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Children's Hospital Los Angeles researchers uncover social and economic factors that influence acute liver failure in children—and ways to overcome them

A CHLA research team found that socio-economic factors like family support, employment status, patient age, race, and language spoken can impact clinical outcomes. Children with limited social support systems and working caregivers have worse outcomes.

SourceChildren's Hospital Los Angeles·JournalPediatric Transplantation·TypeObservational study·DateFeb 13, 2024

Revolutionary genomic study sheds light on immune microenvironment in transplanted pediatric hearts

A team of researchers from Texas Heart Institute and Baylor College of Medicine have made a significant discovery about the underlying molecular cell states within transplanted pediatric hearts. They found that donor-derived tissue-resident macrophages are crucial for graft acceptance, but their loss leads to allograft failure.

SourceTexas Heart Institute·JournalCirculation·TypeExperimental study·DateFeb 12, 2024

Research shows association between metabolic dysfunction-associated steatohepatitis and mortality in some solid organ transplant recipients

A study published in Transplantation Proceedings found an association between metabolic dysfunction-associated steatohepatitis (MASH) and increased mortality in solid organ transplant recipients. Patients with MASH had a higher risk of death compared to those without, highlighting the importance of early identification.

SourceUniversity of Minnesota Medical School·JournalTransplantation Proceedings·TypeData/statistical analysis·DateJan 16, 2024

Unlocking the secrets of disease-causing fungus Aspergillus fumigatus

A ground-breaking study published in Nature Communications sheds light on the intricate mechanisms underlying the virulence of Aspergillus fumigatus, specifically focusing on the crucial role of mycotoxin gliotoxin production. The research team identified pivotal roles played by GliT oxidoreductase and GtmA methyltransferase in the sel...

SourceMaynooth University·JournalNature Communications·TypeExperimental study·DateJan 4, 2024

Long-standing hormone treatment for donated hearts found to be ineffective

A clinical trial by researchers at Washington University School of Medicine found routine thyroid hormone intervention to be ineffective in preserving heart function and increasing organ availability for transplantation. The practice may even cause harm, prompting the authors to recommend halting its use.

SourceWashU Medicine·JournalNew England Journal of Medicine·TypeRandomized controlled/clinical trial·DateNov 29, 2023

Transplant researchers develop vaccine in preclinical models to regulate immune responses to prevent kidney and heart transplant rejection

A team of researchers developed a vaccine that stimulates regulatory T cells to suppress harmful immune cells, prolonging allograft survival in mice. This discovery identifies an analogous pathway in humans, suggesting potential treatment for autoimmune disorders and organ transplant patients.

SourceBrigham and Women's Hospital·JournalJournal of Clinical Investigation·TypeExperimental study·DateNov 15, 2023

Children’s Hospital Los Angeles researchers develop clinical tool to predict if a child in acute liver failure will need a transplant

Researchers at Children's Hospital Los Angeles have developed a novel app called the CHALF score to predict if a child with acute liver failure needs a transplant. The tool assesses liver failure risk on a scale of 5-60 and has been shown to accurately predict patient outcomes.

SourceChildren's Hospital Los Angeles·JournalTransplantation·TypeComputational simulation/modeling·DateOct 24, 2023

Clinical trial finds live vaccinations safe for liver, kidney transplant recipients

A new study published in JAMA Network Open found live vaccinations safe and effective for children who have received liver or kidney transplants, offering protection against life-threatening conditions. The study showed high antibody levels and minimal adverse events following vaccination.

SourceCincinnati Children's Hospital Medical Center·JournalJAMA Network Open·TypeRandomized controlled/clinical trial·DateOct 16, 2023

Trial results indicate potential for organ transplantation without long-term immunosuppression

A new clinical trial has shown that infusing immune cells from living donors into recipients before transplantation may reduce the need for lifelong immunosuppressant medication. The treatment involves infusing donor-derived regulatory dendritic cells, which help the recipient's immune system distinguish between foreign and self-cells.

SourceUniversity of Pittsburgh·JournalScience Translational Medicine·TypeRandomized controlled/clinical trial·DateOct 11, 2023

UCLA research suggests that heart transplantation is safer for adults with single-ventricle CHD than previously thought

Researchers analyzed data from 2005-2020 and found that 10-year conditional survival was similar between biventricular and most single-ventricle CHD patients. Biventricular CHD patients also showed better 10-year survival compared to non-CHD heart transplant recipients.

SourceUniversity of California - Los Angeles Health Sciences·JournalJournal of the American College of Cardiology·TypeData/statistical analysis·DateSep 11, 2023

Heart transplant patients from socioeconomically distressed communities face higher mortality, organ failure risk

Research reveals that heart transplant recipients from economically disadvantaged areas are at a greater risk of graft failure and mortality, with a 10% increased relative risk compared to those from non-distressed communities. The disparity in outcomes has widened since the implementation of the 2018 UNOS Heart Allocation policy.

SourceUniversity of California - Los Angeles Health Sciences·JournalAnnals of Surgery·TypeData/statistical analysis·DateAug 31, 2023

Transplant recipients experience limited protection with primary COVID-19 vaccination series, but third dose boosts response

A third COVID-19 vaccination dose significantly improved antibody responses in transplant recipients, offering better protection against variants. However, cross-protection was only partial, highlighting the need for multiple vaccine doses to maintain immunity in this vulnerable population.

SourceMassachusetts General Hospital·JournalOpen Forum Infectious Diseases·TypeExperimental study·DateAug 10, 2023

Study sheds light on cellular interactions that lead to liver transplant survival

Researchers identify key protein interactions that control the body's immune response during liver transplantation, leading to improved transplant survival rates. The study found that a specific communication pathway between CEACAM1 and TIM-3 proteins plays a crucial role in controlling the immune response.

