International frontier hot spots and recent advances of donor specific antibody and antibody - mediated rejection after kidney transplantation
10.3760/cma.j.cn421203-20231024-00137
- VernacularTitle:肾移植供者特异性抗体和抗体介导排斥反应的国际前沿热点、进展及其临床思考
- Author:
Xianghui WANG
1
;
Huimin AN
Author Information
1. 上海交通大学医学院附属瑞金医院泌尿外科肾脏移植中心,上海 200025
- Keywords:
Kidney transplantation;
Donor specific antibody;
Antibody-mediated rejection;
Recent advance
- From:
Chinese Journal of Organ Transplantation
2024;45(1):18-25
- CountryChina
- Language:Chinese
-
Abstract:
This review summarized the international hot topics and recent advances of donor specific antibody (DSA) and antibody-mediated rejection (AMR) after kidney transplantation, including a novel understanding of DSA, risk stratification, non-HLA antibody impairments, new application strategies of desensitization and AMR treatment, as well as striking a balance between AMR management and infection risk. Also institutional reflections and evaluations were discussed based upon clinical practices.