1
|
Chen Z, Xiao G, Ao J. Resveratrol Attenuates Rheumatoid Arthritis Induce Neutrophil Extracellular Traps via TLR-4 Mediated Inflammation in C57BL/6 Mice. Physiol Res 2024; 73:91-104. [PMID: 38466008 PMCID: PMC11019621 DOI: 10.33549/physiolres.935172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Accepted: 10/17/2023] [Indexed: 04/26/2024] Open
Abstract
The objective of this study was to evaluate whether RSV inhibits neutrophil extracellular traps (NETs) that induce joint hyperalgesia in C57BL/6 mice after adjuvant-induced arthritis. A subplantar injection of Freund's complete adjuvant was administered to C57BL/6 mice on day 0 for immunization in the AIA model. Resveratrol (RSV, 25 mg/kg) was administered intraperitoneally once daily starting on day 22 and continuing for two weeks. The effects of mechanical hyperalgesia and edema formation have been assessed in addition to histopathological scoring. Mice were sacrificed on day 35 to determine cytokine levels and PADI4 and COX-2 expression levels. ELISA was used to quantify neutrophil extracellular traps (NETs) along with neutrophil elastase-DNA and myeloperoxidase-DNA complexes in neutrophils. An immunohistochemical stain was performed on knee joints to determine the presence of nuclear factor kappa B p65 (NF-kappaB p65). AIA mice were found to have higher levels of NET in joints and their joint cells demonstrated an increased expression of the PADI4 gene. Treatment with RSV in AIA mice (25 mg/kg, i.p.) significantly (P<0.05) inhibited joint hyperalgesia, resulting in a significant increase in mechanical threshold, a decrease in articular edema, a decrease in the production of inflammatory cytokines, increased COX-2 expression, and a decrease in the immunostaining of NF-kappaB. Furthermore, treatment with RSV significantly reduced the amount of neutrophil elastase (NE)-DNA and MPO-DNA complexes, which were used as indicators of NET formation (P<0.05). This study indicates that RSV reduces NET production and hyperalgesia by reducing inflammation mediated by PADI4 and COX-2. According to these data, NETs contribute to joint pain and resveratrol can be used to treat pain in RA through this pathway.
Collapse
Affiliation(s)
- Z Chen
- Department of Orthopedics, Wushan County Hospital of TCM, Chongqing, China.
| | | | | |
Collapse
|
2
|
Li Y, Ao J, Huang X, Lu H, Fu H, Song N, Xu W, Chen J. Involvement of PAR2 in platelet-derived growth factor receptor-α-positive cell proliferation in the colon of diabetic mice. Physiol Rep 2021; 9:e15099. [PMID: 34755491 PMCID: PMC8578889 DOI: 10.14814/phy2.15099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 08/09/2021] [Accepted: 08/09/2021] [Indexed: 11/26/2022] Open
Abstract
Our previous study indicated that streptozotocin (STZ)-induced diabetes leads to colonic platelet-derived growth factor receptor-α-positive (PDGFRα+ ) cell proliferation accompanied by slow colonic transit in mice; however, the mechanism of this effect is unclear. The present study used western blotting, immunohistochemistry, and quantitative PCR to investigate whether proteinase-activated receptor 2 (PAR2) mediates PDGFRα+ cell proliferation. Our results showed that PDGFRα, PAR2, and Ki-67 coexpression was increased in the diabetic colonic muscle layer. PDGFRα and PAR2 mRNA and protein expression levels were also markedly enhanced in the diabetic colonic muscle layer. Mice treated with 2-furoyl-LIGRLO-amide (2-F-L-a), a PAR2 agonist, exhibited significant colon elongation and increased smooth muscle weight. In the 2-F-L-a-treated mice, PDGFRα, PAR2, and Ki-67 coexpression was increased and PDGFRα and PAR2 mRNA and protein expression was significantly enhanced in the colonic smooth muscle layer. 2-F-L-a also increased proliferation and PDGFRα expression in NIH/3T3 cells cultured in high glucose, while LY294002, a PI3K antagonist, decreased cell proliferation and PDGFRα expression. PI3K and Akt protein and mRNA expression and p-Akt protein expression in diabetic and 2-F-L-a-treated mice were markedly reduced in colonic smooth muscle. 2-F-L-a also reduced PI3K, Akt, and p-Akt protein expression in NIH/3T3 cells, while the PI3K antagonist LY294002 increased this expression. The results indicate that PAR2 is involved in the proliferation of PDGFRα+ cells through the PI3K/Akt signaling pathway in the colon of STZ-induced diabetic mice, which may contribute to the slow transit and constipation that are associated with diabetes.
