Antithymocytes globulins: Time to revisit its use in kidney transplantation?

Fiche publication


Date publication

août 2018

Journal

International reviews of immunology

Auteurs

Membres identifiés du Cancéropôle Est :
Pr DUCLOUX Didier


Tous les auteurs :
Ducloux D, Bamoulid J, Daguindau E, Rebibou JM, Courivaud C, Saas P

Résumé

T cell depletion by polyclonal antithymocyte globulins (ATG) has been used for many years in both organ and hematopoietic cell transplantation as an induction and rejection therapy. Nevertheless, its use remains largely empirical and many clinical questions, such as the determination of an individualized dose, therapeutic relevance of nondepletive effects, or prediction of long-term effects, are still unresolved. This review evaluates the evidence-based knowledge and the uncertainties concerning ATG, and suggests perspectives and opportunities for modern use of this old drug.

Mots clés

Antithymocyte globulins, T cell depletion, T cell reconstitution, kidney transplantation

Référence

Int. Rev. Immunol.. 2018 Aug 6;:1-9