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BlogLiving Kidney Donor

What is the expected kidney function of a patient after donating a kidney?

A 31 year-old healthy male donated his kidney to his mother who had IgA nephropathy. Prior to donation, his creatinine was 1.08 mg/dl. One year after donation, his creatinine is…
Leonardo Riella
Leonardo Riella08/2015
Editorials/PerspectivesPublications

Testing for High-Risk APOL1 Alleles in Potential Living Kidney Donors

Accurate risk assessment is critical when evaluating potential living kidney donors. High-risk kidney APOL1 variants have been associated with end-stage renal disease of multiple causes among African Americans, though the predictive power…
Leonardo Riella
Leonardo Riella07/2015
Allograft DysfunctionBlogRecurrent Disease Post-Transplant

Recurrence of Kappa monoclonal gammopathy after kidney transplantation

Membranoproliferative glomerulonephritis on kidney biopsy. Monoclonal gammopathies generally arise from the development of an abnormal clone of B-cell lineage. The monoclonal protein can be intact immunoglogulin (often associated with free…
Leonardo Riella
Leonardo Riella06/2015
BlogMalignancies Post-Transplant

Post-transplant malignancy 101

What are the most common type of cancers in kidney transplant recipients? Post-transplant malignancy The four most common cancers are: non-melanoma skin cancers, Kaposi’s sarcoma, kidney cancer and non-Hodgkin lymphomas. Compared…
Leonardo Riella
Leonardo Riella04/2015
BlogInfections Post-Transplant

Hepatitis B and kidney transplantation

Prior HBV infection is not a contraindication to kidney transplantation. Hepatitis B Virus It is critical to evaluate patients with serologies and HBV DNA viral load prior to transplant. Most patients…
Leonardo Riella
Leonardo Riella04/2015
BlogMedical Complications Post-Transplant

Pregnancy after Kidney Transplantation – Hope with Caution…

Pregnancy after Kidney Transplantation While end-stage kidney disease is associated with a high rate of infertility likely related to hormonal changes and anovulation, patients undergoing renal transplantation resume menstrual cycles…
Leonardo Riella
Leonardo Riella04/2015
PublicationsResearch Articles

Salt Accelerates Allograft Rejection through Serum- and Glucocorticoid-Regulated Kinase-1-Dependent Inhibition of Regulatory T Cells.

A high-salt diet (HSD) in humans is linked to a number of complications, including hypertension and cardiovascular events. Whether a HSD affects the immune response in transplantation is unknown. Using…
Leonardo Riella
Leonardo Riella04/2015
BlogHistocompatibility

Is Matching at the HLA Epitope Level the Holy Grail of Longer Graft Survival?

Protein Structure All HLA antigens are composed of strings of several polymorphic sites, which may serve as targets, or epitopes, for antibody binding. An important consideration is that HLA antigens…
Leonardo Riella
Leonardo Riella03/2015
PublicationsReviews

Acute rejection in vascularized composite allotransplantation

PURPOSE OF REVIEW: Acute rejection is the most common complication after vascularized composite allotransplantation (VCA). This review provides a state-of-the-art analysis of prevention, diagnosis and treatment of acute rejection episodes…
Leonardo Riella
Leonardo Riella12/2014
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