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Knechtle Lab

Photo of Stuart Johnston Knechtle, MD

Stuart Johnston Knechtle, MD

Office: 2301 Erwin Road Durham, NC 27710
Phone: 919-613-9687

Scientific Focus

Two unsolved problems in organ transplantation are 1) injury caused by antibody directed at the donor organ; and 2) recurrence of autoimmune disease after transplantation. Neither of these immunologic injuries is well addressed by current immunosuppressive therapy, and both prevent successful long-term allograft function. Our laboratory works in animal models to address the first of these problems and is engaged in human clinical trials to address the second.

Two strategies that we have considerable published experience include lymphocyte depletion and costimulation blockade. At this time we are particularly focused on strategies to address the B cell or plasma cell responsible for producing antibodies. We are developing strategies to safely lower the level of antibody in pre-sensitized hosts to permit successful transplantation in the setting of prior immunization to donor MHC antigens.

Latest Publications

Halpern, Samantha E., Dimitrios Moris, Brian I. Shaw, Samuel J. Kesseli, Mariya L. Samoylova, Miriam Manook, Robin Schmitz, et al. “Definition and Analysis of Textbook Outcome: A Novel Quality Measure in Kidney Transplantation.” World J Surg 45, no. 5 (May 2021): 1504–13.

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Knechtle, Stuart J., Danielle Niedfeldt, Debra Sudan, Annette Jackson, Ian Jamieson, Matthew Hartwig, and Carmelo Milano. “Another Step Toward Becoming a Transplant Community.” Ann Surg 273, no. 4 (April 1, 2021): e149–50.

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Schroder, Paul M., Robin Schmitz, Zachary W. Fitch, Brian Ezekian, Janghoon Yoon, Ashley Y. Choi, Miriam Manook, et al. “Preoperative carfilzomib and lulizumab based desensitization prolongs graft survival in a sensitized non-human primate model.” Kidney Int 99, no. 1 (January 2021): 161–72.

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Kapila, Nikhil, Ying Claire Dorsey, Jigesh Shah, Lindsay King, Kadiyala Ravindra, Stuart Knechtle, and Yuval Patel. “Transjugular Intrahepatic Portosystemic Shunt for a Challenging Pregnancy.” Am J Gastroenterol 115, no. 12 (December 2020): 1935.

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