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2014 ; 29
(9
): 1485-92
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The impact of APOL1, CAV1, and ABCB1 gene variants on outcomes in kidney
transplantation: donor and recipient effects
#MMPMID23748364
Palanisamy A
; Reeves-Daniel AM
; Freedman BI
Pediatr Nephrol
2014[Sep]; 29
(9
): 1485-92
PMID23748364
show ga
Dramatic improvements have been seen in short-term kidney allograft survival over
recent decades with introduction of more potent immunosuppressant medications and
regimens. Unfortunately, improvements in long-term graft survival have lagged
behind. The genomics revolution is providing new insights regarding the potential
impact of kidney donor genotypes on long-term graft survival. Variation in the
donor apolipoprotein L1 (APOL1), caveolin 1 (CAV1), and multi-drug resistance 1
encoding P-glycoprotein genes (ABCB1) are all associated with graft survival
after kidney transplantation. Although the precise mechanisms whereby these donor
gene variants confer risk for graft loss have yet to be determined, these
findings provide novel opportunities for modifying interactive environmental
factors and optimizing kidney allocation with the ultimate goal of improving
long-term graft survival rates.