Organ Rejection Risk After Lung Transplant Doubles Due to Road Traffic Pollution Exposure

by Tanya Thomas on  March 27, 2011 at 12:45 PM Organ Donation News
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Belgian researchers have found that lung transplant patients have double the risk of organ rejection and death within five years of the procedure if they live near a main road.

The researchers tracked the health of 281 patients who had undergone a lung transplant or retransplant at the same hospital between 1997 and 2008 until 2009.

They took into account how far these patients lived from a main road and therefore a source of airborne road traffic pollution to see if this had any impact on their survival rates, as pollutants are known to trigger inflammation.

Around half of all patients who undergo a lung transplant develop a serious inflammatory condition called bronchiolitis obliterans syndrome within five years of having the procedure, say the authors.

The syndrome, which is caused by an overactive immune system, is the clinical equivalent of organ rejection and is considerably more common in lung transplant recipients than it is in other solid organ transplant patients - possibly because of the lung's direct contact with the environment, they add.

During the monitoring period, 117 patients (41 percent) developed the syndrome, one in five of whom (61) died.

Gender, age, or type of transplantation (single or double) had no bearing on the risk of death, the findings showed. But a clear pattern emerged for proximity to a main road.

Those who lived within a 171 metre radius of a main road were twice as likely to develop the syndrome and more than twice as likely to die as their peers who lived further away from this source of pollution.

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