Mastoridis Sotiris, Martínez-Llordella Marc, Sanchez-Fueyo Alberto
Institute of Liver Studies, King's College Hospital , London , UK.
Front Immunol. 2015 Jun 22;6:304. doi: 10.3389/fimmu.2015.00304. eCollection 2015.
Liver transplantation offers a unique window into transplant immunology due, in part, to the considerable proportion of recipients who develop immunological tolerance to their allograft. Biomarkers are able to identify and predict such a state of tolerance, and thereby able to establish suitable candidates for the minimization of hazardous immunosuppressive therapies, are not only of great potential clinical benefit but might also shed light on the immunological mechanisms underlying tolerance and rejection. Here, we review the emergent transcriptomic technologies serving as drivers of biomarker discovery, we appraise efforts to identify a molecular signature of liver allograft tolerance, and we consider the implications of this work on the mechanistic understanding of immunological tolerance.
肝移植为移植免疫学提供了一个独特的窗口,部分原因在于有相当比例的受者对其同种异体移植物产生免疫耐受。生物标志物能够识别和预测这种耐受状态,从而为尽量减少有害的免疫抑制治疗确定合适的候选者,这不仅具有巨大的潜在临床益处,还可能揭示耐受和排斥背后的免疫机制。在此,我们回顾作为生物标志物发现驱动力的新兴转录组技术,评估识别肝移植耐受分子特征的工作,并考虑这项工作对免疫耐受机制理解的影响。