Complement and renal transplantation: From donor to recipient

被引:57
作者
Damman, Jeffrey [1 ]
Schuurs, Theo A. [1 ]
Ploeg, Rutger J. [1 ]
Seelen, Marc A. [2 ]
机构
[1] Univ Groningen, Univ Med Ctr Groningen, Dept Surg, CMC V,Y2144, NL-9713 GZ Groningen, Netherlands
[2] Univ Med Ctr Groningen, Dept Nephrol, Groningen, Netherlands
关键词
brain death; donor; complement; kidney;
D O I
10.1097/TP.0b013e3181683cf5
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 [免疫学];
摘要
Long-term kidney graft survival is affected by different variables including donor condition, ischemia-reperfusion injury, and graft rejection during the transplantation process. The complement system is an important mediator of renal ischemia-reperfusion injury and in rejecting allografts. However, donor complement C3 seems to be crucial in renal transplantation-related injury as renal injury is attenuated in C3 deficient kidney grafts. Interestingly, before ischemia-reperfusion induced C3 expression, C3 is already induced in donors suffering from brain death. Therefore, strategies targeting complement activation in the brain-dead donor may increase graft viability and transplant outcome.
引用
收藏
页码:923 / 927
页数:5
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