Liver transplantation using hepatitis B core antibody-positive grafts: review and university of Tokyo experience.

Abstract

Hepatitis B surface antigen-negative and hepatitis B core antibody-positive grafts were considered unsuitable for transplantation. The number of potential recipients for liver transplantation now exceeds that of potential donor organs, which has led us to reevaluate the feasibility of these grafts. Several strategies involving prophylactic administration of hepatitis B immunoglobulin and/or lamivudine to transplant recipients have been proposed. At the University of Tokyo, we have continued to use hepatitis B immunoglobulin monoprophylaxis with zero recurrence. In this article we report our experience with the use of hepatitis B surface antigen-negative/hepatitis B core antibody-positive grafts with hepatitis B immunoglobulin monotherapy. We conducted a review of the literature regarding the feasibility of these grafts to reconfirm optimal prophylactic strategies for preventing de novo hepatitis B virus infection in transplant recipients.

• Authors: Nobuyuki Takemura, Yasuhiko Sugawara, Sumihito Tamura, Masatoshi Makuuchi
• Journal: Digestive diseases and sciences (Dig Dis Sci) Vol. 52 Issue 10 Pg. 2472-7 (Oct 2007) ISSN: 0163-2116 [Print] United States
• PMID: 17805972 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Review)

Chemical References

• Hepatitis B Antibodies
• Hepatitis B Surface Antigens
• Immunoglobulins
• Reverse Transcriptase Inhibitors
• Lamivudine
• hepatitis B hyperimmune globulin

Topics

• Disease Transmission, Infectious (prevention & control)
• Hepatitis B (immunology, transmission, virology)
• Hepatitis B Antibodies (immunology)
• Hepatitis B Surface Antigens (immunology)
• Hepatitis B virus (immunology)
• Humans
• Immunization, Passive (methods)
• Immunoglobulins (therapeutic use)
• Japan
• Lamivudine (therapeutic use)
• Liver Transplantation (methods)
• Reverse Transcriptase Inhibitors (therapeutic use)
• Risk Factors
• Tissue Donors
• Universities