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Updated: Aug 16, 2026

Mouse Kidney Transplantation: Models of Allograft Rejection
Published on: October 11, 2014
[Chronic renal allograft rejection. Part 2. Therapeutic possibilities]
1Klinika nefrologie-Transplantacní centrum IKEM, Praha.
Abstract:
Chronic rejection represents an important cause of renal allograft loss in the long term follow up. New insights into etiopathogenesis of the chronic rejection offer possibilities for experimental therapy. Novel immunosuppressants, such as mycophenolic acid, tacrolimus or rapamycin as well as lipid lowering drugs, angiotensin-converting enzyme inhibitors or AT-1 receptor blockers, may reduce of effects the risk factors on the progression of chronic rejection. In the future, gene therapy may offer additional possibilities to prevent chronic rejection. This review deals with possibilities of prevention of the chronic renal allograft rejection based on experimental evidences and current therapeutic concepts and puts these options into a rational perspective.
Insights
Preventing chronic renal allograft rejection is crucial for long-term graft survival. This review explores novel immunosuppressants, risk factor management, and future gene therapies for preventing chronic rejection.
Area of Science:
- Nephrology
- Immunology
- Transplantation
Context:
- Chronic rejection is a leading cause of long-term renal allograft loss.
- Understanding the etiopathogenesis of chronic rejection is key to developing new therapies.
Purpose:
- To review current and future strategies for preventing chronic renal allograft rejection.
- To provide a rational perspective on experimental evidence and therapeutic concepts.
Summary:
- Novel immunosuppressants (mycophenolic acid, tacrolimus, rapamycin) and drugs targeting risk factors (lipid-lowering, ACE inhibitors, AT-1 blockers) may mitigate chronic rejection progression.
- Future gene therapy holds promise for preventing chronic renal allograft rejection.
Impact:
- Informs clinicians and researchers on current and emerging approaches to improve renal allograft survival.
- Highlights the potential of multidisciplinary strategies in managing chronic rejection.
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