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In Vitro and In Vivo Assessment of T, B and Myeloid Cells Suppressive Activity and Humoral Responses from Transplant Recipients
Published on: August 12, 2017
B-cell immunotherapeutics: emerging roles in solid organ transplantation
Stanley C Jordan1, Joseph Kahwaji, Mieko Toyoda
1Comprehensive Transplant Center, Kidney Transplant Program and Transplant Immunotherapy Program, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA. sjordan@cshs.org
B-cell-directed therapies show promise for modifying alloimmunity in transplant recipients by targeting B cells and their functions. This review explores current and emerging treatments for B-cell modulation in transplantation.
Area of Science:
- Immunology
- Transplantation Science
Background:
- B cells play a critical role in autoimmunity and alloimmunity.
- B cells mediate effector functions including antibody production, antigen presentation, and cytokine release.
- Advances in understanding B cells impact solid organ transplantation, particularly for ABO incompatible or HLA-sensitized patients.
Purpose of the Study:
- To review current and evolving B-cell-directed therapies for autoimmune diseases.
- To discuss the potential of these therapies in modifying alloimmunity in transplant recipients.
- To define the critical role of B cells in alloimmunity and how B-cell-directed therapies can modify it.
Main Methods:
- Review of existing literature on B-cell-directed therapies.
- Focus on data from human and animal models targeting B cells and antibodies in transplantation.
- Inclusion of established therapies like intravenous immunoglobulin and anti-CD20 (rituximab).
Main Results:
- B-cell depletion and modulation agents are being developed for transplantation.
- Therapies targeting B cells and antibodies can reduce inflammation in transplantation.
- Emerging therapies include agents targeting B-cell activating factor, anti-CD22, and interleukin 6 receptor.
Conclusions:
- B cells are critical in the development of alloimmunity.
- B-cell-directed therapies offer a promising approach to modify alloimmunity in transplant recipients.
- Further research into these therapies is essential for improving transplant outcomes.
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