MD, DNB,DM, DrNB Nephrology,Glomcon-KPCP 2024,Fellowship in Glomerular Disease -Glomcon 2025 ,Fellow Renal Transplant & immunology, IJN Visual Abstract Creator,

Joined March 2018
90 Photos and videos
VR.Krishnakumar retweeted
International Faculty Spotlight #ISNCON26 A pioneering physician-scientist whose work has transformed our understanding of kidney disease & preeclampsia, Dr. Anant Karumanchi @ananthmsn34 will deliver the prestigious K S Chugh Oration✨ 📍 Kochi 📅 Dec 17–20, 2026 Register now⏰
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VR.Krishnakumar retweeted
Paired Kidney Donation Guidelines okayed by the Karnataka Government. This is great news.
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VR.Krishnakumar retweeted
Membranous Nephropathy 🔬Anti-PLA2R = used for Diagnosis , Prognosis, Monitoring 📊 Risk stratify: Based on Proteinuria eGFR AntiPLA2R 🟢 Low risk→ Supportive 🟡 Mod→ Observe ± RTX 🔴 High→ Rituximab / Cyclophosphamide Steroid 👍for Antigens: VA @KKNephBytes 💯 #KDIGO
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VR.Krishnakumar retweeted
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VR.Krishnakumar retweeted
"😎Glad to see our data, hitting the press! 🚀 ✔️ Driven by these findings, we’ve just kicked off an RCT 🎲 in the department comparing VKA💊 versus DOACs in NS. 💥Likely to move the needle on anticoagulation strategies in NS . share.google/XMWjELv8In2CR0M… @SaynaNorouzi @AKronbichler @myadla @SwarnalathaGud2
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*When Positivity Misleads: Recognizing False Signals in SAB Testing* *********************** ⚡SAB positivity can represent artefact rather than true immunologic risk ⚡High MFI alone is unreliable without pattern and clinical context ⚡A broad, tapering (“long-tail”) pattern suggests non-specific reactivity ⚡Lack of sensitization history should prompt cautious interpretation ⚡FlowPRA and FCXM discordance helps identify non-clinical antibodies ⚡Absence of a shared epitope supports non-specific binding ⚡Misinterpretation can lead to false DSA assignment and inflated cPRA ⚡Result in unnecessary exclusion of compatible donors ⚡Always interpret SAB results in integration with clinical and laboratory correlation ⚡Pattern recognition is more reliable than numerical thresholds #KKNephBytes #Immunology @arvindcanchi @DrAkshayaJ @drshyambansal @hardik4u24 @isn_india @priti899 @suhalikapath @AnjanaGopal9 @raja_1980 @dr_sourabha @iamnephrologist
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*HLA-DQ Antibodies: The Silent Cracker That Starts the Blast* *************************** ⚡HLA-DQ antibodies are the most common de novo DSA ⚡HLA-DQ DSA have the worst graft outcomes (ABMR, TG, graft loss) ⚡DQ mismatch carries the highest risk of sensitization (↑cPRA) ⚡ HLA-DQ has dual polymorphism (α β chains) ⚡Can form multiple heterodimers (cis trans pairing) ⚡ More heterodimers → more epitopes → higher immunogenicity ⚡ HLA-DQ shows low expression but high pathogenicity ⚡ Expression is delayed but sustained → chronic rejection ⚡ DQ antibodies activate Akt / S6 / IL-6 pathways ⚡ Current matching underestimates DQ risk ⚡ Eplet/pairing-based analysis > antigen matching #KKNephBytes #Immunology @arvindcanchi @DrAkshayaJ @drshyambansal @hardik4u24 @isn_india @priti899 @suhalikapath @JJayameena
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