MSCs might get obvious effect in the early stage of renal injurie

MSCs might get obvious effect in the early stage of renal injuries after arterial delivery. Further,

this meta-analysis may provide important clues for animal experiments even for human clinical trials in MSC studies. “
“CD39 (NTPDase1), a critical immune and vascular ecto-nucleotidase, hydrolyses pro-inflammatory and pro-thrombotic nucleotides (adenosine-5′-triphosphate (ATP) and adenosine diphosphate) to adenosine. In humans, CD39 is the dominant ecto-nucleotidase in placental trophoblastic tissues and modulates ATP-dependent trophoblastic functions. CD39 is an integral component of regulatory T cells (Treg), which are central to immunological tolerance and maintenance of normal pregnancy. We examined the impact of CD39 overexpression in a mouse model of preeclampsia. Matings were performed between virginal BALB/c female (wild-type (WT) or CD39 transgenic (CD39TG)) and C57BL/6 male mice. On days Buparlisib 10 and 12 of pregnancy

BALB/c Th1-polarized cells were Dasatinib chemical structure injected. Systolic blood pressure (SBP) was measured throughout pregnancy. Mice were sacrificed at day 15 of pregnancy. Following transfer of Th1-polarized cells, SBP of pregnant WT mice increased (118 ± 3 mmHg to 142 ± 5 mmHg). Although ultrastructural changes were evident in the kidney this was not accompanied by significant proteinuria. SBP remained unchanged (115 ± 2 mmHg to 114 ± 3 mmHg) in pregnant CD39TG mice without evidence of renal lesions. We conclude that gestational hypertension can be induced in mice following transfer of maternally derived Th1-polarized cells and that overexpression of CD39 is protective in this model. “
“This paper summarises the updated guidelines for diagnostic tests, prophylaxis and treatment options for cytomegalovirus after transplantation. “
“Aim:  We designed

a cross-sectional Metalloexopeptidase study to investigate plasma vitamin C level in patients who underwent maintenance haemodialysis (MHD) and continuous ambulatory peritoneal dialysis (CAPD) to explore whether there is a difference in vitamin C deficiency between MHD patients and CAPD patients. Methods:  This investigation included 382 dialysis patients without vitamin C supplement before the study. Demographic characteristics, laboratory tests, ascorbic acid and total plasma vitamin C level were measured. A linear regression model was built to explore the association between vitamin C deficiency and dialysis modalities after adjusting for age, dialysis vintage, gender, Charlson index, modality of dialysis and hsCRP. Results:  The range of plasma vitamin C level was from 0.48 µg/mL to 31.16 µg/mL. 35.9% (n = 137) patients had severe vitamin C deficiency (<2 µg/mL). Plasma vitamin C level was inversely associated with age and dialysis vintage. After age and dialysis vintage were adjusted, vitamin C deficiency was associated with MHD.

7 ± 41 9, endocardial 130 2 ± 29 2); 70% baseline-flow (epicardia

7 ± 41.9, endocardial 130.2 ± 29.2); 70% baseline-flow (epicardial 160.4 ± 27.7, endocardial 112.1 ± 15.1); 30% baseline-flow (epicardial 44.3 ± 5.5, endocardial 32.9 ± 9); 20 minutes reperfusion (epicardial 175.8 ± 33.6, endocardial 126.5 ± 30); 120 minutes reperfusion (epicardial 146.3 ± 31.1, endocardial 107.1 ± 29.7); and complete LAD occlusion

(epicardial 10.5 ± 5.8 endocardial 1.4 ± 0.3) (r = 0.986–0.962, p < 0.001). Conclusions:  This new blood pressure waveform-triggered laser Doppler probe is able to measure RMBF at different depths online in the beating heart. "
“G-CSF and EPO have shown a notable capability in neovascularization. However, their use is limited because of untoward leucocytosis, erythrogenesis, selleckchem and short half-life in the plasma. Herein, we examined whether G-CSF and EPO released from fibrin gel injected into ischemic tissues would synergistically promote neovascularization with limited systematic effects in a rat hindlimb

ischemic model. In vivo study, group GSK-3 signaling pathway Gel received an intramuscular injection of fibrin gel; group Gel+G-CSF received fibrin gel containing human G-CSF; group Gel+EPO received fibrin gel containing human EPO; group Gel+G-CSF&EPO received fibrin gel containing G-CSF and EPO; group G-CSF&EPO received G-CSF and EPO. Through promoting the expression of SDF-1, local high concentration of EPO could traffic