Collapse
MESH Headings
- Animals
- Cell Proliferation
- Cells, Cultured
- Colon/cytology
- Colon/drug effects
- Colon/metabolism
- Diabetes Mellitus, Experimental/metabolism
- Male
- Mice
- Mice, Inbred ICR
- Myocytes, Smooth Muscle/metabolism
- Myocytes, Smooth Muscle/physiology
- NIH 3T3 Cells
- Oligopeptides/pharmacology
- Phosphatidylinositol 3-Kinases/metabolism
- Proto-Oncogene Proteins c-akt/metabolism
- Receptor, PAR-2/agonists
- Receptor, PAR-2/genetics
- Receptor, PAR-2/metabolism
- Receptor, Platelet-Derived Growth Factor alpha/genetics
- Receptor, Platelet-Derived Growth Factor alpha/metabolism
- Signal Transduction
Collapse
Affiliation(s)
- Yu‐Jia Li
- Department of Anatomy and PhysiologyShanghai Jiao Tong University College of Basic Medical ScienceShanghaiChina
- Department of Pediatric SurgeryXinhua Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghaiChina
| | - Jun‐Ping Ao
- State Key Laboratory of Oncogenes and Related GenesSchool of MedicineShanghai Cancer InstituteRenji HospitalShanghai Jiao Tong UniversityShanghaiChina
| | - Xu Huang
- Department of Anatomy and PhysiologyShanghai Jiao Tong University College of Basic Medical ScienceShanghaiChina
| | - Hong‐Li Lu
- Department of Anatomy and PhysiologyShanghai Jiao Tong University College of Basic Medical ScienceShanghaiChina
| | - Han‐Yue Fu
- Department of Anatomy and PhysiologyShanghai Jiao Tong University College of Basic Medical ScienceShanghaiChina
| | - Ni‐Na Song
- Department of Anatomy and PhysiologyShanghai Jiao Tong University College of Basic Medical ScienceShanghaiChina
| | - Wen‐Xie Xu
- Department of Anatomy and PhysiologyShanghai Jiao Tong University College of Basic Medical ScienceShanghaiChina
- Department of Pediatric SurgeryXinhua Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghaiChina
| | - Jie Chen
- Department of Pediatric SurgeryXinhua Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghaiChina
| |
Collapse
|
3
|
Ao J, Tan C, Wei H, Jiang S, Peng J, Jin L. PSIV-16 Influences of Dietary Phytogenics on the Oxidation Stress, Feed Intake of Sows, and Piglet Performance. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- J Ao
- College of Animal Science and Technology, Huazhong Agricultural University,Wuhan, China (People’s Republic)
| | - C Tan
- College of Animal Science and Technology, Huazhong Agricultural University,Wuhan, China (People’s Republic)
| | - H Wei
- College of Animal Science and Technology, Huazhong Agricultural University,Wuhan, China (People’s Republic)
| | - S Jiang
- College of Animal Science and Technology, Huazhong Agricultural University,Wuhan, China (People’s Republic)
| | - J Peng
- College of Animal Science and Technology, Huazhong Agricultural University,Wuhan, China (People’s Republic)
| | - L Jin
- Guangzhou Meritech Bioengineering Co. Ltd,Guangdong, China (People’s Republic)
| |
Collapse
|
4
|
Ferris M, Liu Y, Ao J, Zhong J, Gillespie T, Jani A. The Addition of Chemotherapy to Radical Prostatectomy for Management of High-Risk Prostate Cancer: A National Cancer Database Analysis. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
