaldea A, Bobylev D, Salman J, Siemeni T, Bara C, Beyersdorf F, Haverich A, Siepe M, Warnecke G. Ex Vivo Heart Perfusion for Higher Risk Cardiac Transplantations: A Retrospective Analysis from Two German Centers. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Bobylev D, Salman J, Sommer W, Ius F, Siemeni T, Avsar M, Kühn C, Niehaus A, Gottlieb J, Haverich A, Tudorache I, Warnecke G. Single lung transplantation from a donor 8 months after double lung transplantation. Am J Transplant 2018; 18:1275-1277. [PMID: 29314647 DOI: 10.1111/ajt.14644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2017] [Revised: 11/15/2017] [Accepted: 12/16/2017] [Indexed: 01/25/2023]
Abstract
Scarcity of donors leads transplant surgeons to consider extended-criteria lungs and occasionally to accept the unlikely. Here we report a case of successful single lung transplantation from a donor 8 months after double lung transplantation.
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Ius F, Knoefel A, Salman J, Sommer W, Nakagiri T, Siemeni T, Kuehn C, Avsar M, Bobylev D, Poyanmehr R, Boethig D, Welte T, Haverich A, Tudorache I, Warnecke G. Increasing Frequency of CD127 low Regulatory Cells Early After Lung Transplantation Improves Freedom From Chronic Lung Allograft Rejection and Graft Survival in 673 Patients. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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32
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Sommer W, Ius F, Schwerk N, Müller C, Bobylev D, Kühn C, Avsar M, Salman J, Siemeni T, Horke A, Haverich A, Tudorache I, Warnecke G. Non-standard Donor Organs in Pediatric Lung Transplantation Have No Negative Impact on Recipients Outcome. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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33
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Salman J, Knoefel A, Siemeni T, Lus F, Sommer W, Avsar M, Kuehn C, Haverich A, Lehner F, Igor T, Warnecke. G. High Frequencies of Regulatory T Cells Are Associated with Less Chronic Lung Allograft Dysfunction in Cystic Fibrosis Patients After Combined Lung and Liver Transplantation. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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34
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Ius F, Sommer W, Verboom M, Hallensleben M, Salman J, Siemeni T, Kuehn C, Avsar M, Bobylev D, Poyanmehr R, Schwerk N, Mueller C, Haverich A, Tudorache I, Warnecke G. Long-term Results of an IgM-enriched Human Immunoglobulin-based Therapy for Early Donor Specific Antibodies After Lung Transplantation. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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35
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Siemeni T, Sanz R, Salman J, Jansson K, Knöfel A, Ius F, Sommer W, Höffler K, Haverich A, Tudorache I, Falk C, Warnecke G. Cytokine Dynamics Insights into Improved Lung Preservation Using the Organ Care System in a Porcine Transplantation Model in Comparison to the INSPIRE Trial. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Jansson K, Hacker K, Pichler J, Sommer W, Salman J, Avsar M, Siemeni T, Knöfel A, Ahrens L, Haverich A, Warnecke G. Tolerance Induction by Delayed Non-Myeloablative Irradiation in a Large Animal Lung Transplantation Model. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Ius F, Sommer W, Salman J, Siemeni T, Kuehn C, Avsar M, Bobylev D, Boethig D, Greer M, Gottlieb J, Welte T, Haverich A, Tudorache I, Warnecke G. 3-and 5-Year Results of Lung Preservation with the Organ Care System: Insights from a Single-Center Experience. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Siemeni T, Knöfel A, Ius F, Salman J, Madrahimov N, Sommer W, Avsar M, Jansson K, Kühn C, Falk C, Tudorache I, Haverich A, Warnecke G. Linking Early Humoral Sensitization in Lung Transplant Recipients with Even Earlier Cellular Alloreactivity in Humanized Mice. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Uribarri A, Rojas S, Hanke J, Dogan G, Siemeni T, Kaufeld T, Goecke T, Rojas-Hernandez S, Warnecke G, Bara C, Avsar M, Schmitto J, Haverich A. Prognostic Value of the Nutritional Risk Index in Candidates for Continuous Flow Left Ventricular Assist Device Therapy. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.1205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Ius F, Sommer W, Knoefel A, Salman J, Nakagiri T, Siemeni T, Kuehn C, Avsar M, Bobylev D, Poyanmehr R, Welte T, Haverich A, Tudorache I, Warnecke G. Influence of an IgM-enriched Intravenous Immunoglobulin-based Treatment on Regulatory T Cells in Patients with Donor Specific Antibodies After Lung Transplantation. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Salman J, Grannas G, Ius F, Sommer W, Siemeni T, Avsar M, Kuehn C, Boethig D, Richter N, Gottlieb J, Klempnauer J, Welte T, Haverich A, Tudorache I, Warnecke G, Lehner F. The “Liver First'' Approach for Combined Lung and Liver Transplantation in Patients with Cystic Fibrosis. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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42
