Assessment and monitoring of immune risk of kidney transplantation rejection
10.3969/j.issn.1674-7445.2021.06.002
- VernacularTitle:肾移植排斥反应免疫风险评估与监测
- Author:
Jin ZHENG
1
;
Wujun XUE
Author Information
1. Department of Kidney Transplantation, Nephropathy Hospital, the First Affiliated Hospital of Xi 'an Jiaotong University, Xi'an 710061, China
- Publication Type:Research Article
- Keywords:
Kidney transplantation;
Rejection;
Immune risk assessment;
Immune monitoring;
Antibody-mediated rejection (AMR);
T cell-mediated rejection (TCMR);
Donor-derived cell-free DNA (dd-cfDNA);
Panel reactive antibody
- From:
Organ Transplantation
2021;12(6):643-
- CountryChina
- Language:Chinese
-
Abstract:
Kidney transplantation is the most efficacious treatment for end-stage renal failure. Although the shortterm survival and functional recovery of the kidney graft have been significantly improved, the long-term survival of the kidney graft remains to be enhanced. Antibody-mediated rejection (AMR) and T cell-mediated rejection (TCMR) caused by immune factors are still the most critical causes of kidney graft failure. In this article, the immune risk assessment and monitoring of kidney transplant recipients during the awaiting period, before and after kidney transplantation were reviewed. Through the evaluation of preexisting human leukocyte antigen (HLA) antibodies and non-HLA antibodies, HLA matching, lymphocytotoxicity cross-matching and immune memory cells in the recipients before kidney transplantation, programmed biopsy of the kidney graft of the recipients after kidney transplantation and monitoring of HLA antibodies, non-HLA antibodies and donor-derived cell-free DNA (dd-cfDNA), individualized immunosuppressive treatment and monitoring regimes could be established, and the incidence of rejection could be prevented, timely detected and diagnosed. According to the immune monitoring results, ineffective treatment or over-treatment could be avoided, thereby improving the long-term survival of kidney graft.
