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2024, 12 (3): 271-275. DOI: 10.3969/j.issn.2095-5332.2024.03.019
Abstract68)      PDF (919KB)(109)      
2025, 13 (2): 97-102. DOI: 10.3969/j.issn.2095-5332.2025.02.001
Abstract113)      PDF (940KB)(85)      

Clinical application of metagenomic second-generation sequencing technology in the diagnosis and treatmentof pulmonary infections after kidney transplantation 

Li Jiazhi, Ou Shengsong, Qin Chaoyu, Wei Xiaojiao, Pang Feixiong, Ran Guo, Yang Jianrong, Lai Yanhua.
2024, 12 (3): 204-208. DOI: 10.3969/j.issn.2095-5332.2024.03.003
Abstract91)      PDF (793KB)(64)      

ObjectiveTo Explore the clinical value of metagenomic second-generation sequencing technology (mNGS) in the diagnosis and treatment of pulmonary infections after kidney transplantation, and to provide reference for precise diagnosis and treatment of diseases. MethodsThe clinical data of 124 kidneytransplant recipients with pulmonary infections were completed from the Department of Transplantation of the People's Hospital of Guangxi Zhuang Autonomous Region from January 1,2020 to December 15,2023. According to the pathogen detection method of mNGS, the patients were divided into sequencing group (60 cases) and traditional group (64 cases). The pathogen detection rate, antibiotic use intensity, hospitalization time, hospitalization cost, non-invasive respiratory support rate, disease grade, severe illness rate, mortality rate, and other indicators were retrospectively analyzed between traditional group and sequencing group. ResultsThere was no statistically significant difference in gender, age,postoperative onset time, underlying disease, admission status of pulmonary infection (SMART-COP score), pre-treatment creatinine, tacrolimus concentration, and methylprednisolone regimen between the two groups of patients (P>0.05). The detection of pathogens and mixed pulmonary infections in the sequencing group was significantly higher than that in the traditional group (P < 0.05). However, there was no statistically significant difference in the results of traditional detection methods between the two groups (P>0.05). There was statistically significant difference in the bronchoalveolar lavage fluid pathogens, mixed lung infections, pneumocystis jejun between the mNGS and culture + smear methods (P<0.05). One adverse reaction occurred in the sequencing group, with no complications related to bronchoscopy, and two adverse reactions occurred in the traditional group. In the sequencing group, the intensity of antibiotic use, mortality,peak pulmonary infection progression, discharge creatinine, length of hospital stay, and hospitalization costs were significantly lower than those of the traditional group (P < 0.05), and the non-invasive respiratory support for patients and critically ill patients were similar to the traditional group (P>0.05). ConclusionmNGS can provide precise directions for the diagnosis and treatment of kidney transplant recipients with pulmonary infections, it improves patient clinical prognosis, and is worthy of clinical promotion. 

2025, 13 (2): 103-108. DOI: 10.3969/j.issn.2095-5332.2025.02.002
Abstract92)      PDF (915KB)(58)      
2025, 13 (1): 1-6. DOI: 10.3969/j.issn.2095-5332.2025.01.001
Abstract59)      PDF (1006KB)(58)      
2024, 12 (6): 481-484. DOI: 10.3969/j.issn.2095-5332.2024.06.001
Abstract64)      PDF (982KB)(45)      
2024, 12 (5): 388-389. DOI: 10.3969/j.issn.2095-5332.2024.05.002
Abstract56)      PDF (910KB)(45)      

Establish model and summarize the experience of abdominal heterotopic heart transplantation in mice

Luo Zilong, Hao Yanglin, Zhang Xi, Wu Jie, Xia Chengkun, Zhao Yang, Xia Jiahong.
2025, 13 (2): 109-113. DOI: 10.3969/j.issn.2095-5332.2025.02.003
Abstract133)      PDF (1914KB)(44)      

Objective Establish model of abdominal heterotopic heart transplantation in mice and summarize the experience to provide animal model support for further study of organ transplantation immunology. Methods Inbred BALB/c(n = 30)and C57BL/6(n = 30)mice were selected as donors,and inbred BALB/c(n = 60)mice were used as recipients. The ascending aorta of the donor was anastomosed to the abdominal aorta of the recipient,and the pulmonary artery of the donor was anastomosed to the inferior vena cava of the recipient respectively to establish the heterotopic heart transplantation model. The survival time and the rejection of grafts were observed postoperatively. Results The successful rate of transplantation was 85%(51/60). The donoroperation time was(7.0±1.0)min,and the recipient operation time was(60±10)min. The vascular anastomosis time was(25±3.0)min. After the transplantation,no immunosuppressive agent was used,and the survival time of the graft was(7.6±0.9)d. The graft on the fifth day,the seventh day showed typical rejection by histopathology. Conclusion Skilled microsurgical techniques and timely management of surgical complications are key to the successful establishment of abdominal heterotopic heart transplantation in mice. 

