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Erschienen in:

01.06.2019 | Review Article

Advances in Detection of Kidney Transplant Injury

verfasst von: Sanjeeva Herath, Jonathan Erlich, Amy Y. M. Au, Zoltán H. Endre

Erschienen in: Molecular Diagnosis & Therapy | Ausgabe 3/2019

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Abstract

Early detection of graft injury after kidney transplantation is key to maintaining long-term good graft function. Graft injury could be due to a multitude of factors including ischaemia reperfusion injury, cell or antibody-mediated rejection, progressive interstitial fibrosis and tubular atrophy, infections and toxicity from the immunosuppressive drugs themselves. The current gold standard for assessing renal graft dysfunction is renal biopsy. However, biopsy is usually late when triggered by a change in serum creatinine and of limited utility in diagnosis of early injury when histological changes are equivocal. Therefore, there is a need for timely, objective and non-invasive diagnostic techniques with good early predictive value to determine graft injury and provide precision in titrating immunosuppression. We review potential novel plasma and urine biomarkers that offer sensitive new strategies for early detection and provide major insights into mechanisms of graft injury. This is a rapidly expanding field, but it is likely that a combination of biomarkers will be required to provide adequate sensitivity and specificity for detecting graft injury.

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Titel: Advances in Detection of Kidney Transplant Injury
verfasst von: Sanjeeva Herath
Jonathan Erlich
Amy Y. M. Au
Zoltán H. Endre
Publikationsdatum: 01.06.2019
Verlag: Springer International Publishing
Erschienen in: Molecular Diagnosis & Therapy / Ausgabe 3/2019
Print ISSN: 1177-1062
Elektronische ISSN: 1179-2000
DOI: https://doi.org/10.1007/s40291-019-00396-z

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Advances in Detection of Kidney Transplant Injury

Abstract

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