“…Instant blood mediated inflammation reaction (IBMIR) is another mechanism for acute graft rejection that involves platelet consumption, complement activation and the initiation of the coagulation cascade (van der Windt et al, 2007). To prevent acute rejection as a result of direct contact with the blood, conjugation of thrombomodulin (Feng et al, 2002; Tseng et al, 2006a; Wilson et al, 2010) and anti-coagulation agents such as heparin and warfarin (Edens et al, 1994; Maillet et al, 1988; Tseng et al, 2006b, c; Wang et al, 2013), use of low-molecular weight dextran sulfate (Goto et al, 2004; van der Windt et al, 2007), and genetic modifications of islets such as adenoviral transduction of complement regulatory factors (CD55, CD59) (Schmidt et al, 2003; van der Windt et al, 2007) have been investigated.…”