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Editorial
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Volume 354:2060-2062 May 11, 2006 Number 19
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Influence of Graft Characteristics on the Outcome of Kidney Transplantation
Jean-Paul Soulillou, M.D., and Magali Giral, M.D.

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 by Brown, K. M.
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The characteristics of renal allografts before transplantation present a multifaceted puzzle that in large part predetermines the outcome of kidney transplantation. Compatibility at the major-histocompatibility-complex (MHC) loci, the age of the donor, cold-ischemia times, and nephron mass1,2 all contribute to long-term results through interacting effects involving initial damage to parenchymal or vascular cells and possible hyperfiltration. Many factors are involved in chronic allograft dysfunction, in which immune-mediated lesions caused by chronic rejection are only one component.3

In this issue of the Journal, Brown et al.4 report on a newly identified donor factor, an allotype of the C3 complement molecule that . . . [Full Text of this Article]


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From the Centre Hospitalier Universitaire de Nantes and INSERM Unité 643 (J.-P.S., M.G.) and Université de Nantes (J.-P.S.) — all in Nantes, France.




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