Desensitization in kidney transplantation: Review

Jamilya Saparbay 1 * , Mels Assykbayev 1, Saitkarim Abdugafarov 1, Gulnur Zhakhina 1, Janat Spatayev 1, Asan Zhexembayev 1, Zhuldyz Zhanzakova 2, Aida Turganbekova 2, Saniya Abdrakhmanova 2, Gulnara Kulkayeva 1
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1 Department of Organ Transplantation, National Research Oncology Center, Nur-Sultan, Kazakhstan
2 Department of Immunological Support of Organ Transplantation, Research and Production Center for Transfusiology, Nur-Sultan, Kazakhstan
* Corresponding Author
J CLIN MED KAZ, Volume 18, Issue 6, pp. 32-34. https://doi.org/10.23950/jcmk/11423
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ABSTRACT

Sensitization to human leukocyte antigens (HLA) antigens is the main obstacle to getting the kidney either from a living or deceased donor. HLA sensitization occurs as the result of repeated pregnancy, blood transfusion, or previous transplantation. Overcoming the HLA incompatibility is one of the approaches to decrease the organ shortage. There are 3.5 % highly sensitized patients among 3012 patients on the waiting list for kidney transplantation in Kazakhstan.
In this review, we have discussed most common approaches of desensitization for HS kidney recipients. Huge progress has been made in the field of desensitization in transplant medicine worldwide. We suppose, that implementation the desensitization protocols in clinical guidelines will improve patient survival and outcome after kidney transplantation.
Keywords: kidney transplantation, HLA sensitization, immunology

CITATION

Saparbay J, Assykbayev M, Abdugafarov S, Zhakhina G, Spatayev J, Zhexembayev A, et al. Desensitization in kidney transplantation: Review. J CLIN MED KAZ. 2021;18(6):32-4. https://doi.org/10.23950/jcmk/11423

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