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移植耐受:概念及其适用性。

Transplantation tolerance: the concept and its applicability.

作者信息

Dong V M, Womer K L, Sayegh M H

机构信息

Laboratory of Immunogenetics and Transplantation, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.

出版信息

Pediatr Transplant. 1999 Aug;3(3):181-92. doi: 10.1034/j.1399-3046.1999.00042.x.

DOI:10.1034/j.1399-3046.1999.00042.x
PMID:10487277
Abstract

Recent advances have enabled researchers to induce tolerance in animal transplant models. Although it has been relatively easy to do so in rodents, it has been much more difficult to translate such strategies into primates. Understanding the cellular and molecular mechanisms of the alloimmune response has prompted the development of novel strategies that may obviate the need for immunosuppression in humans. Mechanisms of tolerance and promising new therapies, as well as the inherent difficulties in bringing them into clinical practice, are reviewed.

摘要

最近的进展使研究人员能够在动物移植模型中诱导耐受性。虽然在啮齿动物中做到这一点相对容易,但将此类策略转化应用于灵长类动物则困难得多。对同种免疫反应的细胞和分子机制的了解促使了新策略的开发,这些策略可能无需对人类进行免疫抑制。本文综述了耐受性机制、有前景的新疗法以及将它们应用于临床实践中所固有的困难。

相似文献

1
Transplantation tolerance: the concept and its applicability.移植耐受:概念及其适用性。
Pediatr Transplant. 1999 Aug;3(3):181-92. doi: 10.1034/j.1399-3046.1999.00042.x.
2
Establishing immunological tolerance through the induction of molecular chimerism.通过诱导分子嵌合建立免疫耐受。
Front Biosci. 2002 May 1;7:d1331-7. doi: 10.2741/bagley.
3
Induction of Major Histocompatibility Complex-mismatched Mouse Lung Allograft Acceptance With Combined Donor Bone Marrow: Lung Transplant Using a 12-Hour Nonmyeloablative Conditioning Regimen.采用联合供体骨髓诱导主要组织相容性复合体不匹配小鼠肺同种异体移植的接受:使用12小时非清髓性预处理方案的肺移植
Transplantation. 2016 Dec;100(12):e140-e146. doi: 10.1097/TP.0000000000001480.
4
Neonatal tolerance induction in diabetes-prone BB rats as a model for donor-specific pancreas transplantation during adulthood.以糖尿病易感性BB大鼠为模型诱导新生儿耐受,用于成年期供体特异性胰腺移植。
Transplant Proc. 1992 Dec;24(6):2902.
5
Renal transplantation without immunosuppression in a host with tolerance induced by allogeneic bone marrow transplantation.在通过同种异体骨髓移植诱导产生耐受的宿主中进行无免疫抑制的肾移植。
Transplantation. 1994 Dec 27;58(12):1420-2.
6
Engraftment of allogeneic bone marrow cells: experimental investigations on the role of cell dose, graft-versus-host reactive T cells and pretransplant immunosuppression.
Transplant Proc. 1992 Dec;24(6):3023-5.
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Transplantation tolerance: memories that haunt us.移植耐受:挥之不去的记忆。
Sci Transl Med. 2011 Jun 8;3(86):86ps22. doi: 10.1126/scitranslmed.3002504.
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Tolerance induction permits the development of graft-versus-host disease: donor-mediated attack following small bowel transplantation in mixed chimeras.耐受诱导会引发移植物抗宿主病:混合嵌合体小肠移植后供体介导的攻击。
Transpl Immunol. 1999 Mar;7(1):19-25. doi: 10.1016/s0966-3274(99)80015-x.
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Immune tolerance to self-MHC class II antigens after bone marrow transplantation.
Transplant Proc. 1999 Feb-Mar;31(1-2):688-9. doi: 10.1016/s0041-1345(98)01610-8.
10
Mechanisms of alloimmune tolerance associated with mixed chimerism induced by vascularized bone marrow transplants.
Cell Transplant. 2002;11(7):683-93. doi: 10.3727/000000002783985459.

引用本文的文献

1
Dendritic Cells: Versatile Players in Renal Transplantation.树突状细胞:肾移植中的多面手。
Front Immunol. 2021 May 19;12:654540. doi: 10.3389/fimmu.2021.654540. eCollection 2021.
2
Kidney dendritic cells: fundamental biology and functional roles in health and disease.肾脏树突状细胞:基础生物学及在健康和疾病中的功能作用。
Nat Rev Nephrol. 2020 Jul;16(7):391-407. doi: 10.1038/s41581-020-0272-y. Epub 2020 May 5.
3
Structural shifts in the intestinal microbiota of rats treated with cyclosporine A after orthotropic liver transplantation.
肝移植后环孢素 A 治疗大鼠肠道微生物群落结构的变化。
Front Med. 2019 Aug;13(4):451-460. doi: 10.1007/s11684-018-0675-3. Epub 2019 Apr 24.
4
Dendritic Cells and Macrophages: Sentinels in the Kidney.树突状细胞和巨噬细胞:肾脏中的哨兵
Clin J Am Soc Nephrol. 2015 Oct 7;10(10):1841-51. doi: 10.2215/CJN.07100714. Epub 2015 Jan 7.
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The novel costimulatory programmed death ligand 1/B7.1 pathway is functional in inhibiting alloimmune responses in vivo.新型共刺激配体程序性死亡受体 1/B7.1 通路在体内抑制同种免疫反应中具有功能。
J Immunol. 2011 Aug 1;187(3):1113-9. doi: 10.4049/jimmunol.1100056. Epub 2011 Jun 22.
6
A critical role for the programmed death ligand 1 in fetomaternal tolerance.程序性死亡配体1在母胎耐受中起关键作用。
J Exp Med. 2005 Jul 18;202(2):231-7. doi: 10.1084/jem.20050019.
7
Regulatory functions of self-restricted MHC class II allopeptide-specific Th2 clones in vivo.体内自我限制的MHC II类别肽特异性Th2克隆的调节功能。
J Clin Invest. 2001 Apr;107(7):909-16. doi: 10.1172/JCI11427.
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Bacterial pathogens induce abscess formation by CD4(+) T-cell activation via the CD28-B7-2 costimulatory pathway.细菌病原体通过CD28 - B7 - 2共刺激途径激活CD4(+) T细胞,从而诱导脓肿形成。
Infect Immun. 2000 Dec;68(12):6650-5. doi: 10.1128/IAI.68.12.6650-6655.2000.