Solid organ transplantation following allogeneic haematopoietic cell transplantation: experience from a referral organ transplantation center and systematic review of literature
Solid organ transplantation (SOT) following haematopoietic cell transplantation (HCT) is a rare event. Uncertainty exists whether such recipients are at higher risk of relapse of underlying haematological disease or at increased risk of developing infectious or immunological complications and malign...
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| Veröffentlicht in: | Bone marrow transplantation (Basingstoke) 2019-02, Vol.54 (2), p.190-203 |
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| creator | Brockmann, Jens G. Broering, Dieter C. Raza, Syed M. Rasheed, Walid Hashmi, Shahrukh K. Chaudhri, Naeem Nizami, Imran Y. Alburaiki, Jehad A. H. Shagrani, Mohamed A. Ali, Tariq Aljurf, Mahmoud |
| description | Solid organ transplantation (SOT) following haematopoietic cell transplantation (HCT) is a rare event. Uncertainty exists whether such recipients are at higher risk of relapse of underlying haematological disease or at increased risk of developing infectious or immunological complications and malignancies following SOT. The experience at our referral organ transplantation center and the present literature of SOT (
n
= 198) in recipients following previous HCT was systematically reviewed. Outcome analysis of 206 SOT recipients following HCT challenges the validity of the frequently stated comparable outcome with recipients without prior HCT. SOT recipients after HCT are younger and have a higher mortality and morbidity in comparison with “standard” recipients. Rejection rates for SOT recipients following HCT appear to be lower for all organs, except for liver transplantation. In the setting of liver transplantation following HCT, mortality for recipients of deceased donor grafts appears to be exceptionally high, although experience with grafts of living donors are favourable. Morbidity was mostly associated with infectious and malignant complications. Of note some SOT recipients who received solid organ donation from the same HCT donor were able to achieve successful withdrawal of immune suppression. Despite limited follow-up, recipients with prior HCT show a different course after SOT, necessitating attention and closer follow-up. |
| doi_str_mv | 10.1038/s41409-018-0255-9 |
| format | Article |
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n
= 198) in recipients following previous HCT was systematically reviewed. Outcome analysis of 206 SOT recipients following HCT challenges the validity of the frequently stated comparable outcome with recipients without prior HCT. SOT recipients after HCT are younger and have a higher mortality and morbidity in comparison with “standard” recipients. Rejection rates for SOT recipients following HCT appear to be lower for all organs, except for liver transplantation. In the setting of liver transplantation following HCT, mortality for recipients of deceased donor grafts appears to be exceptionally high, although experience with grafts of living donors are favourable. Morbidity was mostly associated with infectious and malignant complications. Of note some SOT recipients who received solid organ donation from the same HCT donor were able to achieve successful withdrawal of immune suppression. Despite limited follow-up, recipients with prior HCT show a different course after SOT, necessitating attention and closer follow-up.</description><identifier>ISSN: 0268-3369</identifier><identifier>EISSN: 1476-5365</identifier><identifier>DOI: 10.1038/s41409-018-0255-9</identifier><identifier>PMID: 30082851</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adolescent ; Adult ; Blood & organ donations ; Bone marrow ; Cell Biology ; Child ; Child, Preschool ; Complications ; Female ; Graft rejection ; Grafts ; Health risks ; Hematology ; Hematopoietic Stem Cell Transplantation - methods ; Humans ; Immunology ; Infant ; Infectious diseases ; Internal Medicine ; Kidney Transplantation ; Literature reviews ; Liver ; Liver Transplantation ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Morbidity ; Mortality ; Organ Transplantation - mortality ; Organs ; Public Health ; Referral and Consultation ; Reoperation - mortality ; Review ; Review