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Banff 07 Classification of Renal Allograft Pathology: Updates and Future Directions

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TLDR
Emerging research data led to the establishment of collaborative working groups addressing issues like isolated ‘v’ lesion and incorporation of omics‐technologies, paving the way for future combination of graft biopsy and molecular parameters within the Banff process.
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This article is published in American Journal of Transplantation.The article was published on 2008-04-01 and is currently open access. It has received 1700 citations till now. The article focuses on the topics: Transplantation.

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Calcineurin Inhibitor Nephrotoxicity

TL;DR: The authors critically review the current evidence relating systemic blood levels of cyclosporine and tacrolimus to calcineurin inhibitor nephrotoxicity, and summarize the data suggesting that local exposure to cycloporine or tacolimus could be more important than systemic exposure.
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Pathologic Classification of Diabetic Nephropathy

TL;DR: A consensus classification combining type1 and type 2 diabetic nephropathies is developed that would be easy to use internationally in clinical practice and a good interobserver reproducibility for the four classes of DN was shown.
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Banff '09 meeting report: Antibody mediated graft deterioration and implementation of Banff working groups

TL;DR: The willingness of the Banff process to adapt continuously in response to new research and improve potential weaknesses, led to the implementation of six working groups on the following areas: isolated v‐lesion, fibrosis scoring, glomerular lesions, molecular pathology, polyomavirus nephropathy and quality assurance.
References
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Banff '05 Meeting Report: differential diagnosis of chronic allograft injury and elimination of chronic allograft nephropathy ('CAN').

TL;DR: The 8th Banff Conference on Allograft Pathology was held in Edmonton, Canada, 15–21 July 2005, and major outcomes included the elimination of the non‐specific term ‘chronic allograft nephropathy’ (CAN) and the recognition of the entity of chronic antibody‐mediated rejection.
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Predicting subsequent decline in kidney allograft function from early surveillance biopsies.

TL;DR: In conclusion, inflammation and glomerulopathy 1 year post‐transplant predict loss of graft function and graft failure independently of function and other variables.
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Subclinical Rejection Associated with Chronic Allograft Nephropathy in Protocol Biopsies as a Risk Factor for Late Graft Loss

TL;DR: In protocol biopsies, the detrimental effect of interstitial fibrosis/tubular atrophy on long‐term graft survival is modulated by SCR, and Cox regression analysis showed that SCR with CAN and hepatitis C virus were independent predictors of graft survival.
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