ABO incompatibility in renal transplantation
- PMID: 34631470
- PMCID: PMC8465511
- DOI: 10.5500/wjt.v11.i9.388
ABO incompatibility in renal transplantation
Abstract
ABO blood group incompatibility (ABO-I) was historically considered an absolute contraindication to kidney transplantation due to the significant risk of acute antibody-mediated rejection and early graft loss. Nevertheless, the urge to minimize the gap between the candidates' number on the waitlist for kidney transplants and the available kidney donors encourage investigation into finding ways to use organs from ABO-I kidney donors, especially in the era of using more potent immunosuppression therapies. This review aims to discuss a general overview of ABO-I kidney transplantation and the different protocols adopted by some transplant centers to meaningfully overcome this barrier.
Keywords: ABO incompatibility; Kidney; Renal transplantation; Transplants.
©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
Conflict of interest statement
Conflict-of-interest statement: Authors state there is no conflict of interest.
Similar articles
-
Long-term results of ABO-incompatible living kidney transplantation: a single-center experience.Transplantation. 1998 Jan 27;65(2):224-8. doi: 10.1097/00007890-199801270-00014. Transplantation. 1998. PMID: 9458019
-
Renal transplantation across the ABO barrier.Saudi J Kidney Dis Transpl. 2006 Sep;17(3):311-5. Saudi J Kidney Dis Transpl. 2006. PMID: 16970249 Review.
-
ABO-incompatible organ transplantation.Int J Immunogenet. 2012 Aug;39(4):282-90. doi: 10.1111/j.1744-313X.2012.01101.x. Epub 2012 Feb 18. Int J Immunogenet. 2012. PMID: 22339811 Review.
-
Isoagglutinin adsorption in ABO-incompatible transplantation.Transfus Apher Sci. 2010 Oct;43(2):231-5. doi: 10.1016/j.transci.2010.07.016. Epub 2010 Jul 27. Transfus Apher Sci. 2010. PMID: 20667787 Review.
-
Latest insights on ABO-incompatible living-donor renal transplantation.Int J Urol. 2020 Jan;27(1):30-38. doi: 10.1111/iju.14109. Epub 2019 Sep 14. Int J Urol. 2020. PMID: 31522462 Free PMC article. Review.
Cited by
-
Non-Invasive Biomarkers for Early Diagnosis of Kidney Allograft Dysfunction: Current and Future Applications in the Era of Precision Medicine.Medicina (Kaunas). 2025 Feb 4;61(2):262. doi: 10.3390/medicina61020262. Medicina (Kaunas). 2025. PMID: 40005378 Free PMC article. Review.
-
Living donor kidney paired exchange: An observational study.Ann Med Surg (Lond). 2022 May 14;78:103761. doi: 10.1016/j.amsu.2022.103761. eCollection 2022 Jun. Ann Med Surg (Lond). 2022. PMID: 35734678 Free PMC article.
-
A case of ABO-incompatible kidney transplant: Anesthetic considerations and management.J Anaesthesiol Clin Pharmacol. 2025 Jul-Sep;41(3):552-553. doi: 10.4103/joacp.joacp_262_24. Epub 2025 Mar 22. J Anaesthesiol Clin Pharmacol. 2025. PMID: 40635805 Free PMC article. No abstract available.
-
Prophylactic treatment of FSGS recurrence in patients who relapsed on a previous kidney graft.Nephrol Dial Transplant. 2025 Feb 28;40(3):475-483. doi: 10.1093/ndt/gfae108. Nephrol Dial Transplant. 2025. PMID: 38794882 Free PMC article.
-
Evaluation of different methods for antibody titre determination in ABO-incompatible kidney transplantation.Transl Androl Urol. 2025 Mar 30;14(3):540-552. doi: 10.21037/tau-24-617. Epub 2025 Mar 26. Transl Androl Urol. 2025. PMID: 40226066 Free PMC article.
References
-
- Wolfe RA, Ashby VB, Milford EL, Ojo AO, Ettenger RE, Agodoa LY, Held PJ, Port FK. Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N Engl J Med. 1999;341:1725–1730. - PubMed
-
- Saran R, Robinson B, Abbott KC, Agodoa LY, Albertus P, Ayanian J, Balkrishnan R, Bragg-Gresham J, Cao J, Chen JL, Cope E, Dharmarajan S, Dietrich X, Eckard A, Eggers PW, Gaber C, Gillen D, Gipson D, Gu H, Hailpern SM, Hall YN, Han Y, He K, Hebert H, Helmuth M, Herman W, Heung M, Hutton D, Jacobsen SJ, Ji N, Jin Y, Kalantar-Zadeh K, Kapke A, Katz R, Kovesdy CP, Kurtz V, Lavalee D, Li Y, Lu Y, McCullough K, Molnar MZ, Montez-Rath M, Morgenstern H, Mu Q, Mukhopadhyay P, Nallamothu B, Nguyen DV, Norris KC, O'Hare AM, Obi Y, Pearson J, Pisoni R, Plattner B, Port FK, Potukuchi P, Rao P, Ratkowiak K, Ravel V, Ray D, Rhee CM, Schaubel DE, Selewski DT, Shaw S, Shi J, Shieu M, Sim JJ, Song P, Soohoo M, Steffick D, Streja E, Tamura MK, Tentori F, Tilea A, Tong L, Turf M, Wang D, Wang M, Woodside K, Wyncott A, Xin X, Zang W, Zepel L, Zhang S, Zho H, Hirth RA, Shahinian V. US Renal Data System 2016 Annual Data Report: Epidemiology of Kidney Disease in the United States. Am J Kidney Dis. 2017;69:A7–A8. - PMC - PubMed
-
- Port FK, Bragg-Gresham JL, Metzger RA, Dykstra DM, Gillespie BW, Young EW, Delmonico FL, Wynn JJ, Merion RM, Wolfe RA, Held PJ. Donor characteristics associated with reduced graft survival: an approach to expanding the pool of kidney donors. Transplantation. 2002;74:1281–1286. - PubMed
-
- Toki D, Ishida H, Horita S, Yamaguchi Y, Tanabe K. Blood group O recipients associated with early graft deterioration in living ABO-incompatible kidney transplantation. Transplantation. 2009;88:1186–1193. - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Miscellaneous