CXCR4+ cells mobilized by G-CSF CYTH4 to enhance neovascularization in ischemic muscle. The treatment with Gel+G-CSF&EPO was superior to the other treatments on blood flow reperfusion, capillary density, and α smooth muscle actin-positive vessel density. And this treatment induced a modest WBC count increase in peripheral blood. G-CSF and EPO released from fibrin gel had a combined effect on postischemia neovascularization. This treatment may be a novel therapeutic modality for ischemic peripheral artery disease. “
“Please cite this paper as: Chakraborty, Nepiyushchikh, Davis, Zawieja and Muthuchamy (2011). Substance P Activates Both Contractile and Inflammatory Pathways in Lymphatics Through the Neurokinin Receptors NK1R and NK3R. Microcirculation18(1), 24–35. Objective:  The aim of this study was to elucidate the molecular signaling mechanisms by which substance P (SP) modulates lymphatic muscle contraction and to determine whether SP stimulates both contractile as well as inflammatory pathways in the lymphatics. Methods:  A rat mesenteric lymphatic muscle cell culture model (RMLMCs) and known specific pharmacological inhibitors were utilized to delineate SP-mediated signaling pathways in lymphatics. Results:  We detected expression of neurokinin receptor 1 (NK1R) and neurokinin receptor 3 (NK3R) in RMLMCs.

The HOME, representing parental stimulation provides an example o

The HOME, representing parental stimulation provides an example of a process factor, and SES, a more general measure, would be considered a status factor. Although

spontaneous and elicited play were both associated with process (HOME) and status (SES) factors, elicited play was more strongly associated with the process measure. When compared with spontaneous play, elicited play was more strongly related to three of the HOME subscales, parental responsivity, play materials, and parental involvement, suggesting that attention to providing age-appropriate play materials and responsiveness to the infant’s initiations Tyrosine Kinase Inhibitor Library and needs plays a particularly important role in the early development

of competence in symbolic play. It was also of interest that, in contrast to the direct measures of quality of intellectual stimulation provided by the HOME, other maternal characteristics, including nonverbal intellectual competence and life stress, had little apparent impact on the early development of symbolic play. Bradley et al. (1989) examined the relation between the environment and infant development in six North American cohorts using measures that included SES, ethnic group, maternal education, and the HOME. The mean HOME scores at 12 months of age ranged from 27.9 to 36.5, with a total sample mean of 32.5. The mean of 30.9 for the Detroit sample was only slightly lower than in Smoothened Agonist mw Methane monooxygenase the other U.S. cohorts, but the mean of 26.5 in our Cape Town sample was substantially lower. Thus, the infants in Cape Town appear to have been exposed to markedly less optimal parenting on average than that experienced in the economically disadvantaged U.S. samples, although there was a wide range of scores. Despite the difference,

the subtests of the HOME most closely related to infant development in the U.S. studies, parental responsivity, play materials, parental involvement, and variety were the same as those found to be conducive to elicited play development in Cape Town. These data are consistent with Richter and Grieve’s (1991) emphasis on the importance for cognitive development of the caregiver’s active structuring of the infant’s experience in the context of African poverty. Our previously reported Detroit finding that infant symbolic play is predictive of early school-age verbal IQ (Jacobson et al., 1996) suggests that this form of play is an important precursor of language development. In the Cape Town cohort, elicited play predicted better verbal working memory performance on the Digit Span task at 5 years and its relation to verbal IQ fell short of statistical significance. Moreover, children subsequently diagnosed with FAS/PFAS diagnosis performed significantly more poorly on elicited play than the abstainers/light drinkers.

Moreover, the presence of more than one locus homologous to disru

Moreover, the presence of more than one locus homologous to disruption constructs may also lead to additional ectopic integration, which may explain the occurrence of additional ectopic bands in five TmSSU1Δ mutants (data not shown). In conclusion, it is advantageous to use TMLIG4-defective cells in gene targeting experiments.

