Sunday, July 14, 2019

Milestones in renal transplantation



Year

Name & Achievement
600 BCE
Sushruta Wrote Sushruta Samhita Sanskrit text describing restorative surgery of ears and noses
1597 

  
Gaspare Tagliacozzi Wrote De Curtorum Chirurgia per Insitionem (On the Surgery of Mutilation by Skin Grafting)
1700s
John Hunter “Father of experimental surgery,” performed experiments on bone, glands, and teeth grafting. Used cock’s comb as graft bed for it spurs. Did tooth transplants as “clinical” service
1902
Alexis Carrel Developed vascular surgery allowing transplantation of vascularized organs
1902
Emerich Ullman Performed an autotransplant of a dog’s kidney into the neck vessels
1902 Alfred von Decastello Performed dog-to-dog kidney transplant

1906
Mathieu Jaboulay Attempted the first human kidney transplant (donors pig and goat, transplanted to arm)
1909
Ernst Unger Performed two monkey-to-human kidney transplants
1937
Yu Yu Voronoy First human-to-human transplant
1930
Leo Loeb Skin grafts survival only in identical twins (mice)
1937
James Barrett Brown Skin grafts survive only in identical twins (humans)
1943
Peter Medawar Neonatal tolerance, rejection of an immune process
1940
Willem Kolff First successful hemodialysis machines
1953
Jean Hamburger First living-related renal transplant
1954
Joseph Murray First successful renal transplant (twins)
1955
Main and Prehn Radiation and bone marrow immunosuppression
1958
Jean Dausset Discovered the human leukocyte antigen (HLA) system
1958
Robert Schwartz and  6-Mercaptopurine and Imuran as immunosuppressants William Dameshek
1963
Thomas Starzl Combination of Imuran and prednisone introduced
1966
Thomas Starzl Antilymphocyte globulin (ALG) used clinically
1972
US Congress Amendment to Social Security Act established dialysis support as entitlement
1978
Roy Calne Cyclosporine used clinically in renal transplants
1980
Thomas Starzl Combined prednisone with cyclosporine improved efficacy and decreased toxicity
1984
US Congress National Transplant Act
1989
Thomas Starzl FK506 (tacrolimus) used in humans


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