Can we use biomarkers and functional assays to implement personalized therapies in transplantation?

Transplantation. 2009 Jun 15;87(11):1595-601. doi: 10.1097/TP.0b013e3181a6b2cf.

Abstract

Research in transplantation focuses on minimizing immunosuppression to decrease side effects and costs. Indeed, in some patients, partial or complete cessation of immunosuppression is successful, but currently we have no means of identifying suitable patients a priori. Current withdrawal protocols, which do not implement surrogate markers, carry a significant risk of graft injury. To minimize the risk, immune monitoring strategies are required. Here, we review recently described biomarkers and assays, which might enable identification of patients suitable for partial or complete weaning and patients at risk of rejection. The predictive power of these parameters has to be tested in prospective multicenter trials.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Autoantibodies / analysis
  • Biomarkers / analysis*
  • Gene Expression
  • Gene Expression Regulation
  • Graft Rejection / epidemiology
  • Graft Rejection / prevention & control
  • HLA Antigens / immunology
  • Humans
  • Immune Tolerance / immunology
  • Immunosuppressive Agents / therapeutic use*
  • Individuality*
  • Kidney Transplantation / immunology*
  • Monitoring, Immunologic / methods*
  • Transplantation Immunology*
  • Transplantation Tolerance / immunology

Substances

  • Autoantibodies
  • Biomarkers
  • HLA Antigens
  • Immunosuppressive Agents