Rapports de transplantation : accès libre

Abstrait

Advances in Transplantation: A Comprehensive Review of Recent Research and Developments

Robert C Minnee

Organ transplantation is a life-saving medical procedure that has significantly improved the quality of life for millions of people worldwide. In recent years, there have been remarkable advancements in transplantation techniques, immunosuppressive therapies, and organ preservation methods. This article provides a comprehensive review of recent research and developments in the field of transplantation, highlighting key findings and their implications for clinical practice. The report addresses the critical issue of organ shortage and explores alternative approaches, such as expanded criteria donors, living donors, and xenotransplantation. It also examines the exciting developments in regenerative medicine and tissue engineering as potential alternatives to conventional organ transplantation. Advances in immunosuppressive therapies and personalized medicine approaches are discussed, focusing on minimizing rejection and improving graft survival. The role of biomarkers and molecular diagnostics in predicting and monitoring graft function is also examined. In addition, the report explores novel techniques for organ preservation, including hypothermic machine perfusion and normothermic ex vivo perfusion, which have shown promising results in enhancing organ quality and expanding the donor pool. It also discusses innovations in transplant logistics and allocation systems to optimize organ matching and minimize ischemic time. Transplantation in special populations, such as pediatric patients, elderly recipients, and those with complex medical conditions, is addressed, along with considerations for highly sensitized patients and ABO-incompatible transplantations. The report delves into the emerging field of cellular therapies, including regulatory T cells and mesenchymal stem cells, which aim to induce immune tolerance and reduce the need for lifelong immunosuppression. It also explores the potential of gene editing technologies, like CRISPR-Cas9, in preventing graft rejection. Ethical considerations related to organ allocation, informed consent, and the equitable distribution of transplantation resources are discussed, along with the impact of policy changes on organ donation rates. Overall, this comprehensive review highlights recent research and developments in transplantation, offering insights into how these advancements can address organ shortage, improve graft outcomes, enhance organ preservation, and explore innovative cellular therapies. The findings have the potential to shape the future of transplantation, providing better patient outcomes and quality of life.