PMID- 16468954 OWN - NLM STAT- MEDLINE DCOM- 20060606 LR - 20230124 IS - 1600-6135 (Print) IS - 1600-6135 (Linking) VI - 6 IP - 3 DP - 2006 Mar TI - Intravenous gammaglobulin (IVIG): a novel approach to improve transplant rates and outcomes in highly HLA-sensitized patients. PG - 459-66 AB - Intravenous immunoglobulin (IVIG) products are derived from pooled human plasma and have been used for the treatment of primary immunodeficiency disorders for more than 24 years. Shortly after their introduction, IVIG products were also found to be effective in the treatment of autoimmune and inflammatory disorders. Over the past 2 decades, the list of diseases where IVIG has a demonstrable beneficial effect has grown rapidly. These include Kawasaki disease, Guillain-Barre syndrome, myasthenia gravis, dermatomyositis and demyelinating polyneuropathy. Recently, we have described a beneficial effect on the reduction of anti-HLA antibodies with subsequent improvement in transplantation of highly HLA-sensitized patients as well as a potent anti-inflammatory effect that is beneficial in the treatment of antibody-mediated rejection (AMR). These advancements have enabled transplantation of patients previously considered untransplantable. These studies and relevant mechanism(s) of action will be discussed here. FAU - Jordan, S C AU - Jordan SC AD - Comprehensive Transplant Center, Cedars-Sinai Medical Center, UCLA School of Medicine, University of California-Los Angeles, Los Angeles, CA, USA. sjordan@cshs.org FAU - Vo, A A AU - Vo AA FAU - Peng, A AU - Peng A FAU - Toyoda, M AU - Toyoda M FAU - Tyan, D AU - Tyan D LA - eng PT - Journal Article PT - Review PL - United States TA - Am J Transplant JT - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JID - 100968638 RN - 0 (HLA Antigens) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (gamma-Globulins) SB - IM CIN - Am J Transplant. 2006 Jun;6(6):1497. PMID: 16686780 MH - Graft Rejection/*drug therapy/immunology MH - Graft Survival/*drug effects MH - HLA Antigens/*immunology MH - Humans MH - Immunoglobulins, Intravenous/*administration & dosage/therapeutic use MH - *Kidney Transplantation MH - Treatment Outcome MH - gamma-Globulins/*administration & dosage/therapeutic use RF - 35 EDAT- 2006/02/14 09:00 MHDA- 2006/06/07 09:00 CRDT- 2006/02/14 09:00 PHST- 2006/02/14 09:00 [pubmed] PHST- 2006/06/07 09:00 [medline] PHST- 2006/02/14 09:00 [entrez] AID - S1600-6135(22)02606-5 [pii] AID - 10.1111/j.1600-6143.2005.01214.x [doi] PST - ppublish SO - Am J Transplant. 2006 Mar;6(3):459-66. doi: 10.1111/j.1600-6143.2005.01214.x.