Clinical parameters and biomarkers predicting spontaneous operational tolerance after liver transplantation: A scoping review.
Details
Serval ID
serval:BIB_1ECF701F3E52
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Clinical parameters and biomarkers predicting spontaneous operational tolerance after liver transplantation: A scoping review.
Journal
American journal of transplantation
ISSN
1600-6143 (Electronic)
ISSN-L
1600-6135
Publication state
Published
Issued date
10/2021
Peer-reviewed
Oui
Volume
21
Number
10
Pages
3312-3323
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Systematic Review
Publication Status: ppublish
Publication Status: ppublish
Abstract
Indefinite allograft acceptance after immunosuppression withdrawal (ISW), also known as operational tolerance (OT), can occur spontaneously after liver transplantation (LT), but reliable and reproducible prognosis of OT versus non-OT outcomes remains elusive. To prime this, systematic extraction of OT-predictive factors from the literature is crucial. We provide the first comprehensive identification and synthesis of clinical parameters and biomarkers predicting spontaneous OT in non-autoimmune/non-replicative viral LT recipients selected for ISW. We searched Embase, Medline, the Cochrane Central Register of Controlled Trials, clinicaltrials.gov, and the World Health Organization International Clinical Trials Registry Platform for articles, conference abstracts, and ongoing trials. We contacted principal investigators of stand-alone abstracts and ongoing trials for unpublished data and screened citations and references of eligible articles. Twenty-three articles reporting on 11 completed ISW studies, 13 abstracts, and five trial registry entries were included. Longer time between LT and ISW was the only clinical parameter that may increase the incidence of OT. Prognostic biomarkers conspicuously differed between pediatric and adult ISW candidates. These included allograft gene expression patterns and peripheral blood immune exhaustion markers for adults, and histological allograft scores for children. Our results will foster cross-validation efforts to facilitate safe and harmonized candidate selection for successful ISW.
Keywords
Adult, Biomarkers, Child, Humans, Immune Tolerance, Immunosuppression, Liver Transplantation, Transplantation, Homologous, biomarker, clinical decision-making, clinical research/practice, health services and outcomes research, immunobiology, immunosuppression/immune modulation, immunosuppressive regimens - minimization/withdrawal, liver allograft function/dysfunction, liver transplantation / hepatology, tolerance
Pubmed
Web of science
Create date
16/11/2021 14:20
Last modification date
17/11/2021 6:40