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Biologicals in the prevention and treatment of intestinal graft rejection: The state of the art Biologicals in Intestinal Transplantation.
Karmi, Naomi; Uniken Venema, Werna T C; van der Heide, Frans; Festen, Eleonora A M; Dijkstra, Gerard.
Afiliación
  • Karmi N; University of Groningen, University Medical Center Groningen, Department of Gastroenterology and Hepatology, Groningen, The Netherlands.
  • Uniken Venema WTC; University of Groningen, University Medical Center Groningen, Department of Gastroenterology and Hepatology, Groningen, The Netherlands.
  • van der Heide F; University of Groningen, University Medical Center Groningen, Department of Gastroenterology and Hepatology, Groningen, The Netherlands.
  • Festen EAM; University of Groningen, University Medical Center Groningen, Department of Gastroenterology and Hepatology, Groningen, The Netherlands.
  • Dijkstra G; University of Groningen, University Medical Center Groningen, Department of Gastroenterology and Hepatology, Groningen, The Netherlands. Electronic address: gerard.dijkstra@umcg.nl.
Hum Immunol ; 85(4): 110810, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38788483
ABSTRACT
Intestinal transplantation is the standard treatment for patients with intestinal failure with severe complications due to parenteral nutrition; however, rejection leads to graft failure in approximately half of both adult and pediatric recipients within 5 years of transplantation. Although intensive immunosuppressive therapy is used in an attempt to reduce this risk, commonly used treatment strategies are generally practice- and/or expert-based, as head-to-head comparisons are lacking. In this ever-developing field, biologicals designed to prevent or treat rejection are used increasingly, with both infliximab and vedolizumab showing potential in the treatment of acute cellular rejection in individual cases and in relatively small patient cohorts. To help advance progress in clinical care, we review the current use of biologicals in intestinal transplantation, and we provide future perspectives to guide this progress.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Rechazo de Injerto / Intestinos Límite: Animals / Humans Idioma: En Revista: Hum Immunol Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Rechazo de Injerto / Intestinos Límite: Animals / Humans Idioma: En Revista: Hum Immunol Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos