July 27, 2026 · Kidney international · DOI: 10.1016/j.kint.2026.06.042

Early Acute T Cell-Mediated Rejection and Kidney Allograft Outcomes

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The authors aimed to investigate the impact of early acute T cell-mediated rejection (TCMR) on long-term kidney allograft outcomes, particularly its treatment responses and their association with graft survival. They found that TCMR is common and often resistant to treatment, with persistent TCMR significantly linked to worse graft survival, challenging the perception of TCMR as clinically benign. Their results highlight the need for improved monitoring and targeted therapies to address persistent inflammation in kidney transplant patients.

Chuxiao Chen, Charbel Elias, Michelle Keyser, Karolien Wellekens, David Rothstein, Fadi Lakkis, Parmjeet Randhawa, Priyanka Koshy, Katharina A Mayer, Matthias Diebold, Irina B Torres, Francesc Moreso, Michele Molinari, Rajil Mehta, Sundaram Hariharan, Vikraman Gunabushanam, Amit D Tevar, Dirk Kuypers, Khodor I Abou Daya, Stefan Schaub, Georg A Böhmig, Olivier Thaunat, Oriol Bestard, Maarten Naesens, Aravind Cherukuri

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