“…In another study from the Martinez’s group, the existence of a non-classical pathway of liver allograft rejection was shown to involve IL-5 and graft infiltrating eosinophils secreting a series of cytotoxic mediators including eosinophil peroxidase, eosinophil-derived neurotoxin, eosinophil cationic protein, and major basic protein (MB; Martinez et al, 1993). In addition, a number of studies from us and others have provided direct evidence demonstrating that alloreactive TH2 cells activated through the indirect allorecognition pathway can trigger chronic allograft vasculopathy and tissue fibrosis in MHC class I-mismatched transplanted hearts (Shirwan, 1999; Mhoyan et al, 2003; Koksoy et al, 2004; Illigens et al, 2009). At the same time, it has been reported that, in models in which acute rejection had been suppressed, eosinophilic graft infiltration could induce fibrosis through their production of TGF-β, a key mediator of extracellular matrix remodeling (Goldman et al, 2001).…”