Table 4. Kidney Transplant PSP top ten priorities for future research.
Question |
---|
What is the best way to treat vascular or antibody-mediated acute rejection? |
How can immunosuppression be personalised to the individual patients to improve the results of transplantation? |
How can we prevent sensitisation in patients with a failing transplant, to improve their chances of another successful transplant (e.g. removal of the transplant, withdrawal of immunosuppressive medicines or continuation of these medicines?) |
Can we improve monitoring of the level of immunosuppression to achieve better balance between risk of rejection and side effects? (e.g. T-cell or B-cell ELISPOT, point-of-care tacrolimus monitoring, MMF monitoring) |
How can we improve transplant rates in highly sensitised patients? |
What are the long-term health risks to the living kidney donor? |
How can we encourage tolerance to the transplant to prevent or reduce the need for immunosuppression? (e.g. by use of T-regulatory cells, induction of haemoxygenase 1) |
What is the best combination of immunosuppressive drugs following kidney transplantation? (e.g. azathioprine or mycophenolate, belatacept, generic or proprietary (brand-name) drugs) |
What techniques to preserve, condition and transport the kidney before transplantation allow increased preservation times and/or improve results? (e.g. machine perfusion, normothermic reconditioning, addition of agents to the perfusate) |
Can bioengineered organs be developed to be as safe as human-to-human transplants? How can this be achieved? |
The order of questions does not reflect priority.