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Lookup NU author(s): Dr Yi Ng, Professor Grainne Gorman, Professor Bobby McFarlandORCiD
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Solid organ transplants are rarely performed in both adult and pediatric patients with primary mitochondrial disease. Poor outcomes have been described in case reports and small case series. It is unclear whether the underlying genetic disease has a significant impact on post-transplant morbidity and mortality. Data were obtained for 35 patients from 17 Mitochondrial Disease Centers across North America, the United Kingdom and Australia. Patient outcomes were noted after liver, kidney or heart transplantation. Excluding patients with POLG-related disease, post-transplant survival approached or met outcomes seen in non-mitochondrial disease transplant patients. The majority of mitochondrial disease patients did not have worsening of their mitochondrial disease within 90-days post-transplant. Post-transplant complications, including organ rejection, were not a common occurrence and were generally treatable. Many patients did not have a mitochondrial disease considered or diagnosed prior to transplantation. In conclusion, patients with mitochondrial disease in this cohort generally tolerated solid-organ transplantation. Such patients may not need to be excluded from transplant solely for their mitochondrial diagnosis; additional caution may be needed for patients with POLG-related disease. Transplant teams should be aware of mitochondrial disease as an etiology for organ-failure and consider appropriate consultation in patients without a known cause of their symptoms. (C) 2016 Elsevier Inc. All rights reserved.
Author(s): Parikh S, Karaa A, Goldstein A, Ng YS, Gorman G, Feigenbaum A, Christodoulou J, Haas R, Tarnopolsky M, Cohen BK, Dimmock D, Feyma T, Koenig MK, Mundy H, Niyazov D, Saneto RP, Wainwright MS, Wusthoff C, McFarland R, Scaglia F
Publication type: Article
Publication status: Published
Journal: Molecular Genetics and Metabolism
Year: 2016
Volume: 118
Issue: 3
Pages: 178-184
Print publication date: 01/07/2016
Online publication date: 20/04/2016
Acceptance date: 18/04/2016
ISSN (print): 1096-7192
ISSN (electronic): 1096-7206
Publisher: Academic Press
URL: http://dx.doi.org/10.1016/j.ymgme.2016.04.009
DOI: 10.1016/j.ymgme.2016.04.009
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