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HIV and organ transplantation
1Division of Infectious Diseases, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Current Opinion in Organ Transplantation
|July 22, 2020
Summary
Organ transplantation for people with HIV is safe and effective. Recent advances, including the HOPE Act, are reducing barriers and increasing organ availability for HIV+ patients.
Area of Science:
- Immunology
- Infectious Diseases
- Transplant Surgery
Background:
- Organ transplantation in individuals with human immunodeficiency virus (HIV) has evolved significantly.
- Despite advancements, HIV-positive patients still face considerable barriers to receiving transplants.
Purpose of the Study:
- To review recent advancements in organ transplantation for patients living with HIV over the past two years.
- To highlight progress and ongoing challenges in this field.
Main Methods:
- Literature review of studies published within the last two years.
- Analysis of policy changes, such as the HOPE Act, impacting organ donation and transplantation for HIV+ individuals.
- Examination of clinical outcomes and treatment advancements.
Main Results:
- The HOPE Act in the US is expanding the donor pool for HIV+ candidates and allowing organs from donors with false-positive HIV tests.
- Improved treatments for Hepatitis C (HCV) and increased experience in heart and lung transplantation are enhancing patient care.
- Increased organ availability is anticipated due to the inclusion of HIV-positive organ donors.
Conclusions:
- Organ transplantation for individuals with HIV is safe and effective, with ongoing progress in the field.
- Future efforts must focus on reducing transplantation barriers and deepening the understanding of immune responses in HIV-infected transplant recipients.
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