i-IFTA and chronic active T cell-mediated rejection: A tale of 2 (DeKAF) cohorts
AMERICAN JOURNAL OF TRANSPLANTATION
Authors: Helgeson, Erika S.; Mannon, Roslyn; Grande, Joseph; Gaston, Robert S.; Cecka, Michael J.; Kasiske, Bertram L.; Rush, David; Gourishankar, Sita; Cosio, Fernando; Hunsicker, Lawrence; Connett, John; Matas, Arthur J.
Abstract
Inflammation in areas of fibrosis (i-IFTA) in posttransplant biopsies is part of the diagnostic criteria for chronic active TCMR (CA TCMR -- i-IFTA >= 2, ti >= 2, t >= 2). We evaluated i-IFTA and CA TCMR in the DeKAF indication biopsy cohorts: prospective (n = 585, mean time to biopsy = 1.7 years); cross-sectional (n = 458, mean time to biopsy = 7.8 years). Grouped by i-IFTA scores, the 3-year postbiopsy DC-GS is similar across cohorts. Although a previous acute rejection episode (AR) was more common in those with i-IFTA on biopsy, the majority of those with i-IFTA had not had previous AR. There was no association between type of previous AR (AMR, TCMR) and presence of i-IFTA. In both cohorts, i-IFTA was associated with markers of both cellular (increased Banff i, t, ti) and humoral (increased g, ptc, C4d, DSA) activity. Biopsies with i-IFTA = 1 and i-IFTA >= 2 with concurrent t >= 2 and ti >= 2 had similar DC-GS. These results suggest that (a) i-IFTA >= 1 should be considered a threshold for diagnoses incorporating i-IFTA, ti, and t; (b) given that i-IFTA >= 2,t >= 2, ti >= 2 can occur in the absence of preceding TCMR and that the component histologic scores (i-IFTA,t,ti) each indicate an acute change (albeit i-IFTA on the nonspecific background of IFTA), the diagnostic category "CA TCMR" should be reconsidered.
Acidic ionic liquid grafted PPF membrane reactor and its catalytic esterification kinetics
CHEMICAL ENGINEERING JOURNAL
Authors: Zhang, Jun; Zhao, Xin; Wang, Wen-Zhi; Zhao, Zhi-Ping
Abstract
Electrospun polypropylene fibrous (PPF) membrane was selected as a substrate to graft ionic liquids (ILs) and avoid tedious ILs separation and recovery. A catalytic membrane, BILs-g-PPF, was prepared by long-distance and dynamic low-temperature Ar plasma flow activation and subsequent grafting with dual -SO3H imidazole Bronsted acidic ILs (BILs), [(CH2)(3)SO(3)HVIm]HSO4. A novel multistage membrane series reactor was first developed by employing the BILs-g-PPF membrane to catalyze esterification of acetic acid with ethyl alcohol. The BILs, which supplied strong active H+ and benefited to overcome the chemical equilibrium due to its high hydrophilic groups, was chosen as a catalyst. The three-dimensional porous network architecture of PPF membrane provided a high specific surface area to graft considerable BILs and enhanced mass transfer in membrane. The optimization of reaction conditions was studied and the results were as followed: BILs grafting degree of 213.5 mol/m(3), reaction temperature 70 degrees C, molar ratio of acid to alcohol 1:5, membrane flux of 21.36 L/(m(2).h). In single-stage catalytic membrane system, the acid conversion achieved 66.24% in 8 h. The multistage membrane series reactor can improve the reaction conversion efficiency. For the used membrane which lost some anions, its catalytic properties could be largely restored by soaking activation using a dilute sulfuric acid aqueous solution with a mass concentration of 10%. The proposed reaction kinetic models which related the feed volume and membrane structure parameters predict the esterification process well at different conditions.