Article ; Stem cell transplantation ; Stem Cells ; Tissue Donors ; Transplantation ; Transplantation, Homologous ; Treatment Outcome ; Xenotransplantation ; Young Adult</subject><ispartof>Bone marrow transplantation (Basingstoke), 2019-02, Vol.54 (2), p.190-203</ispartof><rights>Macmillan Publishers Limited, part of Springer Nature 2018</rights><rights>Copyright Nature Publishing Group Feb 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-7074e9a9c90d66d300063de4b92401a7728586137d3d2eee6775a8e12ca9f8f03</citedby><cites>FETCH-LOGICAL-c470t-7074e9a9c90d66d300063de4b92401a7728586137d3d2eee6775a8e12ca9f8f03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41409-018-0255-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41409-018-0255-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30082851$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brockmann, Jens G.</creatorcontrib><creatorcontrib>Broering, Dieter C.</creatorcontrib><creatorcontrib>Raza, Syed M.</creatorcontrib><creatorcontrib>Rasheed, Walid</creatorcontrib><creatorcontrib>Hashmi, Shahrukh K.</creatorcontrib><creatorcontrib>Chaudhri, Naeem</creatorcontrib><creatorcontrib>Nizami, Imran Y.</creatorcontrib><creatorcontrib>Alburaiki, Jehad A. H.</creatorcontrib><creatorcontrib>Shagrani, Mohamed A.</creatorcontrib><creatorcontrib>Ali, Tariq</creatorcontrib><creatorcontrib>Aljurf, Mahmoud</creatorcontrib><title>Solid organ transplantation following allogeneic haematopoietic cell transplantation: experience from a referral organ transplantation center and systematic review of literature</title><title>Bone marrow transplantation (Basingstoke)</title><addtitle>Bone Marrow Transplant</addtitle><addtitle>Bone Marrow Transplant</addtitle><description>Solid organ transplantation (SOT) following haematopoietic cell transplantation (HCT) is a rare event. Uncertainty exists whether such recipients are at higher risk of relapse of underlying haematological disease or at increased risk of developing infectious or immunological complications and malignancies following SOT. The experience at our referral organ transplantation center and the present literature of SOT (
n
= 198) in recipients following previous HCT was systematically reviewed. Outcome analysis of 206 SOT recipients following HCT challenges the validity of the frequently stated comparable outcome with recipients without prior HCT. SOT recipients after HCT are younger and have a higher mortality and morbidity in comparison with “standard” recipients. Rejection rates for SOT recipients following HCT appear to be lower for all organs, except for liver transplantation. In the setting of liver transplantation following HCT, mortality for recipients of deceased donor grafts appears to be exceptionally high, although experience with grafts of living donors are favourable. Morbidity was mostly associated with infectious and malignant complications. Of note some SOT recipients who received solid organ donation from the same HCT donor were able to achieve successful withdrawal of immune suppression. Despite limited follow-up, recipients with prior HCT show a different course after SOT, necessitating attention and closer follow-up.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Blood & organ donations</subject><subject>Bone marrow</subject><subject>Cell Biology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Complications</subject><subject>Female</subject><subject>Graft rejection</subject><subject>Grafts</subject><subject>Health risks</subject><subject>Hematology</subject><subject>Hematopoietic Stem Cell Transplantation - methods</subject><subject>Humans</subject><subject>Immunology</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Internal Medicine</subject><subject>Kidney Transplantation</subject><subject>Literature reviews</subject><subject>Liver</subject><subject>Liver Transplantation</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Organ Transplantation - mortality</subject><subject>Organs</subject><subject>Public Health</subject><subject>Referral and Consultation</subject><subject>Reoperation - mortality</subject><subject>Review</subject><subject>Review Article</subject><subject>Stem cell transplantation</subject><subject>Stem Cells</subject><subject>Tissue Donors</subject><subject>Transplantation</subject><subject>Transplantation, Homologous</subject><subject>Treatment