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Mache, CJ; Schwinger, W; Spendel, S; Zach, O; Regauer, S; Ring, E.
Skin transplantation to monitor clinical donor-related tolerance in mixed hematopoietic chimerism.
PEDIATR TRANSPLANT. 2006; 10(1): 128-131. Doi: 10.1111/j.1399-3046.2005.00412.x (- Case Report)
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Führende Autor*innen der Med Uni Graz
Mache Christoph
Co-Autor*innen der Med Uni Graz
Regauer Sigrid
Ring Ekkehard
Schwinger Wolfgang
Spendel Stephan
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Abstract:
Mixed hematopoietic chimerism usually carries with it the tolerance to any other tissue from the same donor. Consequently, the establishment of a sustained chimerism may allow long-term acceptance of transplanted organs without immunosuppression. We report a girl with refractory severe aplastic anemia who developed low recipient level hematopoietic chimerism following transplantation of maternal highly purified CD34+ cells without prophylactic immunosuppression. Renal thrombotic microangiopathy led to chronic renal failure and she received skin allografts from her mother in view of a future kidney donation. The maternal skin grafts were accepted without immunosuppression and the hematopoietic chimerism remained stable. Skin transplantation may be a helpful and easily applicable tool to monitor donor-related tolerance in hematopoietic chimerism clinically. It should contribute to minimize the risks of subsequent solid organ transplantation from the same donor without immunosuppression.
Find related publications in this database (using NLM MeSH Indexing)
Anemia, Aplastic - surgery
Child - surgery
Chimerism - surgery
Female - surgery
Follow-Up Studies - surgery
Graft Rejection - diagnosis
Hematopoietic Stem Cell Transplantation - adverse effects
Humans - adverse effects
Kidney Failure, Chronic - etiology
Kidney Transplantation - etiology
Monitoring, Physiologic - methods
Skin Transplantation - methods

Find related publications in this database (Keywords)
hematopoietic chimerism
skin transplantation
immunologic tolerance
graft acceptance
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