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Role of T cells in graft rejection and transplantation tolerance

Issa, Fadi ; Schiopu, Alexandru LU and Wood, Kathryn J (2010) In Expert Review of Clinical Immunology 6(1). p.69-155
Abstract

Transplantation is the most effective treatment for end-stage organ failure, but organ survival is limited by immune rejection and the side effects of immunosuppressive regimens. T cells are central to the process of transplant rejection through allorecognition of foreign antigens leading to their activation, and the orchestration of an effector response that results in organ damage. Long-term transplant acceptance in the absence of immunosuppressive therapy remains the ultimate goal in the field of transplantation and many studies are exploring potential therapies. One promising cellular therapy is the use of regulatory T cells to induce a state of donor-specific tolerance to the transplant. This article first discusses the role of T... (More)

Transplantation is the most effective treatment for end-stage organ failure, but organ survival is limited by immune rejection and the side effects of immunosuppressive regimens. T cells are central to the process of transplant rejection through allorecognition of foreign antigens leading to their activation, and the orchestration of an effector response that results in organ damage. Long-term transplant acceptance in the absence of immunosuppressive therapy remains the ultimate goal in the field of transplantation and many studies are exploring potential therapies. One promising cellular therapy is the use of regulatory T cells to induce a state of donor-specific tolerance to the transplant. This article first discusses the role of T cells in transplant rejection, with a focus on the mechanisms of allorecognition and the alloresponse. This is followed by a detailed review of the current progress in the field of regulatory T-cell therapy in transplantation and the translation of this therapy to the clinical setting.

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author
; and
publishing date
type
Contribution to journal
publication status
published
keywords
Animals, Graft Rejection/immunology, Graft Survival/drug effects, Humans, Immunosuppressive Agents/therapeutic use, Lymphocyte Transfusion, Organ Transplantation/adverse effects, T-Lymphocyte Subsets/drug effects, Time Factors, Transplantation Tolerance/drug effects, Treatment Outcome
in
Expert Review of Clinical Immunology
volume
6
issue
1
pages
69 - 155
publisher
Expert Reviews
external identifiers
  • scopus:77649113276
  • pmid:20383898
ISSN
1744-666X
DOI
10.1586/eci.09.64
language
English
LU publication?
no
id
3b98f6a0-6bbd-4341-af38-17f406ed2658
date added to LUP
2023-03-10 12:15:55
date last changed
2024-04-04 17:07:07
@article{3b98f6a0-6bbd-4341-af38-17f406ed2658,
  abstract     = {{<p>Transplantation is the most effective treatment for end-stage organ failure, but organ survival is limited by immune rejection and the side effects of immunosuppressive regimens. T cells are central to the process of transplant rejection through allorecognition of foreign antigens leading to their activation, and the orchestration of an effector response that results in organ damage. Long-term transplant acceptance in the absence of immunosuppressive therapy remains the ultimate goal in the field of transplantation and many studies are exploring potential therapies. One promising cellular therapy is the use of regulatory T cells to induce a state of donor-specific tolerance to the transplant. This article first discusses the role of T cells in transplant rejection, with a focus on the mechanisms of allorecognition and the alloresponse. This is followed by a detailed review of the current progress in the field of regulatory T-cell therapy in transplantation and the translation of this therapy to the clinical setting.</p>}},
  author       = {{Issa, Fadi and Schiopu, Alexandru and Wood, Kathryn J}},
  issn         = {{1744-666X}},
  keywords     = {{Animals; Graft Rejection/immunology; Graft Survival/drug effects; Humans; Immunosuppressive Agents/therapeutic use; Lymphocyte Transfusion; Organ Transplantation/adverse effects; T-Lymphocyte Subsets/drug effects; Time Factors; Transplantation Tolerance/drug effects; Treatment Outcome}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{69--155}},
  publisher    = {{Expert Reviews}},
  series       = {{Expert Review of Clinical Immunology}},
  title        = {{Role of T cells in graft rejection and transplantation tolerance}},
  url          = {{http://dx.doi.org/10.1586/eci.09.64}},
  doi          = {{10.1586/eci.09.64}},
  volume       = {{6}},
  year         = {{2010}},
}