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Item Heme-Oxygenase and Kidney Transplantation: A Potential for Target Therapy?(MDPI, 2020-05-30) Corona, Daniela; Ekser, Burcin; Gioco, Rossella; Caruso, Massimo; Schipa, Chiara; Veroux, Pierfrancesco; Giaquinta, Alessia; Granata, Antonio; Veroux, Massimiliano; Surgery, School of MedicineKidney transplantation is a well-established therapy for patients with end-stage renal disease. While a significant improvement of short-term results has been achieved in the short-term, similar results were not reported in the long-term. Heme-oxygenase (HO) is the rate-limiting enzyme in heme catabolism, converting heme to iron, carbon monoxide, and biliverdin. Heme-oxygenase overexpression may be observed in all phases of transplant processes, including brain death, recipient management, and acute and chronic rejection. HO induction has been proved to provide a significant reduction of inflammatory response and a reduction of ischemia and reperfusion injury in organ transplantation, as well as providing a reduction of incidence of acute rejection. In this review, we will summarize data on HO and kidney transplantation, suggesting possible clinical applications in the near future to improve the long-term outcomes.