Late and Chronic Antibody-Mediated Rejection: Main Barrier to Long Term Graft Survival

Antibody-mediated rejection (AMR) is an important cause of graft loss after organ transplantation. It is caused by anti-donor-specific antibodies especially anti-HLA antibodies. C4d had been regarded as a diagnosis marker for AMR. Although most early AMR episodes can be successfully controlled or re...

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Main Authors: Qiquan Sun, Yang Yang
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2013/859761
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author Qiquan Sun
Yang Yang
author_facet Qiquan Sun
Yang Yang
author_sort Qiquan Sun
collection DOAJ
description Antibody-mediated rejection (AMR) is an important cause of graft loss after organ transplantation. It is caused by anti-donor-specific antibodies especially anti-HLA antibodies. C4d had been regarded as a diagnosis marker for AMR. Although most early AMR episodes can be successfully controlled or reversed, late and chronic AMR remains the leading cause of late graft loss. The strategies which work in early AMR have limited effect on late/chronic episodes. Here, we reviewed the lines of evidence that late/chronic AMR is the leading cause of late graft loss, characteristics of late AMR, and current strategies in managing late/chronic AMR. More effort should be put on the management of late/chronic AMR to make a better long term graft survival.
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institution Kabale University
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series Clinical and Developmental Immunology
spelling doaj-art-4e02c4916cf2486f881b1a452ef5df1a2025-02-03T05:44:14ZengWileyClinical and Developmental Immunology1740-25221740-25302013-01-01201310.1155/2013/859761859761Late and Chronic Antibody-Mediated Rejection: Main Barrier to Long Term Graft SurvivalQiquan Sun0Yang Yang1Department of Renal Transplantation, The Third Affiliated Hospital, Sun Yat-Sen University, 600 Tianhe Road, Guangzhou 510630, ChinaDepartment of Liver Transplantation, The Third Affiliated Hospital, Sun Yat-Sen University, 600 Tianhe Road, Guangzhou 510630, ChinaAntibody-mediated rejection (AMR) is an important cause of graft loss after organ transplantation. It is caused by anti-donor-specific antibodies especially anti-HLA antibodies. C4d had been regarded as a diagnosis marker for AMR. Although most early AMR episodes can be successfully controlled or reversed, late and chronic AMR remains the leading cause of late graft loss. The strategies which work in early AMR have limited effect on late/chronic episodes. Here, we reviewed the lines of evidence that late/chronic AMR is the leading cause of late graft loss, characteristics of late AMR, and current strategies in managing late/chronic AMR. More effort should be put on the management of late/chronic AMR to make a better long term graft survival.http://dx.doi.org/10.1155/2013/859761
spellingShingle Qiquan Sun
Yang Yang
Late and Chronic Antibody-Mediated Rejection: Main Barrier to Long Term Graft Survival
Clinical and Developmental Immunology
title Late and Chronic Antibody-Mediated Rejection: Main Barrier to Long Term Graft Survival
title_full Late and Chronic Antibody-Mediated Rejection: Main Barrier to Long Term Graft Survival
title_fullStr Late and Chronic Antibody-Mediated Rejection: Main Barrier to Long Term Graft Survival
title_full_unstemmed Late and Chronic Antibody-Mediated Rejection: Main Barrier to Long Term Graft Survival
title_short Late and Chronic Antibody-Mediated Rejection: Main Barrier to Long Term Graft Survival
title_sort late and chronic antibody mediated rejection main barrier to long term graft survival
url http://dx.doi.org/10.1155/2013/859761
work_keys_str_mv AT qiquansun lateandchronicantibodymediatedrejectionmainbarriertolongtermgraftsurvival
AT yangyang lateandchronicantibodymediatedrejectionmainbarriertolongtermgraftsurvival