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Review
. 2020 Jan;25(1):5-13.
doi: 10.1111/nep.13670. Epub 2019 Oct 15.

Transplant associated infections-The role of the gastrointestinal microbiota and potential therapeutic options

Samuel Chan  1   2   3 , Carmel M Hawley  1   2   3 , Katrina L Campbell  2   4 , Mark Morrison  5 , Scott B Campbell  1   2   3 , Nicole M Isbel  1   2   3 , Ross S Francis  1   2   3 , Elliot G Playford  6 , David W Johnson  1   2   3
Affiliations
Review

Transplant associated infections-The role of the gastrointestinal microbiota and potential therapeutic options

Samuel Chan et al. Nephrology (Carlton). 2020 Jan.

Abstract

Infectious complications are common following kidney transplantation and rank in the top five causes of death in patients with allograft function. Over the last 5 years, there has been emerging evidence that changes in the gastrointestinal microbiota following kidney transplantation may play a key role in the pathogenesis of transplant-associated infections. Different factors have emerged which may disrupt the interaction between the gastrointestinal microbiota and the immune system, which may lead to infective complications in kidney transplant recipients. Over the last 5 years, there has been emerging evidence that changes in the gastrointestinal microbiota following kidney transplantation may play a key role in the pathogenesis of transplant-associated infections. This review will discuss the structure and function of the gastrointestinal microbiota, the changes that occur in the gastrointestinal microbiota following kidney transplantation and the factors underpinning these changes, how these changes may lead to transplant-associated infectious complications and potential treatments which may be instituted to mitigate this risk.

Keywords: gut microbiota; infection; kidney; prebiotics; probiotics; synbiotics; transplantation.

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References

REFERENCES

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    1. ANZDATA Registry. 39th Report, Chapter 8: transplantation. Adelaide, Australia: Australia and New Zealand Dialysis and Transplant Registry; 2017.
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