5
|
Jia H, Cong Q, Chua JFL, Liu H, Xia X, Zhang X, Lin J, Habib SL, Ao J, Zuo Q, Fu C, Li B. p57Kip2 is an unrecognized DNA damage response effector molecule that functions in tumor suppression and chemoresistance. Oncogene 2014; 34:3568-81. [DOI: 10.1038/onc.2014.287] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2014] [Revised: 06/22/2014] [Accepted: 07/27/2014] [Indexed: 02/05/2023]
|
6
|
Mayer CA, Ao J, Di Fiore JM, Martin RJ, MacFarlane PM. Impaired hypoxic ventilatory response following neonatal sustained and subsequent chronic intermittent hypoxia in rats. Respir Physiol Neurobiol 2013; 187:167-75. [PMID: 23562917 DOI: 10.1016/j.resp.2013.03.011] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2012] [Revised: 03/20/2013] [Accepted: 03/21/2013] [Indexed: 11/15/2022]
Abstract
Neonatal chronic intermittent hypoxia (CIH) enhances the ventilatory sensitivity to acute hypoxia (acute hypoxic ventilatory response, HVR), whereas sustained hypoxia (SH) can have the opposite effect. Therefore, we investigated whether neonatal rats pre-treated with SH prior to CIH exhibit a modified HVR. Rat pups were exposed to CIH (5% O2/5min, 8h/day) between 6 and 15 days of postnatal age (P6-15) after pre-treatment with either normoxia or SH (11% O2; P1-5). Using whole-body plethysmography, the acute (5min, 10% O2) HVR at P16 (1 day post-CIH) was unchanged following CIH (67.9±6.7% above baseline) and also SH (58.8±10.5%) compared to age-matched normoxic rats (54.7±6.3%). In contrast, the HVR was attenuated (16.5±6.0%) in CIH exposed rats pre-treated with SH. These data suggest that while neonatal SH and CIH alone have little effect on the magnitude of the acute HVR, their combined effects impose a synergistic disturbance to postnatal development of the HVR. These data could provide important insight into the consequences of not maintaining adequate levels of oxygen saturation during the early neonatal period, especially in vulnerable preterm infants susceptible to frequent bouts of hypoxemic events (CIH) that are commonly associated with apnea of prematurity.
Collapse
Affiliation(s)
- C A Mayer
- Department of Pediatrics, Case Western Reserve University, Rainbow Babies & Children's Hospital, Cleveland, OH 44106, USA
| | | | | | | | | |
Collapse
|
7
|
Abstract
A 20-year-old female patient presented with erythematous plaques on the nose which were progressively spreading to the trunk and the extremities, sometimes with erosions and scars. The patient was misdiagnosed as having seborrhoeic dermatitis and subacute cutaneous lupus erythematosus. The histopathological biopsy revealed mycotic infectious granuloma. Samples taken from skin lesions and other locations grew Trichosporon asahii in cultures. The identification was confirmed by molecular biological methods. The patient was treated successfully with liposomal amphotericin B in combination with fluconazole orally.
