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http://dx.doi.org/10.1097/TP.0000000000005306DOI Listing

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Article Synopsis
  • * By analyzing blood samples from 118 kidney recipients over a median follow-up of 6.3 years, researchers developed a risk score based on age and immune cell responses, categorizing patients into low, intermediate, and high-risk groups for OIS.
  • * The results showed that the risk score accurately reflected the likelihood of OIS events, with significant differences in risk percentages across the categories, highlighting the potential for improved personalized monitoring in organ transplant patients.
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A Novel Method of CD31-Combined ABO Carbohydrate Antigen Microarray Predicts Acute Antibody-Mediated Rejection in ABO-Incompatible Kidney Transplantation.

Transpl Int

April 2022

Division of Urology, Department of Regenerative and Transplant Medicine, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.

Isohemagglutinin assays employing red blood cells (RBCs) are the most common assays used to measure antibody titer in ABO-incompatible kidney transplantation (ABOi KTx). However, ABO antigens expressed on RBCs are not identical to those of kidney and antibody titers do not always correlate with clinical outcome. We previously reported that CD31 was the main protein linked to ABO antigens on kidney endothelial cells (KECs), which was different from those on RBCs.

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A Sequential Two-Step Cell-Based Assay Predicts Immunosuppression-Related Adverse Events.

J Immunol

December 2020

Transplantation Unit, Renal Division, Department of Medicine, University Health Center of Quebec, Faculty of Medicine, Laval University, Quebec City, Quebec G1R 2J6, Canada; and

Immunosuppressants are associated with serious and often life-threatening adverse effects. To optimize immunotherapy, a tool that measures the immune reserve is necessary. We validated that a cell-based assay that measures TNF-α production by CD1416 intermediate monocytes following stimulation with EBV peptides has high sensitivity for the detection of over-immunosuppression (OIS) events.

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Recent advances in precision medicine for individualized immunosuppression.

Curr Opin Organ Transplant

August 2020

Department of Surgery, College of Medicine, University of Florida, Gainesville, Florida, USA.

Purpose Of Review: The current tools to proactively guide and individualize immunosuppression in solid organ transplantation are limited. Despite continued improvements in posttransplant outcomes, the adverse effects of over-immunosuppression or under-immunosuppression are common. The present review is intended to highlight recent advances in individualized immunosuppression.

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