PMID- 18528474 OWN - NLM STAT- MEDLINE DCOM- 20090402 LR - 20240412 IS - 0065-7778 (Print) IS - 0065-7778 (Linking) VI - 117 DP - 2006 TI - Desensitization therapy with intravenous gammaglobulin (IVIG): applications in solid organ transplantation. PG - 199-211; discussion 211 AB - Intravenous immunoglobulin products (IVIG) 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 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 inflammatory diseases such as 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 rates of transplantation for highly human leukocyte antigen (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 and in concert with new diagnostic techniques has resulted in new approaches to management of AMR. FAU - Jordan, Stanley C AU - Jordan SC AD - Comprehensive Transplant Center, Cedars-Sinai Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA 90048, USA. FAU - Vo, Ashley AU - Vo A FAU - Tyan, Dolly AU - Tyan D FAU - Toyota, Mieko AU - Toyota M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Trans Am Clin Climatol Assoc JT - Transactions of the American Clinical and Climatological Association JID - 7507559 RN - 0 (Antibodies, Viral) RN - 0 (HLA Antigens) RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Antibodies, Viral/therapeutic use MH - Clinical Trials as Topic MH - Cytomegalovirus/immunology MH - Desensitization, Immunologic/*methods MH - Graft Rejection/immunology/therapy MH - HLA Antigens MH - Humans MH - Immunoglobulins, Intravenous/*therapeutic use MH - Kidney Transplantation/immunology MH - Plasmapheresis MH - *Transplantation Immunology PMC - PMC1500934 EDAT- 2008/06/06 09:00 MHDA- 2009/04/03 09:00 PMCR- 2006/01/01 CRDT- 2008/06/06 09:00 PHST- 2008/06/06 09:00 [pubmed] PHST- 2009/04/03 09:00 [medline] PHST- 2008/06/06 09:00 [entrez] PHST- 2006/01/01 00:00 [pmc-release] PST - ppublish SO - Trans Am Clin Climatol Assoc. 2006;117:199-211; discussion 211.