Collapse
Affiliation(s)
- R Yang
- Department of Dermatology, General Hospital of Beijing Military Command of PLA, Beijing, China
| | | | | | | | | | | |
Collapse
|
8
|
Wang X, Mu S, Ao J, Zhou G. [Acoustic densitometry for quantification of renal allografts microcirculation and microstructure]. Zhonghua Wai Ke Za Zhi 2000; 38:589-91. [PMID: 11832114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
OBJECTIVE To establish a new method for observing renal allografts microcirculation and microstructure with acoustic densitometry (integrated backscatter, contrast, second harmonics). METHODS 27 patients with renal allografts were investigated by Doppler, IBS, contrast and second harmonics. Renal allografts failed age in 5 patients 20-61 years. Intravenous injection of SHU-508A was given, compared with pre-injection by quantitative assessment of acoustic densitometry (AD) of renal microstructure. RESULTS There was a significant difference in the peak intensity, the area under the curve and the half-time of wash-out between pre-injection and injection contrast agent. The wish-in and wish-out curve was shown in a peak shape. The renal allografts with acute rejection were significantly lower than the control group in AD (P < 0.05). No contrast opacification of renal microstructure was present in 5 failed renal allografts and the wish-in and wish-out curve appeared in a straight line shape. CONCLUSION AD is safe, and efficient in assessing renal allografts microstructure. It more sensitive in detecting allograft complication such as rejection than Doppler.
Collapse
Affiliation(s)
- X Wang
- Department of Utrasound, General Hospital, People Liberation Army, Beijing 100853, China
| | | | | | | |
Collapse
|
9
|
Xiao X, Ao J, Li Y, Wang X, Lu J, Hong B, Ye L, Zhang L, Cai W, Gao J, Yao C. [Survival analysis after kidney transplantation in 1,180 cadaveric graftings]. Zhonghua Wai Ke Za Zhi 2000; 38:578-81. [PMID: 11832111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
OBJECTIVE To analyze the outcome of twenty-two years of cadaveric kidney transplantation and the predict factors impacting on graft survival. METHODS The data of 1,180 cadaveric kidney graftings in 1,039 patients between October of 1977 and June of 1999 were summarized by calculation of patient and graft survival rates using Kaplan-Meier product limit estimates. 13 factors that may influence on graft survival were analyzed by the log-rank and Cox model. RESULTS The total of 1-, 5-, 10-, 15-, and 20-year patient survival rates were 93.02%, 80.25%, 67.86%, 65.34% and 65.34%, and the corresponding graft survival rates 88.6%, 68.3%, 43.8%, 43.8%, and 32.8%, respectively. Graft half-life was (13.98 +/- 0.96) years. The longest survivor was 22 years after cadaveric kidney transplantation. The quality of life after grafting in 835 alive patients was improved apparently; 95% of them had a normal graft function and 85% returned to work. The result of multivariable analysis using Cox model showed that 8 factors of patient's age, grafting time, pretransplant blood transfusion, cold ischemia time, delayed graft function, time of normal graft function, immunosuppressive regimen, and acute rejection were very important to affect the graft survival. CONCLUSION Cadaveric kidney transplantation is a successful and effective method to rescue the patients with end-stage renal disease.
Collapse
Affiliation(s)
- X Xiao
- Department of Urology, General Hospital, People's Liberation Army, Beijing 100853, China
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
10
|
Ao J, Liu X. [Clinical research of trabeculectomy on outpatients]. Yan Ke Xue Bao 1998; 14:245-8. [PMID: 12579749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/28/2023]
Abstract
PURPOSE To investigate the feasibility of Trabeculectomy on outpatients. METHODS Postspectively compared and discussed the surgery effect and complications of trabeculectomy on 38 eyes of 27 outpatients with those on 38 eyes of 30 inpatients. All the surgeries were performed by the same surgeon in the same period. RESULT The IOP of outpatients' group after one week, one month, three months or more are respectively 1.4800 +/- 0.5977 kPa, 1.8379 +/- 0.5517 kPa, 1.9650 +/- 0.4879 kPa, while the inpatients' group are 1.3468 +/- 0.5994 kPa, 1.7737 +/- 0.5177 kPa, 2.0144 +/- 0.5447 kPa. t-test has shown that the differences of the IOP after the surgery, the surgery effect and complications of trabeculectomy between the outpatients and the inpatients had no significance. CONCLUSION Trabeculectomy on outpatients in hospital with satisfied facility would be effective, safe and feasible.
