Emerging Therapies for Antibody-Mediated Rejection in Kidney Transplantation

Farah Abuazzam, Casey Dubrawka, Tarek Abdulhadi, Gwendolyn Amurao, Louai Alrata, Dema Yaseen Alsabbagh, Omar Alomar, Tarek Alhamad

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish
Article number4916
JournalJournal of Clinical Medicine
Volume12
Issue number15
DOIs
StatePublished - Aug 2023

Keywords

  • T-cell mediated rejection
  • allograft rejection
  • antibody-mediated rejection
  • kidney graft function
  • kidney transplant
  • mix rejection
  • transplant immunology

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