Evidence map›Paper›PMID 41042248›Full record

ReviewNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2026

Complement activation in kidney transplantation.

Mehmet Kanbay, Lasin Ozbek, Mustafa Guldan, Zeynep Akcin, Can C Susal, Ahsen Morva Yilmaz, Sebahat Usta Akgul, Caner Susal

Abstract readReview
In one paragraph

Review in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mehmet KanbayDivision of Nephrology, Department of Medicine, Koç University School of Medicine, Istanbul, Turkey.ORCID 0000-0002-1297-0675
Lasin OzbekDepartment of Medicine, Koç University School of Medicine, Istanbul, Turkey.
Mustafa GuldanDivision of Nephrology, Department of Medicine, Koç University School of Medicine, Istanbul, Turkey.
Zeynep AkcinTransplant Immunology Research Center of Excellence TIREX, Koç University School of Medicine, Istanbul, Turkey.
Can C SusalDepartment of Nephrology, Klinikum Stuttgart - Katharinenhospital, Stuttgart, Germany.
Ahsen Morva YilmazTransplant Immunology Research Center of Excellence TIREX, Koç University School of Medicine, Istanbul, Turkey.
Sebahat Usta AkgulTransplant Immunology Research Center of Excellence TIREX, Koç University School of Medicine, Istanbul, Turkey.
Caner SusalTransplant Immunology Research Center of Excellence TIREX, Koç University School of Medicine, Istanbul, Turkey.ORCID 0000-0003-2521-8201

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Long-term graft survival remains a challenge in kidney transplantation and, due to scarcity of available organs, solutions such as xenotransplantation have been revived, and testing of new agents, including complement-targeting biologicals with potential to improve transplant outcomes, has been enhanced. The complement system plays a critical role in the reaction of the host's immune system to the transplanted foreign kidney. Activation of the complement system is strongly involved in ischemia/reperfusion-mediated injury and rejection of allografts as well as xenografts, and post-transplant recurrence rates are high in kidney diseases linked to complement system dysregulation. Therefore, the precise understanding of the complement activation cascade is important for the development of successful strategies that target complement before and after transplantation. This article compiles the current knowledge on the role of the complement system in kidney transplantation, examines recent developments in the clinical use of complement-targeting therapeutics and discusses the limitations of these approaches. While the current study results indicate that complement-targeting strategies are still in their early stages, promising findings related to the discovery of new agents encourage the redesign of existing therapeutic approaches and the development of more effective treatments.

Indexed as

Complement ActivationGraft RejectionKidney TransplantationAnimalsComplement System ProteinsGraft SurvivalHumansComplement System Proteinscomplement systemgraft rejectionischemia-reperfusion injurykidney transplantationxenotransplantation

Identifiers

PMID41042248
PMCPMC13161900

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.