Further experiments to elucidate the NHEJ pathway in T. mentagrophytes are required. This research was partially supported by a Grant-In-Aid (19590457) from the ministry of Education, Science, Sports and Culture of Japan (KM). Table S1: Primers used in this study. “
“The scaffold protein caspase recruitment domain-containing protein 11 (CARD11) is implicated in the regulation of inflammation and autoimmunity. The present study aimed to explore the role of CARD11 in the pathogenesis of rheumatoid arthritis (RA). Mice with collagen-induced arthritis this website (CIA) were treated with either CARD11-targeted interfering RNA (CARD11

siRNA) or control siRNA by intraperitoneal injection Regorafenib chemical structure every 3 days after CIA establishment. The clinical score of arthritis was recorded every other day. Synovial inflammation and cartilage erosion were evaluated by histology and microcomputed tomography (micro-CT). Serum anti-type II collagen (anti-CII) antibodies and cytokines were measured by enzyme-linked immunosorbent assay (ELISA). The CARD11/Bcl10 formation 3-mercaptopyruvate sulfurtransferase and nuclear factor-kappa B (NF-κB) activation was assessed by immunoprecipitation and immunoblotting, and the percentage of T helper type 17 (Th17) cells was determined by flow cytometry. Systemic administration of CARD11 siRNA significantly reduced the clinical score of CIA severity. As indicated by the histology,

joint inflammation and destruction were attenuated by CARD11 siRNA treatment. Micro-CT demonstrated less severe joint destruction in CARD11 siRNA-treated mice than in control mice. CARD11 siRNA treatment resulted in inhibition of CARD11/Bcl10 formation and the subsequent NF-κB activation. In addition, treatment with CARD11 siRNA resulted in a pronounced decrease in proinflammatory cytokines interleukin (IL)-1β, IL-6 and IL-17. Serum anti-CII antibody and the percentage of Th17 cells were also significantly reduced. CARD11 is involved in the pathogenesis of CIA by formation of the CARD11/Bcl10 complex and enhancement of the Th17 cell response. Targeting CARD11 provides a novel research direction in the development of therapeutic strategies for RA. “
“To investigate the usefulness of serum cytokine levels in the diagnosis of active cystic echinococcosis, we evaluated the cytokine profile of patients with hepatic cystic echinococcosis in different cyst stages, CE 1-2 (active), CE3a-3b (transitional) and CE4-5 (inactive). Ex vivo assessment of Th1 (IL12, TNFα) and Th2 (IL4, IL10) cytokines in sera was carried out using ELISA.

Importantly, reconstitution of FcγRIIB−/− mice with FcγRIIB+ B ce

Importantly, reconstitution of FcγRIIB−/− mice with FcγRIIB+ B cells confers protection from disease, as does increasing the level of FcγRIIB expression through retroviral transduction 8. Together, these data suggest that B-cell expression of FcγRIIB is essential for the maintenance B-cell peripheral tolerance. selleck screening library Early studies demonstrated that immune complexes (IC), composed

of rabbit F(ab′)2 anti-IgM bound by mouse IgG, activated B cells significantly less well than F(ab′)2 anti-IgM alone 9. However, chromatin/DNA-associated IC, present in the sera of autoimmune mice, very effectively activate both IgG2a-reactive high-affinity 20.8.3 and low-affinity AM14 B cells 10, 11. AM14 B-cell activation required engagement of both the BCR and TLR9 12. TLR9 was originally described as a pattern recognition receptor specific for particular DNA sequences, LEE011 in vitro designated CpG motifs, frequently found in bacterial but not mammalian DNA 13. Nevertheless, the role of TLR9 in the detection of DNA-associated IC, as described above, clearly demonstrated that TLR9 also detects mammalian DNA. To better understand the nature of the endogenous TLR9 ligand, we have constructed dsDNA fragment IC that incorporate biotinylated DNA fragments bound by an IgG2a anti-biotin mAb. Stimulation of AM14 B cells with IC containing dsDNA fragments

corresponding CHIR-99021 datasheet to the CG-rich sequences derived from endogenous CpG islands

strongly activate AM14 B-cell proliferation, whereas IC containing dsDNA fragments representative of the overall mammalian genome do not 14. The availability of DNA fragments that can engage TLR9 to varying degrees provides a useful tool for examining the regulation of autoreactive B-cell activation. Like TLR9, TLR7 is also located in endosomal compartments; however, this receptor recognizes single-stranded RNA 15–17. In an analogous manner to the BCR/TLR9 paradigm, RNA IC promote AM14 B-cell responses through a mechanism that involves both the BCR and the TLR7 18. However, AM14 B-cell responses to RNA IC are generally more dependent on coactivation with type I IFN. We had previously shown that FcγRIIB deficiency did not affect the capacity of high-affinity IgG2a-specific B cells to respond to chromatin IC 11. At the time, we surmised that the cell surface expression of FcγRIIB precluded its capacity to regulate signaling cascades emanating from TLR7 and TLR9, which were predominantly found in endosomal compartments. The capacity of FcγRIIB has now been re-examined in the context of low-affinity IgG2a-reactive AM14 B cells activated by chromatin/DNA and RNA IC. We find that FcγRIIB can regulate AM14 IC responses to DNA IC only when the complexes contain CpG-poor DNA. FcγRIIB further modulates AM14 B-cell responses to RNA IC, both in the absence and in the presence of IFN-α.

