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Published ahead of print on July 14, 2005, doi:10.1164/rccm.200501-098WS

Am. J. Respir. Crit. Care Med., Volume 172, Number 8, October 2005, 944-955

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Submitted on January 21, 2005
Accepted on July 14, 2005

Workshop on Lung Transplantation: Opportunities for Research and Clinical Advancement

David S Wilkes1, Thomas M Egan2, and Herbert Y Reynolds3*

1 Department of Medicine, Indiana University, School of Medicine, Indiannapolis, IN, USA, 2 Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, N.C., USA, 3 Division of Lung Diseases, National Heart, Lung and Blood Institute, Bethesda, MD, United States

* To whom correspondence should be addressed. E-mail: reynoldh{at}nhlbi.nih.gov.

Lung transplantation is the only definitive therapy for many forms of endstage lung diseases. However, the success of lung transplantation is limited by many factors: 1) Too few lungs available for transplantation due to limited donors or injury to the donor lung; 2) current methods of preservation of excised lungs do not allow extended periods of time between procurement and implantation; 3) acute graft failure is more common with lungs than other solid organs, thus, contributing to poorer short-term survival following lung transplant compared with that for recipients of other organs; 4) lung transplant recipients are particularly vulnerable to pulmonary infections; and 5) chronic allograft dysfunction, manifest by bronchiolitis obliterans syndrome, is frequent and limits long-term survival. Scientific advances may provide significant improvements in the outcome of lung transplantation. The National Heart, Lung, and Blood Institute convened a Working Group of investigators on June 14 -15, 2004, in Bethesda, Maryland to identify opportunities for scientific advancement in lung transplantation, including basic and clinical research. This workshop provides a framework to identify critical issues related to clinical lung transplantation, and to delineate important areas for productive scientific investigation.


Key words: lung transplantation, ischemia-reperfusion injury, allograph dysfunction, obliterative bronchiolitis, infection, rejection




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