Table 1.
C3GN among KTx Recipients | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Authors | Type of Study | Patients (n) |
Age at Time of Diagnosis/Transplant, Median (Years) | Females (n) |
Time to Dialysis or KTX, Median (Months) | Type of KTX | Complement Abnormality | Median Follow-Up (Months) | Median Time from KTx to Recurrence (Months) |
Recurrence | Rituximab, Graft Failure (n) | Eculizumab, Graft Failure (n) | PLEX + Steroids, Graft Failure (n) | No Therapy for Recurrence, Graft Failure (n) | Graft Failure, Total (n) |
Regunathan-Shenk et al., 2019 [48] | Cohort | 12 | 22 | 3 | 48 | LRKTx, 7 LUKTx, 3 DDKTx, 2 |
CD46, 1 C3Nef, 2 C5Nef, 1 None, 1 Not done, 7 |
76 | - | 8, yes 2, probable2, no |
0 | 3, 1 (1 treated with Eculizumab + PLEX) |
1, 0 | 9, 2 | 3 |
Zand et al., 2014 [50] | Cohort | 21 | 20.8 | 9 | 42.3 | LKTx, 17 DDKTx, 4 |
- | 73.9 | 28 | 14, yes 7, no |
3, 2 | 0,0 | 1 + plus autologous peripheral stem cell transplant, 0 1 treated with steroids alone, 1 |
10, 0 | 7 |
Frangou et al., 2019 [71] | Cohort | 17 | 46.7 | 4 | - | LRKTx, 3 LUKTx, 3 DDKTx, 11 |
CFHR5, 17 | 157 | 37 | 3, yes 9, probable |
0,0 | 0,0 | 2, 2 | 14, 3 | 5 |
Serra et al., 2018 [72] | Case series | 3 (de novo) | 66 | 1 | - | DDKTx, 3 | None, 2 Anti-CFH ab, 1 |
- | 72 | 3 de novo | 1, 1 | 0 | 0 | 2, 2 | 3 |
Wong et al., 2016 [73] | Case series | 4 (familial) | 26.5 | 2 | - | DDKTx, 4 | - | - | 97 | 2, yes | 0 | 0 | 0 | 2, 1 | 1 |
Alasfar et al., 2016 [74] | Cohort | 5 | 37.4 | 3 | - | DDKTx,1 LUKTx, 1 |
- | 63.6 | - | 2, yes | 0 | 1,0 | 0 | 1, 1 | 1 |
Jeantet et al., 2017 [75] | Cohort | 9 | - | - | - | - | - | - | 1.5 | 9, yes | 0 | 9, 2 | 0 | 0 | 2 |
Bomback et al., 2012 [32] | Case series | 2 | 21 | 2 | - | - | C3Nef, 2 | - | 2.5 | 2 | - | 2, 0 (1 treated with Eculizumab + PLEX, steroids) |
1, 0 | 0 | 0 |
Abbreviations: KTX, kidney transplant; LKTx, living donor kidney transplant, LRKTx, living-related kidney transplant; LUKTx, living unrelated kidney transplant; DDKTx, deceased donor kidney transplant; PLEX, plasma exchange.