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Related Concept Videos

Hepatitis01:25

Hepatitis

46
Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver.
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A Competent Hepatocyte Model Examining Hepatitis B Virus Entry through Sodium Taurocholate Cotransporting Polypeptide as a Therapeutic Target
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Donors With Hepatitis B Surface Antigen Positivity.

H Asuman Yavuz1, S Tekin2, Y Yuksel3

  • 1Department of Nephrology and Renal Transplantation, Atakent Education and Research Hospital, Acıbadem University, İstanbul, Turkey.

Transplantation Proceedings
|June 22, 2015
PubMed
Summary

Hepatitis B surface antigen-positive donors can safely provide kidneys for transplantation. This study found no significant differences in patient or graft outcomes compared to HBsAg-negative donors, supporting their use in living kidney donation.

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Area of Science:

  • Nephrology
  • Hepatology
  • Transplantation Immunology

Background:

  • Controversy exists regarding the use of hepatitis B surface antigen (HBsAg)-positive donors for renal transplantation.
  • Previous reports suggest feasibility under specific protocols.

Purpose of the Study:

  • To compare clinical and biochemical parameters of kidney recipients from HBsAg-positive donors versus HBsAg-negative donors.
  • To evaluate the safety and efficacy of using HBsAg-positive donors in living-related renal transplantation.

Main Methods:

  • Retrospective analysis of 2168 living-related renal transplantations.
  • Comparison between 111 HBsAg-positive donors (group 1) and 2057 HBsAg-negative donors (group 2).
  • Strict protocol for group 1: recipient hepatitis B antibody titer >10 mIU/mL and donor hepatitis B virus DNA negative.

Main Results:

  • Similar 1-, 2-, and 4-year serum creatinine, glomerular filtration rates, and liver function tests between groups.
  • No new hepatitis B virus infections observed during the study.
  • Comparable rates of acute rejection, graft loss, and patient loss between group 1 and group 2.

Conclusions:

  • Hepatitis B surface antigen positivity is not an absolute contraindication for living kidney donation.
  • Living-related renal transplantation from HBsAg-positive donors can achieve outcomes similar to HBsAg-negative donors when specific protocols are followed.