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Study on the Effect of Kidney Transplantation on the Health of the Patients’ Offspring: A Report on 252 Chinese Children

  • Translational Biomedical Research
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Abstract

Even though the incidence of pregnancies in the female recipients is lower and also chronic renal disease in male patients is associated with impaired spermatogenesis, the health of the children born to these patients was not studied. In this report, we discuss information on the growth and development of offspring of 248 male and female kidney recipient patients. Physical and routine clinical measurements of the 252 offspring (129 male and 123 female) born to these transplantation patients were made along with the intelligence tests. In some of these children chest X-ray and immune indices were assessed. Among the recipients, 219 males fathered 223 children with an average birth weight of 3,255 ± 374 g and 29 female recipients gave birth to 29 children with an average birth weight of 2,923 ± 551. While most of these children were normal, we noticed a case of soft double toe, a case of short tongue tie, five cases of marginal mental retardation, three cases of proteinuria, six cases of microscopic hematuria, 15 cases of low hemoglobin, and 21 cases with recurrent respiratory tract infections. We conclude that kidney transplantation has no significant impact on the growth, development, health, and intelligence of the offspring born to recipients.

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Abbreviations

Aza:

Azathioprine

CsA:

Cyclosporine A

Pred:

Prednisone

FK506:

Tacrolimus

MMF:

Mycophenolate mofetil

References

  1. Josephson, M. A., & McKay, D. B. (2011). Pregnancy and kidney transplantation. Seminars in Nephrology, 31, 100–110.

    Article  PubMed  Google Scholar 

  2. Catov, J. M., Newman, A. B., Roberts, J. M., Sutton-Tyrrell, K. C., Kelsey, S. F., et al. (2007). Association between infant birth weight and maternal cardiovascular risk factors in the health, aging, and body composition study. Annals of Epidemiology, 17, 36–43.

    Article  PubMed  Google Scholar 

  3. Levidiotis, V., Chang, S., & McDonald, S. (2009). Pregnancy and maternal outcomes among kidney transplant recipients. Journal of the American Society of Nephrology, 20, 2433–2440.

    Article  PubMed  Google Scholar 

  4. Xu, L., Han, S., Liu, Y., Wang, H., Yang, Y., et al. (2009). The influence of immunosuppressants on the fertility of males who undergo renal transplantation and on the immune function of their offspring. Transplant Immunology, 22, 28–31.

    Article  CAS  PubMed  Google Scholar 

  5. Hu, Y., & Jiang, Z. (2002). Practical pediatrics. Beijing: People’s Medical Publishing House.

    Google Scholar 

  6. Ye, Y. X., Wang, Y., & Shen, Z. (2006). National clinical laboratory procedures Nanjing. Nanjing: Southeast University Press.

    Google Scholar 

  7. Liu, X., & Chen, R. (2006). Children’s health science Jiangsu. Zhenjiang: Jiangsu Science and Technology Press.

    Google Scholar 

  8. Armenti, V.T., Radomski, J,S,, Moritz, M.J., Gaughan, W.J., Hecker, W.P., et al. (2004). Report from the National Transplantation Pregnancy Registry (NTPR): Outcomes of pregnancy after transplantation. Clin Transpl, 103–114.

  9. Bar Oz, B., Hackman, R., Einarson, T., & Koren, G. (2001). Pregnancy outcome after cyclosporine therapy during pregnancy: A meta-analysis. Transplantation, 71, 1051–1055.

    Article  CAS  PubMed  Google Scholar 

  10. Ostensen, M. (2004). Disease specific problems related to drug therapy in pregnancy. Lupus, 13, 746–750.

    Article  CAS  PubMed  Google Scholar 

  11. Sgro, M. D., Barozzino, T., Mirghani, H. M., Sermer, M., Moscato, L., et al. (2002). Pregnancy outcome post renal transplantation. Teratology, 65, 5–9.

    Article  CAS  PubMed  Google Scholar 

  12. Cruz Lemini, M. C., Ibarguengoitia Ochoa, F., & Villanueva Gonzalez, M. A. (2007). Perinatal outcome following renal transplantation. International Journal of Gynaecology and Obstetrics, 96, 76–79.

    Article  CAS  PubMed  Google Scholar 

  13. Petri, M. (2003). Immunosuppressive drug use in pregnancy. Autoimmunity, 36, 51–56.

    Article  CAS  PubMed  Google Scholar 

  14. McKay, D. B., Josephson, M. A., Armenti, V. T., August, P., Coscia, L. A., et al. (2005). Reproduction and transplantation: Report on the AST Consensus Conference On Reproductive Issues and Transplantation. American Journal of Transplantation, 5, 1592–1599.

    Article  PubMed  Google Scholar 

  15. Scott, J. R., Branch, D. W., & Holman, J. (2002). Autoimmune and pregnancy complications in the daughter of a kidney transplant patient. Transplantation, 73, 815–816.

    Article  PubMed  Google Scholar 

  16. Ji, C. (2008). Anemia in Chinese primary and middle school students. Chinese School Health, 29, 111–113.

    Google Scholar 

Download references

Acknowledgments

We acknowledge the support from Scientific and technological research projects in Zhejiang Province (2010C33084) Medical and health research projects in Zhejiang Province (2009A182) Hangzhou Science and Technology Research Fund (20090833B22).

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Correspondence to Longgen Xu or Youhua Zhu.

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Longgen Xu and Peng Han are co-first authors.

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Xu, L., Han, P., Liu, Y. et al. Study on the Effect of Kidney Transplantation on the Health of the Patients’ Offspring: A Report on 252 Chinese Children. Cell Biochem Biophys 68, 173–179 (2014). https://doi.org/10.1007/s12013-013-9685-6

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  • DOI: https://doi.org/10.1007/s12013-013-9685-6

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