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Stuart Johnston Knechtle

William R. Kenan, Jr. Distinguished Professor of Surgery
Surgery, Abdominal Transplant Surgery

Overview


During my career as an academic surgeon, I have had the privilege of leading and/or participating in a diverse portfolio of hypothesis-driven research projects.  These projects have centered on the immunology of surgery and transplantation, including both cellular and antibody-mediated immune responses.  During my training I studied the response of hyper-sensitized recipients to allogeneic liver transplantation, and am currently studying means of reducing immunologic memory that might allow more successful transplantation in sensitized recipients.  This immune response involves pathways of coagulation, antibody-mediated rejection, and cellular rejection and current work in my lab involves these three pathways.  The other major focuses of my work have been co-stimulation blockade and immune cell depletion as approaches to immunologic unresponsiveness or tolerance.  My research group has been involved in translational and clinical research to develop these mechanistic tools for the benefit of human organ transplant recipients.

Recent Publications

Knechtle SJ, Shaw JM, Hering BJ, Kraemer K, Madsen JC. Translational impact of NIH-funded nonhuman primate research in transplantation. Sci Transl Med. 2019 Jul 10;11(500). pii: eaau0143. Reprint | Full Text

Current Appointments & Affiliations


William R. Kenan, Jr. Distinguished Professor of Surgery · 2018 - Present Surgery, Abdominal Transplant Surgery, Surgery
Professor of Surgery · 2015 - Present Surgery, Abdominal Transplant Surgery, Surgery
Adjunct Professor in the Department of Medicine · 2019 - Present Medicine, Nephrology, Medicine

In the News


Published April 15, 2022
School of Medicine Celebrates 2022 Faculty Achievement Awards
Published May 5, 2016
Duke Awards Distinguished Professorships, Inducts New Bass Society Members

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Recent Publications


The Role of Sleep Apnea in Postoperative Neurocognitive Disorders Among Older Noncardiac Surgery Patients: A Prospective Cohort Study.

Journal Article Anesth Analg · January 1, 2025 BACKGROUND: Obstructive sleep apnea is associated with increased dementia risk, yet its role in postoperative neurocognitive disorders is unclear. Here, we studied whether the severity of untreated obstructive sleep apnea is associated with the severity of ... Full text Link to item Cite

CD154 blockade effectively controls antibody-mediated rejection in highly sensitized nonhuman primate kidney transplant recipients.

Journal Article Sci Transl Med · January 2025 Current desensitization and maintenance immunosuppression regimens for kidney transplantation in sensitized individuals show limited ability to control the posttransplant humoral response, resulting in high rates of antibody-mediated rejection (ABMR) and g ... Full text Link to item Cite

An IgM Cleaving Enzyme for Clearance of Anti-Pig Xenoreactive Antibodies in a Nonhuman Primate Model.

Journal Article Xenotransplantation · 2025 BACKGROUND: The removal of preformed antibodies with cleaving enzyme like IdeS (Imlifidase) has demonstrated therapeutic potential in organ transplantation for sensitized recipients. However, preformed xenoreactive antibodies (XAbs) against porcine glycans ... Full text Link to item Cite
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Education, Training & Certifications


Cornell University, Weill Medical College · 1982 M.D.