Thymoglobulin and its use in renal transplantation: a review.

Abstract:

:Thymoglobulin (Thymoglobulin®; Genzyme, Cambridge, Mass., USA) is a polyclonal antibody which has been used in the field of transplantation over the last four decades. With an initial hesitancy, it is widely used now in the prevention and treatment of rejection following renal transplantation. Thymoglobulin's lack of nephrotoxic properties (unlike calcineurin inhibitors) may potentiate it to be a very useful induction therapy during the early days following transplantation, particularly in a donation after circulatory death programme. More recently its role in conjunction with inhibitors of terminal complement activation has been shown to be beneficial in cross-match-positive transplantation. This review article consolidates up-to-date available evidence to address the therapeutic role of thymoglobulin in immunological tolerance, ischemia perfusion, live donor transplantation, delayed graft function, prevention and treatment of rejection, graft survival and post-transplant lymphoproliferative disorder following renal transplantation.

journal_name

Am J Nephrol

authors

Thiyagarajan UM,Ponnuswamy A,Bagul A

doi

10.1159/000351643

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

586-601

issue

6

eissn

0250-8095

issn

1421-9670

pii

000351643

journal_volume

37

pub_type

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