{"created":"2024-10-31T04:00:44.484346+00:00","id":2020588,"links":{},"metadata":{"_buckets":{"deposit":"b9a58299-24ef-41e9-aa0e-c739041f63e2"},"_deposit":{"created_by":7,"id":"2020588","owners":[7],"pid":{"revision_id":0,"type":"depid","value":"2020588"},"status":"published"},"_oai":{"id":"oai:ocu-omu.repo.nii.ac.jp:02020588","sets":["1623632832836:1721355153493"]},"author_link":[],"item_1617186331708":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"ABO血液型不適合腎移植の現状","subitem_title_language":"ja"},{"subitem_title":"ABO ケツエキガタ フテキゴウ ジン イショク ノ ゲンジョウ","subitem_title_language":"ja-Kana"}]},"item_1617186385884":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Current Status of ABO-incompatible Kidney Transplantation","subitem_alternative_title_language":"en"}]},"item_1617186419668":{"attribute_name":"作成者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNames":[{"affiliationName":"大阪市立大学","affiliationNameLang":"ja"},{"affiliationName":"Osaka City University","affiliationNameLang":"en"}]}],"creatorNames":[{"creatorName":"内田, 潤次","creatorNameLang":"ja"},{"creatorName":"ウチダ, ジュンジ","creatorNameLang":"ja-Kana"},{"creatorName":"Uchida, Junji","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1000040343412","nameIdentifierScheme":"KAKEN2","nameIdentifierURI":"https://nrid.nii.ac.jp/nrid/1000040343412"},{"nameIdentifier":"0000-0002-0113-8058","nameIdentifierScheme":"ORCID","nameIdentifierURI":"https://orcid.org/0000-0002-0113-8058"}]}]},"item_1617186499011":{"attribute_name":"権利情報","attribute_value_mlt":[{"subitem_rights":"© 大阪市医学会","subitem_rights_language":"ja"}]},"item_1617186609386":{"attribute_name":"主題","attribute_value_mlt":[{"subitem_subject":"ABO血液型不適合","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"腎移植","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"腎代替療法","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_1617186626617":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"腎移植は透析療法と比較して生命予後改善効果, QOLが高いため, 最適な腎代替療法である. 我が国では献腎移植が極めて少ないため, 生体腎移植の適合拡大として1989年よりABO血液型不適合腎移植が実施されている. ABO血液型不適合腎移植は抗血液型抗体による抗体関連拒絶反応のため, 早期の移植腎機能喪失のリスクが高いと考えられ, 従来禁忌と考えられてきた. 近年, アフェレーシスによる抗血液型抗体除去, リツキシマブ投与による抗血液型抗体産生抑制で構成される脱感作療法が発達した結果, ABO血液型不適合腎移植の成績は良好になった. 現在, ABO血液型不適合腎移植は増加傾向にあり, 我が国における生体腎移植の30%を占めるようになった. ABO血液型不適合腎移植は許容可能な根治的な腎代替療法になったと言える. 本総説ではABO血液型不適合腎移植の脱感作療法, 腎移植成績, 合併症および問題点を詳述する. ","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Kidney transplantation is the optimal renal replacement therapy for patients with end-stage kidney disease because of greater longevity and better quality of life compared with dialysis therapy. Owing to severe shortage of deceased donor kidney transplantation, ABO-incompatible kidney transplantation has been performed since 1989 in Japan. It is considered to be an immunological high-risk procedure due to antibody mediated rejection and early graft loss attribute to anti-A/B antibodies, and was once believed to be a contraindication....","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_1617186643794":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"大阪市医学会","subitem_publisher_language":"ja"}]},"item_1617186920753":{"attribute_name":"収録物識別子","attribute_value_mlt":[{"subitem_source_identifier":"0386-4103","subitem_source_identifier_type":"ISSN"}]},"item_1617187056579":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-12-25","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"28","bibliographicPageStart":"23","bibliographicVolumeNumber":"69","bibliographic_titles":[{"bibliographic_title":"大阪市医学会雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"The Journal of Osaka City Medical Association","bibliographic_titleLang":"en"}]}]},"item_1617258105262":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_1617265215918":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_1617353299429":{"attribute_name":"関連情報","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"AN00028754","subitem_relation_type_select":"NCID"}}]},"item_1722232185104":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-01-29"}],"displaytype":"detail","filename":"03864103-69-23.pdf","filesize":[{"value":"2.6 MB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"本文","objectType":"fulltext","url":"https://ocu-omu.repo.nii.ac.jp/record/2020588/files/03864103-69-23.pdf"},"version_id":"492459c8-fe95-44c8-83bd-dec5ee95f70b"}]},"item_1722577087681":{"attribute_name":"記事種別等","attribute_value_mlt":[{"subitem_description":"総説","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_1725590125188":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_title":"ABO血液型不適合腎移植の現状","item_type_id":"40002","owner":"7","path":["1721355153493"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2021-01-29"},"publish_date":"2021-01-29","publish_status":"0","recid":"2020588","relation_version_is_last":true,"title":["ABO血液型不適合腎移植の現状"],"weko_creator_id":"7","weko_shared_id":-1},"updated":"2024-10-31T04:00:53.779726+00:00"}