Maintenance immunosuppressants in the management of antibody-mediated renal allograft rejection: which regimen is best?

Author:

Zhou Yiqun1,Li Xiaolan1,Liu Yun1,Sun Qiquan2

Affiliation:

1. Medical Department, Shanghai Roche Pharmaceuticals Ltd, Shanghai 201203, China

2. Department of Renal Transplantation, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510530, China

Abstract

Antibody-mediated rejection (AMR) is a pivotal cause of long-term graft failure following renal transplantation. De novo donor-specific antibody reduction is essential to prevent AMR and improve long-term graft survival in renal transplant recipients. Although the number of early AMR episodes can be successfully controlled by attenuating de novo donor-specific antibodies, the long-term outcomes are unsatisfactory. Numerous studies have focused on new strategies to reverse AMR, but the available evidence suggests that maintenance immunosuppressive agents play important roles. This article reviews data on the use of various maintenance immunosuppressive strategies in the management of AMR, with a focus on antibody-mediated kidney transplant rejection. Its aim is to help provide options benefitting long-term graft survival in renal transplant recipients.

Publisher

Future Medicine Ltd

Subject

Oncology,Immunology,Immunology and Allergy

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