title: Preservation strategies to reduce ischemic injury in kidney transplantation: pharmacological and genetic approaches.
abstract: OBJECTIVE
  In the current graft shortage, it is paramount to improve the quality of transplanted organs. Organ preservation represents an underused therapeutic window with great potential to reduce ischaemia-reperfusion injury (IRI) and improve graft quality. Herein, we review strategies using this window as well as other promising work targeting IRI pathways using pharmacological treatments and gene therapy.
  
  
  RESULTS
  We highlight studies using molecules administered during kidney preservation to target key components of IRI such as inflammation, oxidative stress, mitochondrial activity and the coagulation pathway. We further expose recent studies of gene therapy directed against inflammation or apoptosis during cold storage. Other pathways with potential therapeutic molecules are cited.
  
  
  CONCLUSIONS
  The use of cold preservation as a therapeutic window to deliver pharmacological or gene therapy treatments can significantly improve both short-term and long-term graft outcomes. Even if human gene therapy remains hampered by the quantity of agent needed and the potential harmfulness of the vector, it clearly offers a wide array of possibilities for the future. Although gene therapy is still too immature, we expose pharmacological strategies which can readily be applied to the clinic and improve both transplantation success rates and the patients' quality of life.
authors.affiliation: Inserm, U927, Rue de la Milétrie, Université de Poitiers, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Chatauret
authors.forename: Raphael
authors.initials: R
authors.lastname: Thuillier
authors.forename: Thierry
authors.initials: T
authors.lastname: Hauet
mesh_terms: D003080:Cold Temperature; D015316:Genetic Therapy; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects; D009392:Nephrectomy; D009926:Organ Preservation / Q000009:adverse effects / Q000379:methods*; D019188:Organ Preservation Solutions / Q000627:therapeutic use*; D015427:Reperfusion Injury / Q000209:etiology / Q000235:genetics / Q000378:metabolism / Q000473:pathology / Q000517:prevention & control*; D014019:Tissue Donors / Q000600:supply & distribution*; D016896:Treatment Outcome
chemical_list: D019188:Organ Preservation Solutions