Review of nonimmunological causes for deteriorated graft function and graft loss after transplantation.
Various factors determine the graft- and patient survival after transplantation. HLA-matching and immunological factors are of importance for the short- and long-term survival. Apart from these obvious determinants, nonimmunological factors play an important role in defining the baseline organ quality as well as the recipients' status. The influence of these parameters on graft- and patient survival is still underestimated and is a topic of debate. On account of the increasing acceptance of marginal-donor organs these events are of increasing importance for graft survival and long-term function. We review nonimmunological causes for deteriorated graft function and graft loss after solid organ transplantation.
Pratschke
Johann
J
Department of General, Visceral and Transplantation Surgery, Universitätsmedizin Berlin, Berlin, Germany. johann.pratschke@charite.de
Weiss
Sascha
S
Neuhaus
Peter
P
Pascher
Andreas
A
D000367:Age Factors; D001926:Brain Death; D051799:Delayed Graft Function / Q000209:etiology / Q000503:physiopathology; D005260:Female; D006084:Graft Rejection / Q000503:physiopathology; D006085:Graft Survival / Q000502:physiology*; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D007239:Infections / Q000209:etiology; D007511:Ischemia / Q000150:complications / Q000503:physiopathology; D008297:Male; D015427:Reperfusion Injury / Q000150:complications / Q000503:physiopathology; D012307:Risk Factors; D012737:Sex Factors; D014019:Tissue Donors; D019737:Transplants / Q000009:adverse effects*; D016312:Treatment Refusal; D014652:Vascular Diseases / Q000209:etiology
D007166:Immunosuppressive Agents