Abstract
Introduction. We reviewed the literature data on clinical and laboratory parameters that allow predicting the development of operational tolerance in liver transplant recipients after their complete weaning from immunosuppressive therapy. The aim was to identify possible biomarkers of tolerance in liver transplant recipients with the successful complete weaning from immunosuppression for subsequent implementation in routine clinical practice. The cellular, humoral, and molecular markers of the liver transplant recipients who were completely withdrawn from immunosuppressive therapy without the development of graft dysfunction were estimated. The authors underlined the necessity of clinical trials for identifying biomarkers of the operational tolerance development.
Highlights
We reviewed the literature data on clinical and laboratory parameters that allow predicting the development of operational tolerance in liver transplant recipients after their complete weaning from immunosuppressive therapy
The cellular, humoral, and molecular markers of the liver transplant recipients who were completely withdrawn from immunosuppressive therapy without the development of graft dysfunction were estimated
The authors underlined the necessity of clinical trials for identifying biomarkers of the operational tolerance development
Summary
Склифосовского ДЗМ», 129090, Россия, Москва, Большая Сухаревская площадь, д. В обзоре обобщены имеющиеся в литературе сведения о клинических и лабораторных показателях, позволяющих прогнозировать развитие операционной толерантности у реципиентов печени после полной отмены иммуносупрессивной терапии. Цель обзора – выявить возможные биомаркеры толерантности у реципиентов печени с успешной полной отменой иммуносупрессии для последующего внедрения в повседневную клиническую практику. С позиций прогностической значимости оценены клеточные, гуморальные и молекулярные маркеры операционной толерантности реципиентов печени, которым была полностью отменена иммуносупрессивная терапия без развития дисфункции трансплантата. Обоснована необходимость проведения проспективных исследований для выявления биомаркеров, позволяющих до начала или в процессе снижения иммуносупрессии выявить реципиентов печени, у которых возможна полная ее отмена
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