Predictive tools to determine risk of infection in kidney transplant recipients.

Predictive tools to determine risk of infection in kidney transplant recipients.
Expert Rev Anti Infect Ther. 2020 Feb 21;:
Authors: Fernández-Ruiz M, López-Medrano F, Aguado JM
Abstract
Introduction: Infection represents a major complication after kidney transplantation (KT). Therapeutic drug monitoring is essentially the only approach for the adjustment of immunosuppression in current practice, with suboptimal results. The implementation of immune monitoring strategies may contribute to minimizing the risk of adverse events attributable to over-immunosuppression without compromising graft outcomes.Areas covered: The present review (based on PubMed/MEDLINE searches from database inception to November 2019) is focused on immune biomarkers with no antigen specificity (non-pathogen-specific), including serum levels of immunoglobulins and complement factors, peripheral blood lymphocyte subpopulations, soluble CD30, intracellular ATP production by stimulated CD4+ T-cells, and other cell-based immune assays. We also summarized recent advances in the use of replication kinetics of latent viruses to assess the functionality of T-cell immunity, with focus on the non-pathogenic anelloviruses. Finally, the composite risk scores reported in the literature are critically discussed.Expert opinion: Notable efforts have been made to develop an enlarging repertoire of immune biomarkers and prediction models, although most of them still lack techni...

Source: Expert Review of Anti-Infective Therapy - February 23, 2020 Category: Infectious Diseases Tags: Expert Rev Anti Infect Ther Source Type: research