Emerging Therapies for Antibody-Mediated Rejection in Kidney Transplantation

Despite the advances in immunosuppressive medications, antibody-mediated rejection (AMR) continues to be a major cause of kidney allograft failure and remains a barrier to improving long-term allograft survival. Recently, there have been significant advances in the understanding of the pathophysiolo...

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Main Authors: Farah Abuazzam, Casey Dubrawka, Tarek Abdulhadi, Gwendolyn Amurao, Louai Alrata, Dema Yaseen Alsabbagh, Omar Alomar, Tarek Alhamad
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/15/4916
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author Farah Abuazzam
Casey Dubrawka
Tarek Abdulhadi
Gwendolyn Amurao
Louai Alrata
Dema Yaseen Alsabbagh
Omar Alomar
Tarek Alhamad
author_facet Farah Abuazzam
Casey Dubrawka
Tarek Abdulhadi
Gwendolyn Amurao
Louai Alrata
Dema Yaseen Alsabbagh
Omar Alomar
Tarek Alhamad
author_sort Farah Abuazzam
collection DOAJ
description Despite the advances in immunosuppressive medications, antibody-mediated rejection (AMR) continues to be a major cause of kidney allograft failure and remains a barrier to improving long-term allograft survival. Recently, there have been significant advances in the understanding of the pathophysiological process of AMR, along with the development of new therapeutic options. Additionally, surveillance protocols with donor-derived cell-free DNA and gene profile testing have been established, leading to the early detection of AMR. A multitude of clinical trials are ongoing, opening numerous opportunities for improving outcome in kidney transplant recipients. In this brief review, we discuss the emerging therapies for managing both active and chronic active AMR and highlight the ongoing clinical trials.
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spelling doaj.art-c41f08217e4749e98be7f9698f39991c2023-11-18T23:06:56ZengMDPI AGJournal of Clinical Medicine2077-03832023-07-011215491610.3390/jcm12154916Emerging Therapies for Antibody-Mediated Rejection in Kidney TransplantationFarah Abuazzam0Casey Dubrawka1Tarek Abdulhadi2Gwendolyn Amurao3Louai Alrata4Dema Yaseen Alsabbagh5Omar Alomar6Tarek Alhamad7Division of Nephrology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USADepartment of Pharmacy, Barnes Jewish Hospital, St. Louis, MO 63110, USADivision of Nephrology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USADivision of Nephrology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USADivision of Nephrology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USADivision of Nephrology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USADivision of Nephrology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USADivision of Nephrology, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USADespite the advances in immunosuppressive medications, antibody-mediated rejection (AMR) continues to be a major cause of kidney allograft failure and remains a barrier to improving long-term allograft survival. Recently, there have been significant advances in the understanding of the pathophysiological process of AMR, along with the development of new therapeutic options. Additionally, surveillance protocols with donor-derived cell-free DNA and gene profile testing have been established, leading to the early detection of AMR. A multitude of clinical trials are ongoing, opening numerous opportunities for improving outcome in kidney transplant recipients. In this brief review, we discuss the emerging therapies for managing both active and chronic active AMR and highlight the ongoing clinical trials.https://www.mdpi.com/2077-0383/12/15/4916kidney transplantallograft rejectionT-cell mediated rejectionantibody-mediated rejectionmix rejectiontransplant immunology
spellingShingle Farah Abuazzam
Casey Dubrawka
Tarek Abdulhadi
Gwendolyn Amurao
Louai Alrata
Dema Yaseen Alsabbagh
Omar Alomar
Tarek Alhamad
Emerging Therapies for Antibody-Mediated Rejection in Kidney Transplantation
Journal of Clinical Medicine
kidney transplant
allograft rejection
T-cell mediated rejection
antibody-mediated rejection
mix rejection
transplant immunology
title Emerging Therapies for Antibody-Mediated Rejection in Kidney Transplantation
title_full Emerging Therapies for Antibody-Mediated Rejection in Kidney Transplantation
title_fullStr Emerging Therapies for Antibody-Mediated Rejection in Kidney Transplantation
title_full_unstemmed Emerging Therapies for Antibody-Mediated Rejection in Kidney Transplantation
title_short Emerging Therapies for Antibody-Mediated Rejection in Kidney Transplantation
title_sort emerging therapies for antibody mediated rejection in kidney transplantation
topic kidney transplant
allograft rejection
T-cell mediated rejection
antibody-mediated rejection
mix rejection
transplant immunology
url https://www.mdpi.com/2077-0383/12/15/4916
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