Tolerogenic therapies in transplansplantation

作者：Page Eugenia K; Dar Wasim A; Knechtle Stuart J^*

来源：Frontiers in Immunology, 2012, 3: 198.

DOI：10.3389/fimmu.2012.00198

• B cell therapeutics
• cellular therapies
• costimulation blockade
• mixed chimerism
• regulatory T cells
• T cell depletion
• tolerance
• transplantation

Since the concept of immunologic tolerance was discovered in the 1940s, the pursuit of tolerance induction in human transplantation has led to a rapid development of pharmaco-logic and biologic agents. Short-term graft survival remains an all-time high, but successful withdrawal of immunosuppression to achieve operational tolerance rarely occurs outside of liver transplantation. Collaborative efforts through the NIH sponsored Immune Tolerance Network and the European Commission sponsored Reprogramming the Immune System for Establishment of Tolerance consortia have afforded researchers opportunity to evaluate the safety and efficacy of tolerogenic strategies, investigate mechanisms of tolerance, and identify molecular and genetic markers that distinguish the tolerance phenotype. In this article, we review traditional and novel approaches to inducing tolerance for organ transplantation, with an emphasis on their translation into clinical trials.

• 出版日期2012