Antibody-Mediated Rejection in Kidney Transplantation: A Review

Antibody mediated rejection (AMR) poses a significant and continued challenge for long term graft survival in kidney transplantation. However, in the recent years, there has emerged an increased understanding of the varied manifestations of the antibody mediated processes in kidney transplantation....

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Main Authors: Chethan Puttarajappa, Ron Shapiro, Henkie P. Tan
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Transplantation
Online Access:http://dx.doi.org/10.1155/2012/193724
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author Chethan Puttarajappa
Ron Shapiro
Henkie P. Tan
author_facet Chethan Puttarajappa
Ron Shapiro
Henkie P. Tan
author_sort Chethan Puttarajappa
collection DOAJ
description Antibody mediated rejection (AMR) poses a significant and continued challenge for long term graft survival in kidney transplantation. However, in the recent years, there has emerged an increased understanding of the varied manifestations of the antibody mediated processes in kidney transplantation. In this article, we briefly discuss the various histopathological and clinical manifestations of AMRs, along with describing the techniques and methods which have made it easier to define and diagnose these rejections. We also review the emerging issues of C4d negative AMR, its significance in long term allograft survival and provide a brief summary of the current management strategies for managing AMRs in kidney transplantation.
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spelling doaj-art-3a1f7628df0f4319bd488c00880578262025-02-03T01:07:01ZengWileyJournal of Transplantation2090-00072090-00152012-01-01201210.1155/2012/193724193724Antibody-Mediated Rejection in Kidney Transplantation: A ReviewChethan Puttarajappa0Ron Shapiro1Henkie P. Tan2Renal-Electrolyte Division, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-2582, USADivision of Transplantation, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-2582, USADivision of Transplantation, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-2582, USAAntibody mediated rejection (AMR) poses a significant and continued challenge for long term graft survival in kidney transplantation. However, in the recent years, there has emerged an increased understanding of the varied manifestations of the antibody mediated processes in kidney transplantation. In this article, we briefly discuss the various histopathological and clinical manifestations of AMRs, along with describing the techniques and methods which have made it easier to define and diagnose these rejections. We also review the emerging issues of C4d negative AMR, its significance in long term allograft survival and provide a brief summary of the current management strategies for managing AMRs in kidney transplantation.http://dx.doi.org/10.1155/2012/193724
spellingShingle Chethan Puttarajappa
Ron Shapiro
Henkie P. Tan
Antibody-Mediated Rejection in Kidney Transplantation: A Review
Journal of Transplantation
title Antibody-Mediated Rejection in Kidney Transplantation: A Review
title_full Antibody-Mediated Rejection in Kidney Transplantation: A Review
title_fullStr Antibody-Mediated Rejection in Kidney Transplantation: A Review
title_full_unstemmed Antibody-Mediated Rejection in Kidney Transplantation: A Review
title_short Antibody-Mediated Rejection in Kidney Transplantation: A Review
title_sort antibody mediated rejection in kidney transplantation a review
url http://dx.doi.org/10.1155/2012/193724
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