PMID- 20087679 OWN - NLM STAT- MEDLINE DCOM- 20101021 LR - 20211020 IS - 1559-0755 (Electronic) IS - 0257-277X (Linking) VI - 47 IP - 1-3 DP - 2010 Jul TI - Incompatible kidney transplantation: lessons from a decade of desensitization and paired kidney exchange. PG - 257-64 LID - 10.1007/s12026-009-8157-y [doi] AB - Human leukocyte antigen (HLA) sensitization and ABO incompatibility continue to pose significant barriers to further expansion of live donor renal transplantation. However, the recent development of effective desensitization protocols and creative paired donation strategies demonstrates that the presence of circulating donor HLA-specific antibodies and the use of ABO incompatible organs should no longer be considered contraindications for renal transplantation. It is estimated that as many as 6,000 patients on the kidney transplant waiting list have incompatible living donors and could benefit from these treatments. Furthermore, as our understanding of these treatment modalities has improved, it is now possible to predict whether desensitization, kidney paired donation or a combination of both will provide an individual patient with their best chance for successful renal transplantation. FAU - Warren, Daniel S AU - Warren DS AD - Department of Surgery, Johns Hopkins University, Ross Building Room 765, Baltimore, MD 21205, USA. FAU - Montgomery, Robert A AU - Montgomery RA LA - eng PT - Journal Article PT - Review PL - United States TA - Immunol Res JT - Immunologic research JID - 8611087 RN - 0 (HLA Antigens) SB - IM MH - Blood Group Incompatibility/*immunology MH - Desensitization, Immunologic/*methods MH - HLA Antigens/*immunology MH - Humans MH - Kidney/immunology MH - Kidney Transplantation/*immunology MH - Living Donors MH - Tissue and Organ Procurement/*methods MH - Waiting Lists EDAT- 2010/01/21 06:00 MHDA- 2010/10/22 06:00 CRDT- 2010/01/21 06:00 PHST- 2010/01/21 06:00 [entrez] PHST- 2010/01/21 06:00 [pubmed] PHST- 2010/10/22 06:00 [medline] AID - 10.1007/s12026-009-8157-y [doi] PST - ppublish SO - Immunol Res. 2010 Jul;47(1-3):257-64. doi: 10.1007/s12026-009-8157-y.