Collapse
Affiliation(s)
- J Ao
- Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou 510060, China
| | | |
Collapse
|
11
|
Xin J, Ao J, Wang X, Wang D, Xiao X. [Analysis of clinicopathologic changes of infection in dead patients after renal transplantation]. Zhonghua Wai Ke Za Zhi 1998; 36:756-8. [PMID: 11825518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
OBJECTIVE To prevent renal transplantation patients from infection. METHOD Autopsies of 24 patients who had died after renal transplantation were studied. RESULT The incidence of infection was 66.7% and the lethal infective complications amounted for 50%. The most infectious agents were bacteria, fungi, tuberculosis, virus and actinomyces. CONCLUSION Pathological features and clinical manifestations of lesions were caused by aforementioned agents. Some management can prevent renal transplantation recipients from infection.
Collapse
Affiliation(s)
- J Xin
- Department of Urology, General Hospital of People's Liberation Army, Beijing 100853
| | | | | | | | | |
Collapse
|
12
|
Ao J, Li Y, Xiao X, Yang W. [The clinical effect of ATG and OKT3 on the treatment of refractory rejection after cadavaric kidney transplantation]. Zhonghua Wai Ke Za Zhi 1998; 36:542-4. [PMID: 11825460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
OBJECTIVE To observe the effect of ATG and OKT3 on the treatment of refractory rejection, including acute and chronic rejection after cadaveric kidney transplantation. METHOD 87 patients with refractory rejection after cadaveric kidney transplantation were treated by using ATG (13 patients) and OKT3 (74). A total dose of 1 000 mg for ATG group or 45 mg for OKT3 group was administered for each patient. RESULT Two accelerating rejection and acute rejection were reversed and 7 in the ATG group, 90.00% (27/30) and 90.47% (38/42) in the OKT3 group respectively. A significant difference of total reverse rates was seen between the ATG and OKT3 groups (69.23% verse 90.28%, P < 0.05). In retransplant patients, the reverse rate of acute rejection by OKT3 was 91.67% (11/12). But OKT3 did not show any effect in patients with chronic rejection. CONCLUSION OKT3 is better than ATG for reversing the refractory rejection, especially in retransplant patients, but it has no any effect on chronic rejection.
Collapse
Affiliation(s)
- J Ao
- Department of Urology, General Hospital of People's Liberation Army, Beijing 100853
| | | | | | | |
Collapse
|
13
|
Yu Q, Li S, Ao J, Chen H. [Vision change and quality of life in the patients with cataract]. Yan Ke Xue Bao 1997; 13:85-9. [PMID: 11189341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
PURPOSE We tried to assess the relationship between quality of life and visual impairment and restoring of patients with cataract and explore the factors which affect quality of life of patients with cataract. METHODS The 142 cases of cataract with different visual impairment and the 33 cases of cataract prior to surgery and at 3 months after cataract extraction and intraocular lens implantation were measured by the scale of quality of life for diseases with visual impairment. RESULTS The scores of quality of life and their subscores were significantly associated with the visual acuity of patients with cataract. The scores of quality of life between preoperation and after surgery had significantly difference. The factors which affect quality of life of patients with cataract included visual impairment, age and occupations. CONCLUSION Visual impairment that caused by cataract would cause decline in quality of life. Cataract surgery was effective in improving visual acuity and quality of life of the patients. Measuring quality of life would afford a new method for evaluating visual impairment of cataract.
