The use of eculizumab for renal transplantation in children
Abstract Ischemia reperfusion injury (IRI) is an inevitable consequence of kidney transplantation. Activation of the terminal complement complex C5b-9 was detected in experimental and clinical organ transplantation. Ekulizumab is a monoclonal antibody that blocks the terminal component of the complement activation. We reported our preliminary results on evaluating the impact of ekulizumab on IRI.
Keywords:kidney transplantation, ischemic reperfusion injury, eculizumab
Clin. Experiment. Surg. Petrovsky J. – 2015. – N 1. – Р. 42–44.
References
1. Shoskes D. A., Parfray N. A., Halloran P. F. Increased major histocompatibility complex antigen expression in unilateral isch- emic acute tubular necrosis in the mouse. Transplantation. 1990; Vol. 49: 201-7.
2. Takada M., Nadeau K. C., Shaw G. D. et al. Cytokine-adhesion molecule cascade in ischemia/reperfusion injury in the rat kidney. Inhibition by a soluble P-selectin ligand. J Clin Invest. 1997; Vol. 99: 2682-90.
3. Chen G., Chen S., Chen X. Role of complement and perspectives for intervention in transplantation. Immunology. 2013; Vol. 218: 817-27.
4. De Vries D. K., Van Der Pox P., Van Anken G. E. et al. Acute but transient release of terminal complement complex after reperfusion in clinical kidney transplantation. Transplantation. 2013; Vol. 95: 816-20.
5. Lu CY ., Penfeld J. G., Kielar M. I. et al. Is renal allograft rejection initiated by the response to injury sustained during the transplant process? Kidney Int. 1999; Vol. 55: 2157-68.
6. Damman J., Seelen M. A., Moers C. et al. Systemic complement activation in deceased donors is associated with acute rejection after renal transplantation in the recipient. Transplantation. 2011; Vol. 92: 163-9.
7. Atkinson C., Floerschinger B., Qiao F. et al. Donor brain death exacerbates complement-dependent ischemia reperfusion injury in transplanted hearts. Circulation. 2013; Vol. 127: 1290-9.
8. Hillmen P., Young N. S., Schubert J. et al. The complement inhibitor Eculizumab in paroxysmal nocturnal haemoglobinuria. N Engl J Med. 2006; Vol. 355: 1233-43.
9. Gruppo R.A., Ruther R.P. Eculizumab for congenital atypical hemolitico-uremical syndrome. N Engl J Med. 2009; Vol. 360: 544-6.
10. Stegall M. D., Diwan T., Raghavaman S. et al. Terminal complement inhibition decreases antibody-mediated rejection in sensitized renal transplant recipients. Am J Transplant. 2011; Vol. 11: 2405-13.
11. Biglarnia A. R., Nillson B., Nillson R. et al. Prompt reversal of severe complement activation by Eculizumab in a patient undergoing intentional ABO-incompatible pancreas and kidney transplantation. Transplant Int. 2011; Vol. 24: c61-c66.
12. Burbach M., Suberbielle C., Quali N. et al. Report on inefficacy of Eculizumab in two cases of severe antibody mediated rejection of renal grafts [abstract]; 16th Congress of the European Society for organ transplantation. 2013 September 8-11. Abstracts BO259.
13. Ait B. D., Susal C., Gebel H. M. et al. Consensus guidelines on the testing and clinical management issues associated with HLA and non-HLA antibodies in transplantation. Transplantation. 2013; Vol. 95: 19-47.
14. Damman J., Schuurs T.A., Ploeg R.J. et al. Complement and renal transplantation: from donor to recipient. Transplantation. 2008; Vol. 85: 923-7.