This is consistent with the fact that while antisporozoite antibo

This is consistent with the fact that while antisporozoite antibodies develop in natural infections they MDV3100 molecular weight do not appear to be protective, especially in childhood

[4]. However, apart from the passive transfer experiments of Cohen and colleagues [2], causal relationships between particular immune responses and protection in humans are not clear. A better understanding can be obtained from experimental mouse and monkey models that can be precisely manipulated. Antibody-mediated protection was confirmed in murine malaria [5-7], although the degree of protection varied with the host–parasite combination. Importantly, passive transfer of hyperimmune serum, from mice that had recovered from self-limiting Plasmodium yoelii infections, controlled P. yoelii infection in naive recipients [8], but protection was T-cell-dependent [9]. Serum from mice

that had been protected against lethal infections by vaccination with killed parasite vaccines was also protective against the homologous parasite [10]. This protective effect of immune serum has been demonstrated in mice [11] and monkeys [12, 13], and also with serum from animals that had been immunized with purified blood-stage antigens [14-17]. The importance of T cells in protective immunity was demonstrated in T-cell-depleted animals and confirmed by the transfer of T cells from immune donors, of antigen-specific T-cell lines or clones to nonimmune recipients. From the mid-1990s, however, P450 inhibitor it became evident that the most important contribution made by T cells to antimalarial immunity was in the

production of the various cytokines, which act as regulators of humoral immunity, pathology [18-20], and delayed-type hypersensitivity T-cell responses [21]. Less was known about the part played by cell-mediated immunity in human malaria, although T cells taken from individuals with varying exposure, from 1 month to 15 years after infection, were reported to give a good proliferative response to Plasmodium falciparum lysates [22]. In the late 1990s and early 2000s, Demeclocycline small-scale longitudinal studies were performed of immune responses before, during, and after infection, and correlates of protective immunity were studied prospectively, in countries endemic for malaria where most individuals are exposed to P. falciparum infection every year. Approval for experimental human infections allowed further studies of the immune response, after infection with live sporozoites or immunization with irradiated sporozoites, or by means of drug-cured whole blood-stage parasites. By the late 1970s to the1980s, it was clear that both innate and adaptive immune responses, together with regulated cytokine production, are involved in the control of self-resolving malaria infections in mice.

Such continuous

activation should at least in part be med

Such continuous

activation should at least in part be mediated by TCR triggering, because TCR modulation with anti-γδ TCR mAb reduced the high basal [Ca2+]i levels in CD8α+ γδ iIEL. Administration of anti-γδ TCR was formerly used to ‘deplete’ γδ T cells in many experimental models for human disease. Several studies have reported profound effects of γδ TCR modulation in vivo thereby highlighting an important beneficial role for γδ iIEL in the protection of epithelial tissues under inflammatory conditions 3, 51–55. By investigating the effects of the commonly used clones GL3 and UC7-13D5 on γδ T cells in TcrdH2BeGFP reporter mice we had previously reported that there is no depletion but that binding of anti-γδ TCR mAb rendered the target cells ‘invisible’ for Ponatinib mw further detection based on anti-γδ TCR mAb 39. However, at that time it was not further investigated what effect mAb treatment would have on γδ T-cell function in vivo. We favor a scenario where docking of the antibodies would presumably induce a limited initial activation of the γδ T cells and later would lead to a sustained down-regulation of the TCR from the cell surface. This in turn would probably

