Topic Review
MicroRNAs as Potential Graft Rejection or Tolerance Biomarkers
Allograft rejection is a widespread complication in allograft recipients with chronic kidney disease. Undertreatment of subclinical and clinical rejection and later post-transplant problems are caused by an imperfect understanding of the mechanisms at play and a lack of adequate diagnostic tools. Many different biomarkers have been analyzed and proposed to detect and monitor these crucial events in transplant outcomes. In this sense, microRNAs may help diagnose rejection or tolerance and indicate appropriate treatment, especially in patients with chronic allograft rejection. As key epigenetic regulators of physiological homeostasis, microRNAs have therapeutic potential and may indicate allograft tolerance or rejection. However, more evidence and clinical validation are indispensable before microRNAs are ready for clinical prime time.
  • 47
  • 19 Mar 2024
Topic Review
Kidney Transplant Care through the Integration of Chatbot
Kidney transplantation is a critical treatment option for end-stage kidney disease patients, offering improved quality of life and increased survival rates. However, the complexities of kidney transplant care necessitate continuous advancements in decision making, patient communication, and operational efficiency. 
  • 142
  • 23 Feb 2024
Topic Review
Post-Transplant Bone Disease in Kidney Transplant Recipients
Kidney transplantation is the preferred gold standard modality of treatment for kidney failure. Bone disease after kidney transplantation is highly prevalent in patients living with a kidney transplant and is associated with high rates of hip fractures. Fractures are associated with increased healthcare costs, morbidity and mortality. Post-transplant bone disease (PTBD) includes renal osteodystrophy, osteoporosis, osteonecrosis and bone fractures. PTBD is complex as it encompasses pre-existing chronic kidney disease–mineral bone disease and compounding factors after transplantation, including the use of immunosuppression and the development of de novo bone disease. After transplantation, the persistence of secondary and tertiary hyperparathyroidism, renal osteodystrophy, relative vitamin D deficiency and high levels of fibroblast growth factor-23 contribute to post-transplant bone disease. Risk assessment includes identifying both general risk factors and kidney-specific risk factors. Diagnosis is complex as the gold standard bone biopsy with double-tetracycline labelling to diagnose the PTBD subtype is not always readily available. Therefore, alternative diagnostic tools may be used to aid its diagnosis. 
  • 75
  • 18 Feb 2024
Topic Review
Modification of Preservative Fluids with Antioxidants
Transplantation is currently the only effective treatment for patients with end-stage liver failure. Many advanced studies have been conducted to improve the efficiency of organ preservation techniques. Modifying the composition of the preservation fluids currently used may improve graft function and increase the likelihood of transplantation success. The modified fluid is expected to extend the period of safe liver storage in the peri-transplantation period and to increase the pool of organs for transplantation with livers from marginal donors. 
  • 56
  • 08 Feb 2024
Topic Review
Mitochondrial Transplantation for Mitochondria-Deficient Diseases
Mitochondria are double-membrane organelles that are involved in energy production, apoptosis, and signaling in eukaryotic cells. Several studies conducted over the past decades have correlated mitochondrial dysfunction with various diseases, including cerebral ischemia, myocardial ischemia-reperfusion, and cancer. Mitochondrial transplantation entails importing intact mitochondria from healthy tissues into diseased tissues with damaged mitochondria to rescue the injured cells. 
  • 60
  • 01 Feb 2024
Topic Review
Hydrogen in Transplantation
Hydrogen gas, renowned for its antioxidant properties, has emerged as a novel therapeutic agent with applications across various medical domains, positioning it as a potential adjunct therapy in transplantation. 
  • 143
  • 11 Jan 2024
Topic Review
Coronary Artery Disease in the Lung Transplant Patient
Lung transplantation can greatly improve quality of life and extend survival in those with end-stage lung disease. In order to derive the maximal benefit from such a procedure, patients must be carefully selected and be otherwise healthy enough to survive a high-risk surgery and sometimes prolonged immunosuppressive therapy following surgery. Patients therefore must be critically assessed prior to being listed for transplantation with close attention paid towards assessment of cardiovascular health and operative risk. One of the biggest dictators of this is coronary artery disease.
  • 111
  • 10 Jan 2024
Topic Review
Cell Therapy for Parkinson’s Disease
Parkinson’s Disease (PD) is a neurodegenerative disease characterized by the progressive loss of dopaminergic neurons of the substantia nigra pars compacta with a reduction in dopamine concentration in the striatum. It is a substantial loss of dopaminergic neurons that is responsible for the classic triad of PD symptoms, i.e., resting tremor, muscular rigidity, and bradykinesia. Several therapies for PD may only offer symptomatic relief and do not address the underlying neurodegeneration of PD. The developments in cellular reprogramming have enabled the development of previously unachievable cell therapies and patient-specific modeling of PD through Induced Pluripotent Stem Cells (iPSCs). iPSCs possess the inherent capacity for pluripotency, allowing for their directed differentiation into diverse cell lineages, such as dopaminergic neurons, thus offering a promising avenue for addressing the issue of neurodegeneration within the context of PD. 
  • 159
  • 04 Dec 2023
Topic Review
Bioprinting in Renal Regenerative Medicine
In this new era of technological advancement, three-dimensional (3D) printing has emerged in medicine, promising to revolutionize surgical practices. Three-dimensional printing could be defined as “translating” a digital image into a 3D solid object by printing consecutive thin layers of materials. The fusion of tissue engineering and 3D printing has given rise to bioprinting. This technique employs biocompatible printers and "bio-ink" to create intricate tissue structures, while the complete fabrication of functional organs remains a research objective. 3D bioprinting has already shown promising results, especially in the field of microfluidic devices with the development of tissues demonstrating proximal tubules, glomerulus, and tubuloinerstitium functions. Such models could be applied in renal disease modeling and during drug development for nephrotoxicity investigation. 
  • 192
  • 08 Nov 2023
Topic Review
miRNA in Graft-Versus-Host-Disease
Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is a clinically challenging modality for the treatment of many hematologic diseases such as leukemia, lymphoma, and myeloma. Graft-versus-host disease (GVHD) is a common complication after allo-HSCT and remains a major cause of morbidity and mortality, limiting the success of a potentially curative transplant. Several microRNAs (miRNAs) have recently been shown to impact the biology of GVHD. They are molecular regulators involved in numerous processes during T-cell development, homeostasis, and activation, and contribute to the pathological function of T-cells during GvHD.
  • 150
  • 07 Oct 2023
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