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Innate immunity in lung transplantation.

Hailey M Shepherd1, Jason M Gauthier1, Wenjun Li1

  • 1Department of Surgery, Washington University School of Medicine, Saint Louis, Missouri.

The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation
|May 22, 2021
PubMed
Summary

Innate immune responses after lung transplantation can cause primary graft dysfunction and late graft failure. Understanding these mechanisms may lead to new lung-specific therapies to improve transplant outcomes.

Keywords:
cell deathdamage-associated molecular patternsgraft rejectioninnate immunitylung transplantation

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Area of Science:

  • Immunology
  • Transplantation Biology
  • Pulmonary Medicine

Background:

  • Innate immune responses post-pulmonary transplantation are implicated in primary graft dysfunction (PGD) and long-term graft failure.
  • Animal models have revealed key mechanisms driving innate immune responses in the context of lung transplantation.

Purpose of the Study:

  • To discuss the inflammatory cell death pathways, triggers of sterile and infectious inflammation, and signaling cascades involved in early lung injury after transplantation.
  • To identify potential targets for lung-specific therapies aimed at mitigating innate immune responses and enhancing graft survival.

Main Methods:

  • Review of recent studies and animal models elucidating innate immune mechanisms in lung transplantation.
  • Discussion of inflammatory cell death pathways, inflammation triggers (sterile and infectious), and signaling cascades mediating lung injury.

Main Results:

  • Elucidation of critical mechanisms governing innate immune responses in early lung allografts.
  • Identification of pathways contributing to primary graft dysfunction and predisposition to late graft failure.

Conclusions:

  • Understanding innate immunity is crucial for addressing complications following lung transplantation.
  • Targeting specific innate immune pathways offers potential for developing novel lung-specific therapies to improve transplant outcomes.