inhibit or compromise TCR triggering as suggested by the reduced basal [Ca2+]i levels in γδCD8αα+ iIEL from GL3-treated mice. This has technical implications for experimental in vivo administration of anti-γδ TCR antibody to block the biological functions of γδ iIEL. selleckchem It appears that signaling through the TCR of γδ cells in repeated high-dose GL3-treated mice is at least partially blocked in vivo. Since the cells are clearly not depleted or diminished in numbers and do not lose their activated phenotype as determined by the expression of surface activation markers this implies Exoribonuclease that biological differences observed in other studies of anti-γδ TCR-treated mice further highlight the physiological role of the TCR in γδ T cells 3, 51–56. Potential future therapeutic approaches to block γδ TCR signaling in humans may thus represent promising intervention strategies. In

conclusion, the TcrdH2BeGFP reporter system enabled us to measure dynamic [Ca2+]i levels of γδ T cells in normal mice. Not ignoring the presence of NK-receptors or pattern recognition receptors expressed on γδ T cells we propose that the γδ TCR of CD8αα+ γδ iIEL is functional because it is constantly being triggered in vivo, most likely by ligands expressed on intestinal epithelial cells. F1 C57BL/6-Tcra−/−×TcrdH2BeGFP reporter mice were obtained from crossbreeding Tcra−/−57 and TcrdH2BeGFP33. Both strains were either backcrossed to or generated on a C57BL/6 genetic background, respectively. WT C57BL/6 mice were purchased from Charles River Laboratories, Sulzfeld, Germany. Mice were used with 6–12 wk of age.

Although Tamoxifen injection promoted Ag presentation by only 4–8

Although Tamoxifen injection promoted Ag presentation by only 4–8% of DCs in DIETER mice, it induced robust CD8+ T-cell tolerance that could not be broken by a subsequent LCMV infection. Importantly, the resulting CD8+ T-cell

tolerance was entirely Ag specific, as it did not affect T-cell responses against LCMV epitopes other than the ones expressed by the transgene. This suggested that a T-cell-intrinsic mechanism, such as inactivation or deletion of Ag-specific T cells, rather BTK inhibitor than a dominant mechanism is involved in the induction of peripheral tolerance by steady-state DCs in this model. Indeed, naïve T cells that were adoptively transferred into previously tolerized DIETER mice remained responsive [17]. Negative costimulation through inhibitory cell-surface receptors of the CD28 family Epigenetics Compound Library high throughput seems to be crucial for induction of T-cell tolerance by steady-state DCs. When coinhibitory signaling through programmed cell death 1 (PD1) or CTL protein 4 (CTLA4) was inhibited in DIETER mice, steady-state DCs failed to tolerize T cells, and CTLs were found to be massively primed when both receptors were blocked [17]. These findings demonstrated that PD1 and CTLA4 have nonredundant and complementary functions in T-cell tolerance induction by steady-state DCs. Interestingly, the costimulatory ligands CD80 and

CD86, which engage CTLA4, as well as the PD1 ligands PD-L1 and PD-L2, are expressed to higher levels on activated DCs than on steady-state DCs [18].

Thus, although ligation of PD1 and CTLA4 on T cells is crucial for tolerance induction by steady-state DCs, the expression level of their ligands on DCs does not govern the decision between tolerance and immunity. Another mechanism of induction of cell-intrinsic peripheral tolerance by steady-state DCs involves tryptophan metabolism. The rate-limiting enzyme of tryptophan catabolism indoleamine 2,3-dioxygenase (IDO) is expressed by steady-state DCs. DC-derived IDO promotes T-cell tolerance not only through mechanisms that depend on the catalytic function of IDO — such as local tryptophan depletion [19] and pheromone knyureine production [20] — but also through signaling events that involve IDO but are independent of its catalytic activity [21]. Together these different mechanisms of inducing T-cell intrinsic tolerance allow steady-state DCs to purge the naïve-T-cell repertoire in an Ag-specific manner of autoreactive T cells that have escaped negative selection in the thymus. In addition to promoting T-cell-intrinsic mechanisms of peripheral tolerance, steady-state DCs have been found to be essential for dominant peripheral tolerance, which mainly depends on the function of CD4+FOXP3+ regulatory T (Treg) cells.