2024, 12 (5): 385-387. DOI: 10.3969/j.issn.2095-5332.2024.05.001
Abstract59)      PDF (931KB)(42)      
2025, 13 (1): 34-. DOI: 10.3969/j.issn.2095-5332.2025.01.007
Abstract61)      PDF (650KB)(41)      
2024, 12 (5): 470-476. DOI: 10.3969/j.issn.2095-5332.2024.05.020
Abstract46)      PDF (734KB)(41)      
2024, 12 (3): 281-284. DOI: 10.3969/j.issn.2095-5332.2024.03.020
Abstract77)      PDF (709KB)(39)      
2024, 12 (3): 198-203. DOI: 10.3969/j.issn.2095-5332.2024.03.002
Abstract61)      PDF (1081KB)(37)      
2024, 12 (3): 250-. DOI: 10.3969/j.issn.2095-5332.2024.03.012
Abstract63)      PDF (623KB)(37)      
2024, 12 (3): 193-197. DOI: 10.3969/j.issn.2095-5332.2024.03.001
Abstract84)      PDF (973KB)(34)      
2025, 13 (1): 60-66. DOI: 10.3969/j.issn.2095-5332.2025.01.015
Abstract114)      PDF (847KB)(32)      

Development and evaluation of a nomogram for early persistent post-renal transplantation anemia risk in kidney transplant recipients 

Zhan Zihua, Wang Yuchen, Deng Wenfeng, Xia Renfei, Zeng Wenli, Hui Jialiang, Xu Jian, Miao Yun.
2025, 13 (2): 114-121. DOI: 10.3969/j.issn.2095-5332.2025.02.004
Abstract87)      PDF (1263KB)(31)      

Objective Post-renal transplantation anemia(PTA)occurs frequently in kidney transplant recipients,significantly impacting their quality of life and graft loss. Currently,effective methods to predictthe risk of persistent PTA early post-transplantation are lacking. This study aimed to develop a nomogram prediction model for early persistent PTA specifically tailored to kidney transplant recipients. Methods Using the electronic medical record system of Southern Hospital of Southern Medical University,patient data from January 1,2020 to December 31,2022 were obtained,and 245 subjects were ultimately selected as the research subjects. Among these,85% were randomly selected as the training set for model development,and the remaining 15% constituted the testing set. Using the Least Absolute Shrinkage and Selection Operator(Lasso)regression model,variables potentially affecting early persistent PTA were screened to identify predictive factors.A logistic regression analysis was employed to establish the prediction model. Model performance was assessed using Receiver operating characteristic(ROC)curves,area under the curve(AUC),Calibration plots,and decision Curve Analysis(DCA). Results Identified predictive factors after screening included recipient's preoperative body mass index,preoperative serum albumin level,preoperative hemoglobin level,preoperative mean corpuscular volume,perioperative use of angiotensin-converting enzyme inhibitors or angiotensin receptor blockers,exogenous iron supplementation,and exogenous erythropoietin supplementation. The model demonstrated good discriminativeability with an AUC of 0.87 for the training set and 0.75 for the testing set,indicating robust predictive performance. Calibration and DCA further confirmed the accuracy and clinical utility of the model. Conclusion This nomogram prediction model utilizes early recipient information,including demographic characteristics,laboratory data,and medication regimens,to accurately predict individualized risk of early persistent PTA in kidney transplant recipients. This provides a basis for early clinical intervention,potentially improving patient prognosis and quality of life. 

2024, 12 (5): 477-480. DOI: 10.3969/j.issn.2095-5332.2024.05.021
Abstract49)      PDF (712KB)(31)      
2024, 12 (3): 251-254. DOI: 10.3969/j.issn.2095-5332.2024.03.013
Abstract78)      PDF (1160KB)(31)      
2024, 12 (3): 266-270. DOI: 10.3969/j.issn.2095-5332.2024.03.017
Abstract65)      PDF (1054KB)(31)