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Moving from transplant as a treatment to transplant as a cure.从移植作为治疗手段转向移植作为治愈手段。
J Clin Invest. 2020 May 1;130(5):2189-2191. doi: 10.1172/JCI136475.
2
Generation of donor-specific Tr1 cells to be used after kidney transplantation and definition of the timing of their in vivo infusion in the presence of immunosuppression.肾移植后供体特异性Tr1细胞的生成及其在免疫抑制情况下体内输注时机的确定。
J Transl Med. 2017 Feb 21;15(1):40. doi: 10.1186/s12967-017-1133-8.
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Lack of donor hyporesponsiveness and donor chimerism after clinical transplantation of the hand.手部临床移植后供体低反应性和供体嵌合体的缺失。
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Continuing observations on the regulatory effects of donor-specific bone marrow cell infusions and chimerism in kidney transplant recipients.对肾移植受者中供体特异性骨髓细胞输注和嵌合现象的调节作用的持续观察。
Transplantation. 1998 Apr 15;65(7):956-65. doi: 10.1097/00007890-199804150-00016.
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Immunologic tolerance in renal transplantation.肾移植中的免疫耐受
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Liver transplantation without immunosuppression: future perspectives.无需免疫抑制的肝移植:未来展望。
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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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Role of thymic- and graft-dependent mechanisms in tolerance induction to rat kidney transplant by donor PBMC infusion.胸腺依赖性和移植物依赖性机制在通过供体外周血单个核细胞输注诱导大鼠肾移植耐受中的作用。
Kidney Int. 2007 Jun;71(11):1132-41. doi: 10.1038/sj.ki.5002202. Epub 2007 Mar 21.

本文引用的文献

1
Phase I trial of donor-derived modified immune cell infusion in kidney transplantation.供者来源修饰免疫细胞输注治疗肾移植的Ⅰ期临床试验。
J Clin Invest. 2020 May 1;130(5):2364-2376. doi: 10.1172/JCI133595.
2
Outstanding questions in transplantation: Tolerance.移植中的未决问题:耐受。
Am J Transplant. 2020 Feb;20(2):348-354. doi: 10.1111/ajt.15680. Epub 2019 Nov 28.
3
Combined kidney and hematopoeitic cell transplantation to induce mixed chimerism and tolerance.联合肾和造血细胞移植诱导嵌合和耐受。
Bone Marrow Transplant. 2019 Aug;54(Suppl 2):793-797. doi: 10.1038/s41409-019-0603-4.
4
Biomarkers of operational tolerance following kidney transplantation - The immune tolerance network studies of spontaneously tolerant kidney transplant recipients.肾移植术后免疫耐受的生物标志物——对自发免疫耐受肾移植受者的免疫耐受网络研究
Hum Immunol. 2018 May;79(5):380-387. doi: 10.1016/j.humimm.2018.02.007. Epub 2018 Feb 12.
5
Preclinical and clinical studies for transplant tolerance via the mixed chimerism approach.通过混合嵌合体方法实现移植耐受的临床前和临床研究。
Hum Immunol. 2018 May;79(5):258-265. doi: 10.1016/j.humimm.2017.11.008. Epub 2017 Nov 22.
6
BKV Viremia and Development of De Novo DSA in Renal Transplant Recipients.BK病毒血症与肾移植受者新发供者特异性抗体的产生
Clin Transpl. 2015;31:249-256.
7
Nonchimeric HLA-Identical Renal Transplant Tolerance: Regulatory Immunophenotypic/Genomic Biomarkers.非嵌合型 HLA 相同的肾移植耐受性:调节性免疫表型/基因组生物标志物
Am J Transplant. 2016 Jan;16(1):221-34. doi: 10.1111/ajt.13416. Epub 2015 Jul 30.
8
Transitional B lymphocytes are associated with protection from kidney allograft rejection: a prospective study.过渡性 B 细胞与肾移植排斥反应的保护有关:一项前瞻性研究。
Am J Transplant. 2015 May;15(5):1384-91. doi: 10.1111/ajt.13122. Epub 2015 Mar 23.
9
Generation of suppressive blood cells for control of allograft rejection.生成用于控制同种异体移植排斥反应的抑制性血细胞。
Clin Sci (Lond). 2015 May;128(9):593-607. doi: 10.1042/CS20140258.
10
Unique B cell differentiation profile in tolerant kidney transplant patients.耐受肾移植患者中独特的 B 细胞分化特征。
Am J Transplant. 2014 Jan;14(1):144-55. doi: 10.1111/ajt.12508. Epub 2013 Nov 13.

从移植作为治疗手段转向移植作为治愈手段。

Moving from transplant as a treatment to transplant as a cure.

机构信息

Nephrology Division and.

Comprehensive Transplant Center, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.

出版信息

J Clin Invest. 2020 May 1;130(5):2189-2191. doi: 10.1172/JCI136475.

DOI:10.1172/JCI136475
PMID:32250338
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7190973/
Abstract

Immunosuppression continues to be a necessary component of transplantation, despite its association with a multitude of adverse effects. Numerous efforts have been made to circumvent the need for immunosuppression by using various techniques to achieve donor hyporesponsiveness. In this issue of the JCI, Morath et al. take this endeavor forward. Prior to transplantation, the researchers infused recipients with donor-modified immune cells and achieved immunologic hyporesponsiveness. This successful phase I trial also provides a possible avenue for achieving transplantation without the requisite immunosuppression.

摘要

尽管免疫抑制与多种不良反应相关,但它仍然是移植的必要组成部分。为了避免使用免疫抑制,人们已经尝试了许多方法来实现供体低反应性。在本期 JCI 中,Morath 等人将这一努力向前推进。在移植前,研究人员向受者输注供者修饰的免疫细胞,从而实现免疫低反应性。这项成功的 I 期试验也为实现无需免疫抑制的移植提供了一种可能的途径。