ABO-Incompatible Liver Transplantation: State of Art and Future Perspectives.

Abstract:

:ABO-incompatible (ABO-I) liver transplantation (LT) has been limited due to the increased rate of complications, including severe cellular and antibody-mediated rejection, hepatic necrosis, hepatic artery thrombosis, and biliary complications. However, several strategies for reducing preformed anti-donor ABO antibodies and B cell desensitization have improved the outcomes of ABO-I LT. As a result, ABO-I LT has become a routine procedure and is a feasible option in countries with a scarce deceased-organ donation or in cases without an available compatible organ donor. In this review, we describe past and present desensitizing protocols as well as emergent therapies for depleting B cell and anti-ABO antibodies with the objective of identifying approaches that could lead to new, refined strategies for maximizing the results of ABO-I LT.

journal_name

Curr Pharm Des

authors

Cheng CH,Lee CF,Wang YC,Wu TH,Wu TJ,Chou HS,Chan KM,Lee WC

doi

10.2174/1381612826666200506094539

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

3406-3417

issue

28

eissn

1381-6128

issn

1873-4286

pii

CPD-EPUB-106404

journal_volume

26

pub_type

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