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- Title
Consequences of transplant quality on chronic allograft nephropathy.
- Authors
Timsit, Marc-Olivier; Xiaodong Yuan; Floerchinger, Bernhard; Xupeng Ge; Tullius, Stefan G
- Abstract
Using kidneys from expanded-criteria donors to alleviate organ shortage has raised concern on reduced transplant outcomes. In this paper, we review how critical donor-related factors such as donor age, brain death, and consequences of ischemia-reperfusion injury (IRI) determine graft quality and impact chronic allograft nephropathy. We propose that combinatorial effects of organ-intrinsic features associated with increasing age and unspecific injuries related to brain death and IRI will impact innate and adaptive immune responses. Future research will need to explore avenues to optimize donor management, organ preservation, adapted immunosuppressive strategies, as well as modifications of the allocation of suboptimal allografts.
- Subjects
KIDNEY transplantation; PRESERVATION of organs, tissues, etc.; KIDNEY diseases; ISCHEMIA; IMMUNE response
- Publication
Kidney International Supplement, 2010, Vol 78, pS54
- ISSN
0098-6577
- Publication type
Article
- DOI
10.1038/ki.2010.424