Collapse
Affiliation(s)
- Q Yu
- Zhongshan Ophthalmic Centre, Sun Yat-sen University of Medical Sciences, Guangzhou 510060, China
| | | | | | | |
Collapse
|
14
|
Yu Q, Li S, Chen H, Ye T, Ao J. Development of the scale of quality of life for diseases with visual impairment. Yan Ke Xue Bao 1996; 12:36-9. [PMID: 9275735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
PURPOSE To describe the development of the of scale quality of life which can measure the quality of life of Chinese patients with visual impairment. METHODS Based on a thorough literature search and consultation with ophthalmologists and public health professionals, 20 items were selected to create a scale. Fifty-seven cataract patients with vision impairment and 60 glaucoma patients with vision impairment and visual field loss were measured by the scale to evaluate the validity, reliability and responsiveness of the scale. RESULTS The scale covered four domains of the quality of life (QOL). The criterion related validity of the scale: r = 0.6865 (P = 0.001). The test-retest reliability of the scale: r = 0.8959 (P = 0.001). Coronback's alpha was 0.9359. The variance ratio (VR) of intra-individual variance to inter-individual variance was 0.0551 for overall scores. The correlation coefficient of split-half method was 0.9553. The responsiveness: T-test, T = 5.95 (P = 0.001), effect size statistic was 1.533. CONCLUSIONS The result demonstrates that the scale has a satisfactory validity, reliability and responsiveness. It suggests that the scale can be applied to clinical trials.
Collapse
Affiliation(s)
- Q Yu
- Zhongzhan Ophthalmic center, Sun Yat-sen University of Medical Sciences, Guangzhou, china
| | | | | | | | | |
Collapse
|
15
|
Xiao X, Li Y, Ao J, Chen Y. Analysis of prognostic factors affecting renal allograft survival. Transpl Int 1992; 5:226-30. [PMID: 1418314 DOI: 10.1007/bf00336075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
A total of 201 consecutive cadaveric kidney transplantations were performed in 188 patients at the Chinese Great Wall Hospital, Beijing, from October 1977 to May 1990. The overall 1-, 2-, 5-, and 10-year graft survival rates were 75.5%, 64.5%, 37.0%, and 32.9%, respectively. In the last 5 years, these figures have risen to 83.7% at 1 year, 69.5% at 2 years, and 40.8% at 5 years, respectively. The 14 variables correlating to graft survival in the present study were analyzed using the log rank test for univariate analysis and the Cox proportional hazard model for multivariate analysis. The results show that immunosuppressive drug therapy, cold ischemia time, acute tubular necrosis, and infection were significant factors affecting the survival of cadaveric kidney grafts. Triple therapy with low-dose cyclosporin, as compared to conventional immunosuppressive drug therapy, significantly increased the 1-year graft survival rate (90.3% vs 31.3%) but did not influence the long-term graft survival rate after 3 years. The incidence of acute tubular necrosis significantly correlated to the cold ischemia time and influenced the 1-year graft survival. Analysis showed that the lymphocytotoxic crossmatch affected graft survival after 3 years and that most late graft losses were due to chronic rejection, suggesting that histocompatibility is the strongest factor affecting long-term graft survival. A beneficial effect of pretransplant blood transfusions on long-term graft survival was seen in patients treated with conventional immunosuppressive drugs but not in cyclosporin-treated patients.
Collapse
Affiliation(s)
- X Xiao
- Department of Urology, Chinese Great Wall Hospital, Beijing, China
| | | | | | | |
Collapse
|
16
|
Xiao X, Li Y, Cheng Y, Ao J. Urinary active T-rosette-forming cells in the diagnosis of acute allograft rejection after cadaveric kidney transplantation. Transplant Proc 1992; 24:1545-6. [PMID: 1496653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- X Xiao
- Department of Urology, Chinese Great Wall Hospital, Beijing
| | | | | | | |
Collapse
|
17
|
Xiao X, Li Y, Ao J, Chen Y. Analysis of prognostic factors affecting renal allograft survival. Transplant Proc 1992; 24:1442-6. [PMID: 1496611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- X Xiao
- Department of Urology, Chinese Great Wall Hospital, Beijing
| | | | | | | |
Collapse
|