Experimental modeling of desensitization: What have we learned about preventing AMR?

Experimental modeling of desensitization: What have we learned about preventing AMR?
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DOI:
10.1111/ajt.15873
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发表时间:
2020-06
期刊:
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
影响因子:
--
通讯作者:
Knechtle S
Knechtle S
中科院分区:
其他
文献类型:
--
作者:
Kwun J;Knechtle S

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Over the last 5 decades, short-term outcomes in kidney transplantation have significantly improved, in large part due to reduced rates and severity of acute rejection. Development of better immunosuppressive maintenance agents, as well as new induction therapies, helped make these advances. Nonhuman primate models provided a rigorous testing platform to evaluate candidate biologics during this process. However, antibody-mediated rejection remains a major cause of late failure of kidney allografts despite advances made in pharmacologic immunosuppression and strategies developed to facilitate improved donor-recipient matching. Our lab has been actively working to develop strategies to prevent and treat antibody-mediated rejection and immunologic sensitization in organ transplantation, relying largely on a nonhuman primate model of kidney transplantation. In this review, we will cover outcomes achieved by managing antibody-mediated rejection or sensitization in nonhuman primate models and discuss promises, limitations, and future directions for this model.
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