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Areas of Study

Since 1993 the Association for Research on Transplantation, cognizant of the unresolved problems in transplantation, sustains research in the field of organ transplantation.

In order to successfully promote the research activity, ART financially sustains research project carefully selected by the Technical- Scientific Committee on the base of scientific relevance.

In particular, Foundation ART for Research on Transplantation promotes:

1. Deepen research on tolerance induction to organ transplantation

Recent experiments in small animals show that immunological tolerance can be achieved that allows graft survival without administering drugs to prevent rejection.
Studies on immunological tolerance induction have to be developed to eliminate the need for transplanted patients to chronically assume antirejection drugs, which reduce the natural defence system and increase the risk of tumours. .

2. Finding new non - toxic immunosuppressants to prevent both short and long - term damage in transplanted organs

Patient and graft survivals have reached good extents in the short term thanks to therapeutics, which allow efficient prevention of acute rejection. Nonetheless, chronic immunosuppression put the patients at risk of opportunistic infections and cancer. As a consequence comes the need for interventions able to avoid acute rejection by low dosage of medications.

3. Enhanced methodologies in transplantation to improve organs' availability

a) Cells' transplantation
Some metabolic disorders, such as diabetes, are curable by cell transplantation instead of whole organ transplantation, by less invasive and traumatic surgery.

b) Widening of donor selection criteria
In Italy, as in all over the world, the rarity of donors (and, hence, of organs) represents the main obstacle to performing transplantation. As the candidates' number is ever growing, waiting times are growing as well, so that the percentage of patients actually undergoing transplantation will dramatically decreased. One way to improve organs' availability is to widen selection criteria for donors in particular taking into account the elderly, the diabetic and the hypertensive.

4. Xenotransplantation

Due to the dramatic scarcity of organs the attention of the principal transplant centers are focusing efforts in the area of xenotransplantation, that is the use of animal organs for transplantation.
Only through xenotransplantation will it be possible to provide a timely response to the ever increasing need for transplants, and through genetic engineering, eliminate rejection.

5. Farmacogenomic studies to predict antirejection drug response in transplanted patients

Each patient displays a unique response to antirejection drug. This can determine an inadequate immunosuppression, thus exposing the patients to unnecessary risks such as loss of the graft or, on the contrary, to the side effects of chronic immunosuppression. The aim of the research is to identify possible alterations in the genes involved in antirejection drug response, which will allow to customize the most adequate regimen for every single patient even before surgery.



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