SourceUniversity of California - Los Angeles Health Sciences·JournalGastroenterology·TypeExperimental study·DateJul 19, 2023

In historic procedure, donor liver protects heart transplant

In a groundbreaking procedure, Adriana Rodriguez received a dual-organ transplant, with her healthy liver transplanted into another patient to mitigate rejection risk. This innovative approach, known as HALT-D, demonstrates the potential for immunoprotection and has implications for highly sensitized patients requiring multiple organs.

SourceUniversity of Washington School of Medicine/UW Medicine·JournalThe Journal of Heart and Lung Transplantation·TypeCase study·DateJul 13, 2023

Lessons learned from first genetically-modified pig heart into human patient

Researchers analyzed data from the first genetically-modified pig heart transplant into a human patient and found that several overlapping factors contributed to heart failure, including poor pre-transplant health, immunocompromised state, and use of intravenous immunoglobulin. The study provides crucial insight into how these factors ...

SourceUniversity of Maryland School of Medicine·JournalThe Lancet·TypeCase study·DateJun 29, 2023

Research reveals novel insights into transplant rejection and new drug development targets

Researchers have identified specific cellular signatures for kidney transplant rejection, which could lead to the development of more effective anti-rejection therapies. The study's findings suggest that treatments often do not thoroughly eliminate T cells responsible for rejection, and new drug targets may be able to address this issue.

SourceCincinnati Children's Hospital Medical Center·JournalJournal of Clinical Investigation·TypeExperimental study·DateJun 28, 2023

Race-neutral testing could have given access to life-saving lung transplants for more black patients

A study published in Annals of the American Thoracic Society found that race-neutral lung function interpretation could lead to more equitable access to lung transplants for Black patients. The researchers analyzed data from over 8,900 patients and discovered that a race-specific approach resulted in lower Lung Allocation Scores (LAS) ...

SourceAmerican Thoracic Society·JournalAnnals of the American Thoracic Society·TypeData/statistical analysis·DateJun 23, 2023

Creating artificially engineered organs could become quicker and easier

Researchers have developed a new manufacturing pipeline to simplify and advance high-value manufacturing of tissue-compatible organs, reducing costs and increasing efficiency. This breakthrough aims to address the dire need for artificially engineered organs and tissue grafts, potentially saving thousands of lives in the UK.

SourceUniversity of Huddersfield·JournalAdvanced Healthcare Materials·TypeImaging analysis·DateJun 12, 2023

Researchers overcome stem cell delivery barrier, paving the way for regenerative medicine

Scientists have developed a new method to deliver genetic information to stem cells using nanoparticles coated with a specific polymer, enabling more efficient control over cellular differentiation. This innovation has the potential to improve the efficiency and effectiveness of regenerative medicine treatments.

SourceXi'an Jiaotong-Liverpool University·JournalNano Letters·TypeExperimental study·DateMay 8, 2023

In US system of allocating livers for transplanting, geographic inequity persists despite recent policy changes

A new study suggests that the US liver allocation policy remains biased towards certain regions, with a customized approach to equalize supply-to-demand ratios being recommended. The researchers developed a model that accurately predicts the change in a patient's organ-offer acceptance probability due to changes in policy.

SourceCarnegie Mellon University·JournalManufacturing and Service Operations Management·DateMay 1, 2023

Maintaining heart function in donors declared ‘dead by circulatory criteria’ could improve access to heart transplantation

Researchers found that restoring function to donor hearts through taNRP can significantly increase the donor pool, leading to more transplantations. The study showed comparable survival rates between DCD and DBD heart transplants, with 97% of patients surviving for over 30 days.

SourceUniversity of Cambridge·JournalEClinicalMedicine·TypeObservational study·DateMar 15, 2023

Study finds underperforming organ procurement organizations contribute to nationwide shortage

A recent study published in JAMA Surgery found that underperforming organ procurement organizations significantly impact the nation's organ supply. The research analyzed data from 13 hospitals and identified large gaps between potential and actual donors, highlighting the need for improved oversight and performance standards.

SourceVanderbilt University Medical Center·JournalJAMA Surgery·DateFeb 8, 2023

Donor hearts can be reprogrammed with medication for longer storage, improved transplant outcomes

A new study found that a medication previously used to treat seizures can reprogram donor hearts to boost the production of beneficial enzymes, increasing storage time and improving post-transplant function. This technology could lead to a paradigm shift in extending heart storage and reducing primary graft dysfunction.

SourceMichigan Medicine - University of Michigan·JournalScience Translational Medicine·TypeExperimental study·DateFeb 8, 2023

Disparities in kidney transplant access can be reduced through a multilevel quality improvement effort

A study found that standardizing evaluation processes and expanding telehealth use can significantly improve access to kidney transplants for African Americans. The interventions also led to increased organ acceptance rates, but post-transplant survival outcomes were not statistically significant.

SourceAmerican College of Surgeons·JournalJournal of the American College of Surgeons·DateJan 26, 2023

Organ donations, transplants increase on days of largest motorcycle rallies

A study by Harvard Medical School researchers found that organ donations and transplants increase by 21% during the week of large motorcycle rallies, with 26% more transplant recipients per day. The surge in donations does not alleviate the critical shortage of donor organs, highlighting the need for improved safety protocols.

SourceHarvard Medical School·JournalJAMA Internal Medicine·TypeObservational study·DateNov 28, 2022