Bortezomib in Kidney Transplantation
Author(s) -
Rajeev Raghavan,
Abdallah Jeroudi,
Katafan Achkar,
A. Osama Gaber,
Samir J. Patel,
Abdul Abdellatif
Publication year - 2010
Publication title -
journal of transplantation
Language(s) - English
Resource type - Journals
eISSN - 2090-0015
pISSN - 2090-0007
DOI - 10.1155/2010/698594
Subject(s) - bortezomib , medicine , multiple myeloma , desensitization (medicine) , proteasome inhibitor , plasma cell , transplantation , clinical trial , immunology , oncology , pharmacology , receptor
Although current therapies for pretransplant desensitization and treatment of antibody-mediated rejection (AMR) have had some success, they do not specifically deplete plasma cells that produce antihuman leukocyte antigen (HLA) antibodies. Bortezomib, a proteasome inhibitor approved for the treatment of multiple myeloma (a plasma cell neoplasm), induces plasma cell apoptosis. In this paper we review the current body of literature regarding the use of this biological agent in the field of transplantation. Although limited experience with bortezomib may seem to show promise in the realm of transplant recipients desensitization and treatment of AMR, there is also experience that may suggest otherwise. Bortezomib's role in desensitization protocols and treatment of AMR will be defined better as more clinical data and trials become available.
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