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Scientific article
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Open access
English

Antibody‐mediated rejection after kidney transplantation in children; therapy challenges and future potential treatments

Published inClinical transplantation, vol. 36, no. 4, e14608
Publication date2022-04
First online date2022-02-09
Abstract

Antibody-mediated rejection (AMR) remains one of the most critical problems in renal transplantation, with a significant impact on patient and graft survival. In the United States, no treatment has received FDA approval jet. Studies about treatments of AMR remain controversial, limited by the absence of a gold standard and the difficulty in creating large, multi-center studies. These limitations emerge even more in pediatric transplantation because of the limited number of pediatric studies and the occasional use of some therapies with unknown and poorly documented side effects. The lack of recommendations and the unsharp definition of different forms of AMR contribute to the challenging management of the therapy by pediatric nephrologists. In an attempt to help clinicians involved in the care of renal transplanted children affected by an AMR, we rely on the latest recommendations of the Transplantation Society (TTS) for the classification and treatment of AMR to describe treatments available today and potential new treatments with a particular focus on the pediatric population.

eng
Keywords
  • Antibody-mediated rejection
  • Immunotherapy
  • Pediatric kidney transplantation
  • Antibodies
  • Child
  • Graft Rejection / etiology
  • Graft Rejection / therapy
  • Graft Survival
  • Humans
  • Isoantibodies
  • Kidney Transplantation / adverse effects
Citation (ISO format)
BERTACCHI, Massimiliano, PARVEX, Paloma Maria, VILLARD, Jean. Antibody‐mediated rejection after kidney transplantation in children; therapy challenges and future potential treatments. In: Clinical transplantation, 2022, vol. 36, n° 4, p. e14608. doi: 10.1111/ctr.14608
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Article (Published version)
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ISSN of the journal0902-0063
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Technical informations

Creation09/22/2022 2:30:00 PM
First validation09/22/2022 2:30:00 PM
Update time03/16/2023 10:49:08 AM
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