Kidney Transplantation: What’s Hot and What’s New

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Medical Research".

Deadline for manuscript submissions: 30 September 2024 | Viewed by 1085

Special Issue Editors


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Guest Editor
1. Researcher (RTDB), Department of Medicine and Surgery, The University of Insubria, via Ravasi 2, 21100 Varese, Italy
2. MD in the General, Emergency and Transplant Surgery Department, ASST dei Sette Laghi, via Guicciardini 9, 21100, Varese, Italy
Interests: kidney transplantation; robotic surgery; surgical oncology; immunology
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Guest Editor
Researcher (RTDA), Kidney and Pancreas Transplantation Unit, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Padua, Italy
Interests: kidney transplantation; living donor nephrectomy; kidney-paired donation; incompatible living donor kidney transplantation; pancreas transplantation

Special Issue Information

Dear Colleagues,

The development of chronic kidney disease (CKD) and its progression to the terminal stage remains a significant cause of reduction in quality of life and premature mortality. CKD is an invalidating disease, and the standards of medical care involve aggressive monitoring for signs of disease progression and early referral to specialists for renal replacement therapy such as dialysis and kidney transplant. The number of kidney transplants performed has increased in many countries and their outcome has improved substantially in recent years, and tireless efforts have been made to reduce the waiting time for a kidney transplant and minimize the rate of graft loss, improving patient survival.

To increase the number of available kidneys and perform more transplantations, several strategies have been developed:

  • Living donation promotion;
  • Kidney exchange programs (KEP);
  • Desensitization and AB0-incompatible protocols;
  • The expansion of the donor's pool using extended criteria donors (ECDs), non-beating heart donors (NHBDs).

Moreover, nowadays, a deeper understanding of primary non-function (PNF) and delayed graft function (DGF) pathophysiology has been reached. These have led to improvements in the treatment of DGF, the prevention of PNF and the development of novel tools for a more objective, specific, and accurate assessment of the graft quality, such as pulsatile perfusion and graft regeneration and to shed light on regenerative medicine, which could play a pivotal role in the next future.

Finally, to optimize the results of kidney transplantation, significant enhancements have been introduced in immunosuppression through the use of more specific immunosuppressive strategies tailored both to graft and recipient features.

This Special Issue’s purpose is to explore the advances in kidney transplantation, focusing on interesting perspectives from both a clinical perspective and for the scientific community.

Dr. Giuseppe Ietto
Dr. Caterina Di Bella
Guest Editors

Manuscript Submission Information

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Keywords

  • kidney transplantation
  • immunosuppression
  • graft quality
  • machine perfusion (MP)
  • living donor kidney transplantation

Published Papers (1 paper)

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Review

12 pages, 1085 KiB  
Review
The Puzzle of Preimplantation Kidney Biopsy Decision-Making Process: The Pathologist Perspective
by Albino Eccher, Jan Ulrich Becker, Fabio Pagni, Giorgio Cazzaniga, Mattia Rossi, Giovanni Gambaro, Vincenzo L’Imperio and Stefano Marletta
Life 2024, 14(2), 254; https://doi.org/10.3390/life14020254 - 15 Feb 2024
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Abstract
Kidney transplantation is the best treatment for end-stage renal disease since it offers the greatest survival benefit compared to dialysis. The gap between the number of renal transplants performed and the number of patients awaiting renal transplants leads to a steadily increasing pressure [...] Read more.
Kidney transplantation is the best treatment for end-stage renal disease since it offers the greatest survival benefit compared to dialysis. The gap between the number of renal transplants performed and the number of patients awaiting renal transplants leads to a steadily increasing pressure on the scientific community. Kidney preimplantation biopsy is used as a component of the evaluation of organ quality before acceptance for transplantation. However, the reliability and predictive value of biopsy data are controversial. Most of the previously proposed predictive models were not associated with graft survival, but what has to be reaffirmed is that histologic examination of kidney tissue can provide an objective window on the state of the organ that cannot be deduced from clinical records and renal functional studies. The balance of evidence indicates that reliable decisions about donor suitability must be made based on the overall picture. This work discusses recent trends that can reduce diagnostic timing and variability among players in the decision-making process that lead to kidney transplants, from the pathologist’s perspective. Full article
(This article belongs to the Special Issue Kidney Transplantation: What’s Hot and What’s New)
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