The selected, high-affinity GC B cells then differentiate into ei

The selected, high-affinity GC B cells then differentiate into either memory B cells or long-lived PCs, concurrent with downregulation of Bcl6 expression [21]. In accordance with this model, memory B cells and PCs expressing somatically mutated Ig V region genes persist

for long periods of time after termination of the GC response [19, 22]. Memory B cells are long-lived quiescent B cells that exhibit Selleckchem GDC 973 a phenotype distinct from that of other types of B cells, including the ability to elicit a more rapid and robust response upon antigen re-encounter compared to antigen-inexperienced naïve B cells [23]. Whereas naïve B cells express IgM and IgD on the surface, memory B cells have generally undergone CSR and express antibody of other isotypes. Therefore, mouse memory B cells can be isolated as antigen-binding cells expressing class-switched immunoglobulin in combination with high levels of CD38 and low levels of PNA binding surface molecules [24, 25]. PS-341 supplier Using this approach, it became clear that not all IgG memory B cells contain somatic mutations in their Ig V regions [6, 25, 26]. In addition, blockade of inducible costimulator

(ICOS) early in the immune response caused a significant reduction in the frequency of somatically mutated memory and GC B cells but had no effect on the total number of memory B cells [5]. Additionally, under these conditions, the memory B cells generated were largely devoid of somatic mutations. These findings led us to speculate that these unmutated memory cells emerged early from the GC reaction [27] or, alternatively, developed independently of GCs. This latter hypothesis was supported by evidence that unmutated memory B cells can be generated in irradiated mice reconstituted with Bcl6-deficient bone marrow [3]. However, since Bcl6 germline deletion results in an inflammatory disease due to overexpression of Th2 cytokines [17, 18] that may induce

aberrant properties in B cells prior to immunization [28], it remained uncertain whether a GC-independent pathway contributed Baf-A1 cell line significantly to memory cell generation under physiological conditions. Jenkins and colleagues recently reported the generation of antigen-specific B cells with a CD38+/GL-7− memory phenotype in a GC-independent manner at an early stage of the immune response to immunization with PE plus CFA (complete Freund’s adjuvant) [9, 29]. These presumed GC-independent memory B cells could be distinguished from GC-dependent IgG1 memory B cells by the absence of the CD73 surface molecule, whose expression was enriched in mutated memory B cells [2]. However, the functional properties of these cells have not been studied. Taking advantage of a novel mouse strain in which Bcl6 is selectively depleted from B-lineage cells, Kaji et al.

[15] There is little documentation of use of IVIG as sole treatme

[15] There is little documentation of use of IVIG as sole treatment for adenovirus. Bordigoni et al.[16] reported lack of efficacy Fulvestrant order of high-dose IVIG in HSCT recipients

at high risk for disseminated disease. Given theoretical rationale and a good safety profile, we administered IVIG to both patients using a dosing regimen similar to that prescribed for BK nephropathy. In patient 2, the IVIG was also considered as treatment for her histologically documented vascular rejection. The best-tried antiviral agents for treatment of adenovirus infection include ribavirin and cidofovir although neither has been subjected to randomized, prospective trials. Ribavirin is a guanosine analogue, and while initial reports suggested in vitro anti-adenoviral activity, more recent data have shown variable results ranging from no activity to only limited activity against serotype C.[4, 17, 18] Case reports and small clinical series have also shown inconsistent results, confounded by use of concomitant additional therapies and different disease severities. Cidofovir is a cytosine nucleoside analogue that inhibits viral DNA polymerase. It demonstrates broad in vitro anti-viral activity, including against a range of adenovirus serotypes.

Clinical trials in HSCT recipients suggest favourable outcomes compared with retrospective controls.[19, 20] The www.selleckchem.com/products/DMXAA(ASA404).html major limiting factor associated with cidofovir administration is nephrotoxicty and its use is generally contraindicated with renal impairment. However, cidofovir is highly concentrated in urine and

renal tissue,[21] suggesting that lower doses might be adequate for treating an infectious process localized to or originating in the kidney or lower urinary tract. This was the approach used in both of our patients. Reports exist of successful treatment with low-dose cidofovir in patients with renal impairment as a result of BK nephropathy.[15] There is one case report of use for adenovirus infection in a dialysis-dependent patient. Alsaad et al.[18] Resminostat administered 100 mg IV cidofovir to a kidney transplant recipient who developed renal failure as a consequence of adenovirus infection 12 years post-transplantation, with consequent improvement allowing cessation of dialysis. In conclusion, both of our patients presented with disseminated adenovirus infection at different times from their kidney transplantation and had significant clinical deterioration and successfully treated with cidofovir and IVIG. They both had well-functioning grafts at the end of the disease course. The second case, although she had concomitant rejection and viral nephropathy demonstrated the potential toxicity of cidofovir with drug induced fever and renal tubular acidosis as well as increased creatinine. These settled dramatically after cessation of the cidofovir.