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Ius F, Salman J, Knoefel A, Nakagiri T, Sommer W, Siemeni T, Kuehn C, Avsar M, Boethig D, Haverich A, Tudorache I, Warnecke G. Increasing Frequency of CD127low Regulatory Cells Early after Lung Transplantation is Associated with Improved Freedom from Chronic Lung Allograft Rejection and Survival. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Kaufeld T, Beckmann E, Ius F, Koigeldiev N, Sommer W, Mashaqi B, Fleissner F, Siemeni T, Puntigam J, Kaufeld J, Haverich A, Kühn C. Critical Limb Ischemia in Patients, Undergoing Femoral Cannulation for Venoarterial Extracorporeal Membrane Oxygenation: Is a Distal Limb Perfusion a Mandatory Approach? Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Siemeni T, Knöfel AK, Ius F, Salman J, Sommer W, Avsar M, Kühn C, Falk C, Tudorache I, Haverich A, Warnecke G. Linking Early Donor-Specific Antibodies in Lung Transplant Recipients with Transplant Arteriosclerosis in Humanized Mice. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Ius F, Sommer W, Verboom M, Hallensleben M, Salman J, Siemeni T, Kuehn C, Avsar M, Bobylev D, Erdfelder C, Schwerk N, Müller C, Haverich A, Tudorache I, Warnecke G. Long-term Results of an IgM-Enriched Human Immunoglobulin-Based Therapy for Early Donor-Specific Antibodies after Lung Transplantation. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Sommer W, Ius F, Schwerk N, Müller C, Bobylev D, Kühn C, Avsar M, Salman J, Siemeni T, Horke A, Haverich A, Tudorache I, Warnecke G. Nonstandard Donor Organs in Pediatric Lung Transplantation have no Negative Impact on Recipients Outcome. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Rojas S, Avsar M, Ius F, Kaufeld T, Salman J, Siemeni T, Goecke T, Poyanmehr R, Uribarri A, Schmitto J, Bara C, Haverich A, Warnecke G. Cardiac Transplantation in the VAD Era: Twenty-Year Experience of a Single Center. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Salman J, Ius F, Knoefel AK, Sommer W, Siemeni T, Kuehn C, Tudorache I, Avsar M, Nakagiri T, Preissler G, Hatz R, Greer M, Welte T, Haverich A, Warnecke G. Association of Higher CD4 + CD25 high CD127 low , FoxP3 + , and IL-2 + T Cell Frequencies Early After Lung Transplantation With Less Chronic Lung Allograft Dysfunction at Two Years. Am J Transplant 2017; 17:1637-1648. [PMID: 27931084 DOI: 10.1111/ajt.14148] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2016] [Revised: 11/13/2016] [Accepted: 11/25/2016] [Indexed: 01/25/2023]
Abstract
Regulatory T cells (Treg) can regulate alloantigens and may counteract chronic lung allograft dysfunction (CLAD) in lung transplantation. We analyzed Treg in peripheral blood prospectively and correlated percentages of subpopulations with the incidence of CLAD at 2 years. Among lung-transplanted patients between January 2009 and July 2011, only patients with sufficient Treg measurements were included into the study. Tregs were measured immediately before lung transplantation, at 3 weeks and 3, 6, 12, and 24 months after transplantation and were defined as CD4+ CD25high T cells and further analyzed for CTLA4, CD127, FoxP3, and IL-2 expressions. Between January 2009 and July 2011, 264 patients were transplanted at our institution. Among the 138 (52%) patients included into the study, 31 (22%) developed CLAD within 2 years after transplantation. As soon as 3 weeks after lung transplantation, a statistically significant positive association was detected between Treg frequencies and later absence of CLAD. At the multivariate analysis, increasing frequencies of CD4+ CD25high CD127low , CD4+ CD25high FoxP3+ and CD4+ CD25high IL-2+ T cells at 3 weeks after lung transplantation emerged as protective factors against development of CLAD at 2 years. In conclusion, higher frequencies of specific Treg subpopulations early after lung transplantation are protective against CLAD development.
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Ius F, Sommer W, Verboom M, Kühn C, Avsar M, Knöfel A, Siemeni T, Salman J, Böthig D, Hallensleben M, Welte T, Schwerk N, Müller C, Haverich A, Tudorache I, Warnecke G. Three Years Experience with an IgM Enriched Human Intravenous Immunoglobulins Based Treatment for Patients with Early Donor Specific Antibodies After Lung Transplantation. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Sommer W, Ius F, Kuehn C, Avsar M, Salman J, Siemeni T, Gottlieb J, Schwerk N, Haverich A, Tudorache I, Warnecke G. Technique and Outcomes of Less Invasive Lung Retransplantation. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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