The role of the graft endothelium in transplant rejection: Evidence that endothelial activation may serve as a clinical marker for the development of chronic rejection

: In this review, we discuss the role of the allograft endothelium in the recruitment and activation of leukocytes during acute and chronic rejection. We discuss associations among endothelial activation responses, the expression of adhesion molecules, chemokines and chemokine receptors, and rejecti...

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Veröffentlicht in:Pediatric transplantation 2000-11, Vol.4 (4), p.252-260
Hauptverfasser: Denton, Mark D., Davis, Stacy F., Baum, Michelle A., Melter, Michael, Reinders, Marlies E. J., Exeni, Andrea, Samsonov, Dmitry V., Fang, Jim, Ganz, Peter, Briscoe, David M.
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container_end_page 260
container_issue 4
container_start_page 252
container_title Pediatric transplantation
container_volume 4
creator Denton, Mark D.
Davis, Stacy F.
Baum, Michelle A.
Melter, Michael
Reinders, Marlies E. J.
Exeni, Andrea
Samsonov, Dmitry V.
Fang, Jim
Ganz, Peter
Briscoe, David M.
description : In this review, we discuss the role of the allograft endothelium in the recruitment and activation of leukocytes during acute and chronic rejection. We discuss associations among endothelial activation responses, the expression of adhesion molecules, chemokines and chemokine receptors, and rejection; and we propose that endothelial vascular cellular adhesion molecule‐1 (VCAM‐1) may be used as a surrogate marker of acute rejection and allograft vasculopathy. In addition, we describe potential mechanistic interpretations of persistent endothelial cell (EC) expression of major histocompatibility complex (MHC) class II molecules in allorecognition. The graft endothelium may provide an antigen‐specific signal to transmigrating, previously activated, T cells and may induce B7 expression on locally transmigrating leukocytes to promote costimulation. Taken together, these functions of the EC provide it with a potent regulatory role in rejection and in the maintenance of T‐cell activation via the direct and/or the indirect pathways of allorecognition.
doi_str_mv 10.1034/j.1399-3046.2000.00031.x
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The graft endothelium may provide an antigen‐specific signal to transmigrating, previously activated, T cells and may induce B7 expression on locally transmigrating leukocytes to promote costimulation. Taken together, these functions of the EC provide it with a potent regulatory role in rejection and in the maintenance of T‐cell activation via the direct and/or the indirect pathways of allorecognition.</description><identifier>ISSN: 1397-3142</identifier><identifier>EISSN: 1399-3046</identifier><identifier>DOI: 10.1034/j.1399-3046.2000.00031.x</identifier><identifier>PMID: 11079263</identifier><language>eng</language><publisher>Copenhagen, Denmark: Munksgaard International Publishers</publisher><subject>Biological and medical sciences ; Biomarkers - analysis ; Chronic Disease ; endothelium ; Endothelium, Vascular - immunology ; Graft Rejection - immunology ; Humans ; Medical sciences ; rejection ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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source MEDLINE; Wiley Journals
subjects Biological and medical sciences
Biomarkers - analysis
Chronic Disease
endothelium
Endothelium, Vascular - immunology
Graft Rejection - immunology
Humans
Medical sciences
rejection
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
transplantation
Transplantation, Homologous
Vascular Cell Adhesion Molecule-1 - analysis
title The role of the graft endothelium in transplant rejection: Evidence that endothelial activation may serve as a clinical marker for the development of chronic rejection
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