“…The role of the DNA damage response in this scenario may represent a consequence of the loss of redox buffers (110,111,178,298,390,404,574,591,705,717), and the loss of NADPH abundance may decrease the threshold for several pathways of regulated necrosis, including necroptosis and ferroptosis, in this setting (280,384,385,738). As cellular demise is regulated by ER stress (106,184,248,306,329,389,634,674,738) in a balancing act with autophagy (8,77,280,363,369,379,425,430,523,623,631,686), the complexity of the regulation of necrosis during transplantation becomes obvious. However, it will be required to unreveal this system in a much more complete manner to therapeutically optimize the inevitable sensitization to acute allograft rejection and antibody-mediated rejection (see below).…”