Using biomarkers of tolerance and rejection to identify high- and low-risk patients following kidney transplantation.

Abstract:

:Despite great improvements in renal allograft survival over the last 3 decades, long-term graft loss, particularly through antibody-mediated rejection, remains the bane of kidney transplantation. Interindividual patient variation means that a given immunosuppressive regimen may be inadequate in certain patients and excessive in others. Currently, there is no way of personalizing such treatments. We believe that this may be made possible by evaluating the degree of immunologic "risk" in a transplant recipient. Such immunological risk assessment would enable those patients at low risk to be at least partially or totally weaned from immunosuppression, whereas those at high risk could benefit from an increase or adjustment in their immunosuppression. Here, we outline our own group's efforts in the identification of peripheral blood biomarkers of high- and low-immunologic risk in relationship to the current literature on the subject.

journal_name

Transplantation

journal_title

Transplantation

authors

Ashton-Chess J,Giral M,Soulillou JP,Brouard S

doi

10.1097/TP.0b013e3181a2e295

subject

Has Abstract

pub_date

2009-05-15 00:00:00

pages

S95-9

issue

9 Suppl

eissn

0041-1337

issn

1534-6080

pii

00007890-200905151-00020

journal_volume

87

pub_type

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