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SHR Neuro Cancer Cardio Lipid Metab Microb

Dahle, DO; Mjen, G; Oqvist, B; Scharnagl, H; Weihrauch, G; Grammer, T; März, W; Abedini, S; Norby, GE; Holme, I; Fellström, B; Jardine, A; Holdaas, H.
Inflammation-associated graft loss in renal transplant recipients.
Nephrol Dial Transplant. 2011; 26(11):3756-3761 Doi: 10.1093/ndt/gfr163 [OPEN ACCESS]
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Co-authors Med Uni Graz
März Winfried
Scharnagl Hubert
Weihrauch Gisela
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Abstract:
Background. Although short-term graft survival has improved substantially in renal transplant recipients, long-term graft survival has not improved over the last decades. The lack of knowledge of specific causes and risk factors has hampered improvements in long-term allograft survival. There is an uncertainty if inflammation is associated with late graft loss. Methods. We examined, in a large prospective trial, the inflammation markers high-sensitivity C-reactive protein (hsCRP) and interleukin-6 (IL-6) and their association with chronic graft dysfunction. We collected data from the Assessment of Lescol in Renal Transplant trial, which recruited 2102 maintenance renal transplant recipients. Results. Baseline values were hsCRP 3.8 +/- 6.7 mg/L and IL-6 2.9 +/- 1.9 pg/mL. Adjusted for traditional risk factors, hsCRP and IL-6 were independently associated with death-censored graft loss, the composite end points graft loss or death and doubling of serum creatinine, graft loss or death. Conclusion. The inflammation markers hsCRP and IL-6 are associated with long-term graft outcomes in renal transplant recipients.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Anticholesteremic Agents - therapeutic use
C-Reactive Protein - metabolism
Creatinine - blood
Double-Blind Method -
Fatty Acids, Monounsaturated - therapeutic use
Female -
Follow-Up Studies -
Glomerular Filtration Rate -
Graft Rejection - blood Graft Rejection - etiology Graft Rejection - mortality
Humans -
Indoles - therapeutic use
Inflammation - blood Inflammation - etiology Inflammation - mortality
Interleukin-6 - blood
Kidney Diseases - complications Kidney Diseases - drug therapy Kidney Diseases - surgery
Kidney Function Tests -
Kidney Transplantation - adverse effects
Male -
Middle Aged -
Postoperative Complications -
Prognosis -
Prospective Studies -
Survival Rate -
Transplantation, Homologous -

Find related publications in this database (Keywords)
ALERT
high-sensitivity CRP
inflammation
interleukin-6
renal allograft survival
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