Case Report: Capillary Leak Syndrome With Kidney Transplant Failure Following Autologous Mesenchymal Stem Cell Therapy

Mesenchymal stem cells (MSCs) have attracted great interest in the field of kidney transplantation due to their immunomodulatory and reparative properties. In registered clinical trials, MSCs have been used before, at the time of, or early after transplantation and have been reported to be well-tole...

Full description

Bibliographic Details
Main Authors: Željka Večerić-Haler, Nika Kojc, Matjaž Sever, Samo Zver, Urban Švajger, Primož Poženel, Katrina Hartman, Tereza Urdih, Gregor Mlinšek, Manca Oblak, Andreja Aleš Rigler, Alojz Ihan, Jadranka Buturović Ponikvar, Philip P. Halloran, Miha Arnol
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-07-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2021.708744/full
_version_ 1819145421167001600
author Željka Večerić-Haler
Željka Večerić-Haler
Nika Kojc
Matjaž Sever
Matjaž Sever
Samo Zver
Samo Zver
Urban Švajger
Primož Poženel
Katrina Hartman
Tereza Urdih
Gregor Mlinšek
Gregor Mlinšek
Manca Oblak
Andreja Aleš Rigler
Alojz Ihan
Jadranka Buturović Ponikvar
Jadranka Buturović Ponikvar
Philip P. Halloran
Miha Arnol
Miha Arnol
author_facet Željka Večerić-Haler
Željka Večerić-Haler
Nika Kojc
Matjaž Sever
Matjaž Sever
Samo Zver
Samo Zver
Urban Švajger
Primož Poženel
Katrina Hartman
Tereza Urdih
Gregor Mlinšek
Gregor Mlinšek
Manca Oblak
Andreja Aleš Rigler
Alojz Ihan
Jadranka Buturović Ponikvar
Jadranka Buturović Ponikvar
Philip P. Halloran
Miha Arnol
Miha Arnol
author_sort Željka Večerić-Haler
collection DOAJ
description Mesenchymal stem cells (MSCs) have attracted great interest in the field of kidney transplantation due to their immunomodulatory and reparative properties. In registered clinical trials, MSCs have been used before, at the time of, or early after transplantation and have been reported to be well-tolerated with no serious safety concerns. No results are available on the use of MSCs in the late post-transplant period. Here, we present a case report of a severe systemic complication mimicking capillary leak syndrome with ultimate kidney transplant failure after autologous transplantation of MSCs used as rescue treatment of late antibody-mediated kidney allograft rejection.
first_indexed 2024-12-22T12:57:45Z
format Article
id doaj.art-a6adb45b32564318ba1507aca3e608c6
institution Directory Open Access Journal
issn 2296-858X
language English
last_indexed 2024-12-22T12:57:45Z
publishDate 2021-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj.art-a6adb45b32564318ba1507aca3e608c62022-12-21T18:25:05ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-07-01810.3389/fmed.2021.708744708744Case Report: Capillary Leak Syndrome With Kidney Transplant Failure Following Autologous Mesenchymal Stem Cell TherapyŽeljka Večerić-Haler0Željka Večerić-Haler1Nika Kojc2Matjaž Sever3Matjaž Sever4Samo Zver5Samo Zver6Urban Švajger7Primož Poženel8Katrina Hartman9Tereza Urdih10Gregor Mlinšek11Gregor Mlinšek12Manca Oblak13Andreja Aleš Rigler14Alojz Ihan15Jadranka Buturović Ponikvar16Jadranka Buturović Ponikvar17Philip P. Halloran18Miha Arnol19Miha Arnol20Department of Nephrology, University Medical Centre Ljubljana, Ljubljana, SloveniaFaculty of Medicine, University of Ljubljana, Ljubljana, SloveniaInstitute of Pathology, Faculty of Medicine, University of Ljubljana, Ljubljana, SloveniaFaculty of Medicine, University of Ljubljana, Ljubljana, SloveniaDepartment of Haematology, University Medical Centre Ljubljana, Ljubljana, SloveniaFaculty of Medicine, University of Ljubljana, Ljubljana, SloveniaDepartment of Haematology, University Medical Centre Ljubljana, Ljubljana, SloveniaDivision for Cells and Tissue, Blood Transfusion Centre of Slovenia, Ljubljana, SloveniaDivision for Cells and Tissue, Blood Transfusion Centre of Slovenia, Ljubljana, SloveniaDivision for Cells and Tissue, Blood Transfusion Centre of Slovenia, Ljubljana, SloveniaDepartment of Haematology, University Medical Centre Ljubljana, Ljubljana, SloveniaDepartment of Nephrology, University Medical Centre Ljubljana, Ljubljana, SloveniaFaculty of Medicine, University of Ljubljana, Ljubljana, SloveniaDepartment of Nephrology, University Medical Centre Ljubljana, Ljubljana, SloveniaDepartment of Nephrology, University Medical Centre Ljubljana, Ljubljana, SloveniaInstitute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Ljubljana, SloveniaDepartment