RNA interference medication and transplantation procedures in patients with primary hyperoxaluria type 1

Pox should not be the sole parameter to decide on Tx procedure. In patients with minor oxalate deposition, no SOG deterioration and sensitivity to vitamin B6 or under efficacious RNAi treatment, iKTx can be considered. Severe (and deteriorating) systemic oxalosis, high Pox during RNAi treatment and maximum dialysis, makes us reconsider combined or sequential LKTx rather than iKTx. Patients with severe systemic oxalosis at time of diagnosis still have a high mortality rate.

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Publication Details

Journal
Nephrology Dialysis Transplantation
Published
2025-10-01
DOI
https://doi.org/10.1093/ndt/gfaf202
Citations
2
Primary Topic
Kidney Stones and Urolithiasis Treatments
Type
article
Field-Weighted Citation Impact
3.04
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RNA interference medication and transplantation procedures in patients with primary hyperoxaluria type 1

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Kidney Stones and Urolithiasis Treatments
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article

RNA interference medication and transplantation procedures in patients with primary hyperoxaluria type 1

Caroline Kempf, Lodovica Borghese, Mark Born, Britta Höcker, Adam Walli, Katharina Linden, Bernd Höppe, Jens König, Cristina Martín-Higueras, Henry Fehrenbach
article en
2 citations

Abstract

Pox should not be the sole parameter to decide on Tx procedure. In patients with minor oxalate deposition, no SOG deterioration and sensitivity to vitamin B6 or under efficacious RNAi treatment, iKTx can be considered. Severe (and deteriorating) systemic oxalosis, high Pox during RNAi treatment and maximum dialysis, makes us reconsider combined or sequential LKTx rather than iKTx. Patients with severe systemic oxalosis at time of diagnosis still have a high mortality rate.

Nephrology Dialysis Transplantation
Heidelberg University (DE), University Hospital Bonn (DE), University Hospital Heidelberg (DE), University Hospital Münster (DE), Laboratory Dr. Wisplinghoff (DE), Oxalosis and Hyperoxaluria Foundation (US), Universitätsklinikum Aachen (DE), Sana Klinikum Offenbach (DE), Kernkraftwerk Gundremmingen (DE), Charité - Universitätsmedizin Berlin (DE)
Openalex Percentile: Top 8%
Kidney Stones and Urolithiasis Treatments
3.04
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