Memory T-cell exhaustion and tolerance in transplantation.

Abstract:

:One of the biggest barriers to achieving allograft tolerance is the presence of immunological memory within the recipient, which confers a faster, more robust immune response that is in most cases more resistant to pharmacologic immunosuppression. This review will identify the mechanisms by which alloreactive T cells arise within hosts prior to transplantation, and explore the properties of immunological memory that contribute to allograft rejection. In doing so we will also illuminate how targeting pathways that induce memory T cell exhaustion can promote allograft tolerance. Recent studies demonstrating the impact of the allograft microenvironment on memory cell survival and activation, as well as new therapeutic strategies that are being explored to mitigate memory driven allograft rejection, will also be reviewed.

journal_name

Immunol Rev

journal_title

Immunological reviews

authors

Hartigan CR,Sun H,Ford ML

doi

10.1111/imr.12824

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

225-242

issue

1

eissn

0105-2896

issn

1600-065X

journal_volume

292

pub_type

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