Transplant outcomes in kidney recipients with lupus nephritis, and systematic review

Background

Despite improved survival of patients with lupus nephritis (LN), some require kidney transplantation because of progression to end-stage renal disease (ESRD). However, the transplant outcomes of these patients and other recipients have not been thoroughly compared.

Methods

In total, 1848 Korean kidney recipients who underwent transplantation from 1998 to 2017 at two tertiary referral centers were evaluated retrospectively. Among them, 28 recipients with LN, and 50 control recipients matched by age, sex, and donor type, were compared with respect to graft and patient survival. We pooled our data with 17 previous cohort studies in which the graft survival of recipients with LN was described in detail.

Results

During the median follow-up period of 9.5 years (maximum 21 years), graft failure (GF) occurred in 10.7% and 16.0% of LN and control recipients, respectively. No differences were found in the rates of GF and death-censored graft failure or patient survival between the two groups. The risks of acute T cell-mediated and antibody-mediated rejection were also similar between the two groups. The pooled analysis showed similar 1- and 5-year graft survival rates between LN and control recipients.

Conclusions

Kidney transplantation is an acceptable option in patients with concurrent LN and ESRD.

High-resolution size measurement of single spherical particles with a fast Fourier transform of the angular scattering intensity

A technique is described and demonstrated to measure the size of spherical particles of known index of refraction by laser light scattering with an accuracy of better than 1%. This technique entails imaging the angular scattering intensity onto a photodiode array and applying a fast Fourier transform to the array output to obtain a frequency and phase corresponding to the number and angular position of the scattering lobes. Errors associated with particle trajectory effects and changes in the index of refraction are also considered. Results are not affected by the former, whereas variations of the refractive index by 2%, as may be typical, for example, of the transient heat up of a liquid hydrocarbon droplet, cause a deterioration of sizing accuracy to approximately 3%. The technique can in principle be applied in real time at data rates as high as 20-30 kHz with a modest equipment investment. Therefore, the measurement of droplet evaporation rates in dilute sprays with unprecedented accuracy appears to be feasible.