2013
DOI: 10.1097/tp.0b013e31827e31c9
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Acute But Transient Release of Terminal Complement Complex After Reperfusion in Clinical Kidney Transplantation

Abstract: This systematic study in human kidney transplantation shows an acute but nonsustained sC5b-9 release on reperfusion in deceased-donor kidney transplantation. This instantaneous, intravascular terminal complement activation may be induced by intravascular cellular debris and hypoxic or injured endothelium.

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Cited by 69 publications
(51 citation statements)
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“…A role for complement activation in human IR injury was evaluated by de Vries et al (28). These investigators detected soluble C5b-9 following reperfusion of deceased donor but not living donor kidneys.…”
Section: Figurementioning
confidence: 99%
“…A role for complement activation in human IR injury was evaluated by de Vries et al (28). These investigators detected soluble C5b-9 following reperfusion of deceased donor but not living donor kidneys.…”
Section: Figurementioning
confidence: 99%
“…Experimental studies in humans, C3 and C4 knockout mice, and mice treated with C5a receptor antagonists show that complement activation is involved in ischemia-reperfusion injury in the context of transplantation or stroke. [27][28][29][30] In TMA, ischemia-reperfusion injury could lead to complement activation, possibly amplifying complement-mediated injury.…”
Section: Discussionmentioning
confidence: 99%
“…Local activation through the alternative pathway yields C3a/C5a, which amplifies local inflammation through autocrine/paracrine ligations with their kidney cell-expressed receptors (102). Confirmatory evidence in humans includes detection of soluble C5b-9 after reperfusion of deceased donor but not living donor kidneys (103) and higher expression of complement genes in deceased versus living donor kidneys on reperfusion (104).…”
Section: Kidney-derived Complement and Diseasementioning
confidence: 99%