Purpose of review-We provide evidence for the role of de novo development of immune responses to self-antigens in the post-transplant period and its possible induction by alloimmunity in the pathogenesis of chronic rejection following lung, heart and kidney transplantation. This review details recent findings for the two distinct yet inter-dependent immune processes in the immunepathogenesis of chronic rejection.Recent findings-The contribution of both humoral and cell mediated allo-immune responses against mismatched donor histocompatibility antigens (HLA) in the pathogenesis of chronic rejection is well established. Recent studies have focused on development of immune responses to selfantigens during the post-transplant period and its correlation with chronic rejection. These selfantigens include myosin and vimentin in cardiac, K-alpha-1-tubulin and collagen-V in lung and angiotensin II type 1 receptor, collagen-IV and VI in kidney transplants. During the post-transplant period, the development of immune responses to self-antigens is facilitated by induction of a distinct subset of auto-reactive T-helper cells referred to as Th17 cells.Summary-Following organ transplantation, tissue injury and remodeling inflicted by Abs to HLA antigens is conducive to develop autoimmunity. Antibodies (Abs) to HLA and self-antigens are detectable in the serum of transplant recipients who develop chronic rejection. Anti-HLA Abs are often present transiently but precede the development of Abs to self-antigens.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.