of Nephrology, University Medical Centre Ljubljana, Ljubljana, SloveniaFaculty of Medicine, University of Ljubljana, Ljubljana, SloveniaDivision of Nephrology and Transplant Immunology, University of Alberta, Alberta Transplant Applied Genomics Centre, Edmonton, AB, CanadaDepartment of Nephrology, University Medical Centre Ljubljana, Ljubljana, SloveniaFaculty of Medicine, University of Ljubljana, Ljubljana, SloveniaMesenchymal stem cells (MSCs) have attracted great interest in the field of kidney transplantation due to their immunomodulatory and reparative properties. In registered clinical trials, MSCs have been used before, at the time of, or early after transplantation and have been reported to be well-tolerated with no serious safety concerns. No results are available on the use of MSCs in the late post-transplant period. Here, we present a case report of a severe systemic complication mimicking capillary leak syndrome with ultimate kidney transplant failure after autologous transplantation of MSCs used as rescue treatment of late antibody-mediated kidney allograft rejection.https://www.frontiersin.org/articles/10.3389/fmed.2021.708744/fullmesenchymal stem cellkidney graftkidney transplantkidney graft failureautologous stem cellstem cell transplant
spellingShingle Željka Večerić-Haler
Željka Večerić-Haler
Nika Kojc
Matjaž Sever
Matjaž Sever
Samo Zver
Samo Zver
Urban Švajger
Primož Poženel
Katrina Hartman
Tereza Urdih
Gregor Mlinšek
Gregor Mlinšek
Manca Oblak
Andreja Aleš Rigler
Alojz Ihan
Jadranka Buturović Ponikvar
Jadranka Buturović Ponikvar
Philip P. Halloran
Miha Arnol
Miha Arnol
Case Report: Capillary Leak Syndrome With Kidney Transplant Failure Following Autologous Mesenchymal Stem Cell Therapy
Frontiers in Medicine
mesenchymal stem cell
kidney graft
kidney transplant
kidney graft failure
autologous stem cell
stem cell transplant
title Case Report: Capillary Leak Syndrome With Kidney Transplant Failure Following Autologous Mesenchymal Stem Cell Therapy
title_full Case Report: Capillary Leak Syndrome With Kidney Transplant Failure Following Autologous Mesenchymal Stem Cell Therapy
title_fullStr Case Report: Capillary Leak Syndrome With Kidney Transplant Failure Following Autologous Mesenchymal Stem Cell Therapy
title_full_unstemmed Case Report: Capillary Leak Syndrome With Kidney Transplant Failure Following Autologous Mesenchymal Stem Cell Therapy
title_short Case Report: Capillary Leak Syndrome With Kidney Transplant Failure Following Autologous Mesenchymal Stem Cell Therapy
title_sort case report capillary leak syndrome with kidney transplant failure following autologous mesenchymal stem cell therapy
topic mesenchymal stem cell
kidney graft
kidney transplant
kidney graft failure
autologous stem cell
stem cell transplant
url https://www.frontiersin.org/articles/10.3389/fmed.2021.708744/full
work_keys_str_mv AT zeljkavecerichaler casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT zeljkavecerichaler casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT nikakojc casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT matjazsever casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT matjazsever casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT samozver casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT samozver casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT urbansvajger casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT primozpozenel casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT katrinahartman casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT terezaurdih casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT gregormlinsek casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT gregormlinsek casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT mancaoblak casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT andrejaalesrigler casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT alojzihan casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT jadrankabuturovicponikvar casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT jadrankabuturovicponikvar casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT philipphalloran casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT mihaarnol casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy
AT mihaarnol casereportcapillaryleaksyndromewithkidneytransplantfailurefollowingautologousmesenchymalstemcelltherapy