Outcome</subject><subject>Xenotransplantation</subject><subject>Young Adult</subject><issn>0268-3369</issn><issn>1476-5365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kstu1jAQhS0Eoj-FB2CDLLFhk-JbfGGBVFVAkSqxANaWm0xSV4kdbKelj8Ub4ugvBSp1ZVtz_M2c0UHoJSVHlHD9NgsqiGkI1Q1hbduYR2hHhZJNy2X7GO0Ik7rhXJoD9CznS0KoEKR9ig44IZrplu7Qr69x8j2OaXQBl-RCXiYXiis-BjzEaYrXPozY1csIAXyHLxzMrsQleij12cE03f_4DsPPBZKH0AEeUpyxwwkGSMlND7TqIBRI2IUe55tcthYVnuDKwzWOA558LbuyJniOngxuyvDi9jxE3z9--HZy2px9-fT55Pis6YQipVFECTDOdIb0UvbVMZG8B3FumCDUKVX9a0m56nnPAEAq1ToNlHXODHog_BC933OX9XyGfhuwjm-X5GeXbmx03v5fCf7CjvHKKmIYlawC3twCUvyxQi529nlblwsQ12wZ0cJQzpWp0tf3pJdxTaHas4wqWYlS6aqie1WXYs51oXfDUGK3QNh9IGwNhN0CYTfyq39d3P34k4AqYHtBrqUwQvrb-mHqbzsMxx0</recordid><startdate>20190201</startdate><enddate>20190201</enddate><creator>Brockmann, Jens G.</creator><creator>Broering, Dieter C.</creator><creator>Raza, Syed M.</creator><creator>Rasheed, Walid</creator><creator>Hashmi, Shahrukh K.</creator><creator>Chaudhri, Naeem</creator><creator>Nizami, Imran Y.</creator><creator>Alburaiki, Jehad A. 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H.</au><au>Shagrani, Mohamed A.</au><au>Ali, Tariq</au><au>Aljurf, Mahmoud</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Solid organ transplantation following allogeneic haematopoietic cell transplantation: experience from a referral organ transplantation center and systematic review of literature</atitle><jtitle>Bone marrow transplantation (Basingstoke)</jtitle><stitle>Bone Marrow Transplant</stitle><addtitle>Bone Marrow Transplant</addtitle><date>2019-02-01</date><risdate>2019</risdate><volume>54</volume><issue>2</issue><spage>190</spage><epage>203</epage><pages>190-203</pages><issn>0268-3369</issn><eissn>1476-5365</eissn><abstract>Solid organ transplantation (SOT) following haematopoietic cell transplantation (HCT) is a rare event. Uncertainty exists whether such recipients are at higher risk of relapse of underlying haematological disease or at increased risk of developing infectious or immunological complications and malignancies following SOT. The experience at our referral organ transplantation center and the present literature of SOT (
n
= 198) in recipients following previous HCT was systematically reviewed. Outcome analysis of 206 SOT recipients following HCT challenges the validity of the frequently stated comparable outcome with recipients without prior HCT. SOT recipients after HCT are younger and have a higher mortality and morbidity in comparison with “standard” recipients. Rejection rates for SOT recipients following HCT appear to be lower for all organs, except for liver transplantation. In the setting of liver transplantation following HCT, mortality for recipients of deceased donor grafts appears to be exceptionally high, although experience with grafts of living donors are favourable. Morbidity was mostly associated with infectious and malignant complications. Of note some SOT recipients who received solid organ donation from the same HCT donor were able to achieve successful withdrawal of immune suppression. Despite limited follow-up, recipients with prior HCT show a different course after SOT, necessitating attention and closer follow-up.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>30082851</pmid><doi>10.1038/s41409-018-0255-9</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adolescent Adult Blood & organ donations Bone marrow Cell Biology Child Child, Preschool Complications Female Graft rejection Grafts Health risks Hematology Hematopoietic Stem Cell Transplantation - methods Humans Immunology Infant Infectious diseases Internal Medicine Kidney Transplantation Literature reviews Liver Liver Transplantation Male Medicine Medicine & Public Health Middle Aged Morbidity Mortality Organ Transplantation - mortality Organs Public Health Referral and Consultation Reoperation - mortality Review Review Article Stem cell transplantation Stem Cells Tissue Donors Transplantation Transplantation, Homologous Treatment Outcome Xenotransplantation Young Adult |
| title | Solid organ transplantation following allogeneic haematopoietic cell transplantation: experience from a referral organ transplantation center and systematic review of literature |
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