Tailoring of immunosuppression in renal and liver allograft recipients displaying donor specific T-suppressor cells

Although transplantation tolerance cannot be yet reliably achieved in humans, there is evidence that active immunosuppression contributes to the maintenance of quiescence. However, the mechanism that underlies quiescence and the precise identity of regulatory cells are not completely understood. We...

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Veröffentlicht in:Human immunology 2002-11, Vol.63 (11), p.1010-1018
Hauptverfasser: Cortesini, Raffaello, Renna-Molajoni, Elvira, Cinti, Paola, Pretagostini, Renzo, Ho, Eric, Rossi, Paola, Suciu-Foca Cortesini, Nicole
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container_end_page 1018
container_issue 11
container_start_page 1010
container_title Human immunology
container_volume 63
creator Cortesini, Raffaello
Renna-Molajoni, Elvira
Cinti, Paola
Pretagostini, Renzo
Ho, Eric
Rossi, Paola
Suciu-Foca Cortesini, Nicole
description Although transplantation tolerance cannot be yet reliably achieved in humans, there is evidence that active immunosuppression contributes to the maintenance of quiescence. However, the mechanism that underlies quiescence and the precise identity of regulatory cells are not completely understood. We have demonstrated that allograft recipients who remain rejection-free display allospecific T-suppressor cells (Ts). Ts express the CD8 + CD28 – phenotype, recognize major histocompatibility complex (MHC) class I antigens, and suppress the up-regulation of costimulatory molecules induced by CD40 ligation of donor antigen presenting cells. The presence of Ts is inversely correlated with T cell alloreactivity to donor MHC peptides, alloantibody production, and rejection. Monitoring of Ts has been successfully used in our studies for tailoring immunosuppression in kidney and liver allograft recipients.
doi_str_mv 10.1016/S0198-8859(02)00442-1
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subjects Antigen-Presenting Cells - physiology
Female
Humans
Immunosuppression
Kidney Transplantation - immunology
liver transplantation
Liver Transplantation - immunology
Male
Monitoring, Immunologic
renal transplantation
T suppressor cells
T-Lymphocytes, Regulatory - immunology
Transplantation, Homologous
title Tailoring of immunosuppression in renal and liver allograft recipients displaying donor specific T-suppressor cells
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