Ischemic Conditioning in Kidney Transplantation

J Cardiovasc Pharmacol Ther. 2017 Jul;22(4):330-336. doi: 10.1177/1074248417702893. Epub 2017 Apr 11.

Abstract

Ischemia-reperfusion injury is a composite of the injury sustained during a period of reduced or absent blood flow to a tissue or organ and the additional insult sustained on reperfusion, which limits the amount of tissue that can be salvaged. Ischemia-reperfusion injury is the predominant insult during kidney transplantation, contributing to graft dysfunction, increased rates of acute rejection, and reduced rejection-free graft survival. In this review, we discuss the potential therapeutic benefits of a cost-effective and low-risk intervention, ischemic preconditioning, and its potential for improving kidney function following transplantation.

Keywords: heart disease; ischemia–reperfusion injury; renal.

Publication types

  • Review

MeSH terms

  • Animals
  • Disease-Free Survival
  • Graft Rejection / etiology
  • Graft Rejection / pathology
  • Graft Rejection / physiopathology
  • Graft Rejection / prevention & control
  • Graft Survival
  • Humans
  • Ischemic Preconditioning / methods*
  • Kidney Transplantation / adverse effects*
  • Primary Graft Dysfunction / etiology
  • Primary Graft Dysfunction / pathology
  • Primary Graft Dysfunction / physiopathology
  • Primary Graft Dysfunction / prevention & control
  • Regional Blood Flow
  • Reperfusion Injury / etiology
  • Reperfusion Injury / pathology
  • Reperfusion Injury / physiopathology
  • Reperfusion Injury / prevention & control*
  • Risk Assessment
  • Risk Factors
  • Time Factors
  • Treatment Outcome