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Current Opinion in Organ Transplantation
Article . 2008 . Peer-reviewed
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Pathways of major histocompatibility complex allorecognition

Authors: Afzali, Ben; Lombardi, Giovanna; Lechler, Robert;

Pathways of major histocompatibility complex allorecognition

Abstract

Here, we review the pathways of allorecognition and their potential relevance to the balance between regulatory and effector responses following transplantation.Transplantation between nonidentical members of the same species elicits an immune response that manifests as graft rejection or persistence. Presentation of foreign antigen to recipient T cells can occur via three nonmutually exclusive routes, the direct, indirect and semi-direct pathways. Allospecific T cells can have effector or regulatory functions, and the relative proportions of the two populations activated following alloantigen presentation are two of the factors that determine the clinical outcome. Regulatory T cells have been the subject of significant research, and there is now greater understanding of their recruitment and function in the context of allorecognition.A greater understanding of the mechanisms underlying allorecognition may be fundamental to appreciating how these different populations are recruited and could in turn inform novel strategies for immunomodulation.

Keywords

Graft Rejection, 570, Isoantigens, INDIRECT RECOGNITION, T-Lymphocytes, direct, indirect, DENDRITIC CELLS, T-Lymphocytes, Regulatory, 630, regulatory T cells, Major Histocompatibility Complex, allorecognition, ANTIGEN-PRESENTING CELLS, MHC CLASS-II, Immune Tolerance, Animals, Humans, Transplantation, Homologous, human, REGULATORY T-CELLS, ALLOGRAFT-REJECTION, RENAL-TRANSPLANT PATIENTS, mouse, IN-VIVO, Antigen Presentation, CUTTING EDGE, Graft Survival, Organ Transplantation, INTRATRACHEAL DELIVERY, semi-direct, transplantation, Signal Transduction

  • BIP!
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    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    130
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
130
Top 10%
Top 10%
Top 10%
Green
bronze