Humoral immunity and antibody-mediated rejection in solid organ transplantation.

Abstract:

:The humoral arm of the immune system provides robust protection against extracellular pathogens via the production of antibody molecules that neutralize or facilitate the destruction of microorganisms. However, the humoral immune system also provides a significant barrier to solid organ transplantation due to the antibody-mediated recognition of non-self proteins and carbohydrates expressed on transplanted organs. Historically, the presence of donor-specific antibodies (DSA) that recognize donor HLA molecules, incompatible ABO blood group antigens and other endothelial or xenogeneic antigens was considered a contraindication to transplantation. However, recent advances in antibody testing and immunosuppressive therapies have made it possible to cross certain antibody barriers successfully. In this article, we review our current understanding of antibody-mediated processes in solid organ transplantation and discuss the clinically available treatment options for preventing and treating antibody-mediated rejection.

journal_name

Semin Immunol

journal_title

Seminars in immunology

authors

Montgomery RA,Cozzi E,West LJ,Warren DS

doi

10.1016/j.smim.2011.08.021

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

224-34

issue

4

eissn

1044-5323

issn

1096-3618

pii

S1044-5323(11)00097-2

journal_volume

23

pub_type

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