Hematopoietic Cell and Renal Transplantation in Plasma Cell Dyscrasia Patients.

Abstract:

:Gammopathies, multiple myeloma, and amyloidosis are plasma dyscrasias characterized by clonal proliferation and immunoglobulin overproduction. Renal impairment is the most common and serious complication with an incidence of 20-30% patients at the diagnosis. Kidney transplant has not been considered feasible in the presence of plasma dyscrasias because the immunosuppressive therapy may increase the risk of neoplasia progression, and paraproteins may affect the graft. However, recent advances in clinical management of multiple myeloma and other gammopathies allow considering kidney transplant as a possible alternative to dialysis. Numerous evidence indicates the direct relationship between hematological remission and renal function restoring. The combination of kidney and hematopoietic cell transplant has been reported as a promising approach to reestablish end-organ function and effectively treat the underlying disease. This review describes current protocols used to perform kidney transplantation in patients with plasma dyscrasias.

journal_name

Cell Transplant

journal_title

Cell transplantation

authors

Baraldi O,Grandinetti V,Donati G,Comai G,Battaglino G,Cuna V,Capelli I,Sala E,La Manna G

doi

10.3727/096368915X688560

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

995-1005

issue

6

eissn

0963-6897

issn

1555-3892

pii

content-CT-1281_Baraldi_et_al

journal_volume

25

pub_type

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