Molecular Assessment of Kidney Allografts: Are We Closer to a Daily Routine?

Kidney allograft pathology assessment has been traditionally based on clinical and histological criteria. Despite improvements in Banff histological classification, the diagnostics in particular cases is problematic reflecting a complex pathogenesis of graft injuries. With the advent of molecular te...

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Publicado en:Physiological Research Vol. 69; no. 2; pp. 215 - 227
Autores principales: TRAILIN, Andriy, HRUBA, Petra, VIKLICKY, Ondrej
Formato: Journal Article
Publicado: Institute of Physiology, Academy of Sciences of the Czech Republic Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Molecular Assessment of Kidney Allografts: Are We Closer to a Daily Routine?
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          TRAILIN, Andriy
          HRUBA, Petra
          VIKLICKY, Ondrej
        affil: Transplant Laboratory, Institute for Clinical and Experimental Medicine, Prague, Czech Republic
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      ab: Kidney allograft pathology assessment has been traditionally based on clinical and histological criteria. Despite improvements in Banff histological classification, the diagnostics in particular cases is problematic reflecting a complex pathogenesis of graft injuries. With the advent of molecular techniques, polymerasechain reaction, oligo- and microarray technologies allowed to study molecular phenotypes of graft injuries, especially acute and chronic rejections. Moreover, development of the molecular microscope diagnostic system (MMDx) to assess kidney graft biopsies represents the first clinical application of a microarraybased method in transplantation. Whether MMDx may replace conventional pathology is the subject of ongoing research, however this platform is particularly useful in complex histological findings and may help clinicians to guide the therapy.
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    language: English
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