2022
DOI: 10.1126/scitranslmed.add2145
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Passenger donor lymphocytes: To affinity and beyond

Abstract: Graft-versus-host recognition by passenger donor lymphocytes within organ transplants can trigger host alloantibody production (Charmetant et al .) .

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“…In this case, the activation of donor-derived T cells is a feature of a graft vs. host response; however, the cytokines produced by the activated T cells contribute to the class switch and expansion of the host vs. graft B cell response (in this case, recipient B cells act as antigen-presenting cells of the recently described inverted direct pathway). Although this mechanism has been elegantly demonstrated in a mouse model and there are indications that it is acting on human solid organ transplantation, its relative importance still needs to be proven [28]. There is evidence that this could be an important source of DSA in clinical ITx since a correlation between the amount of passenger donor-derived T cells in the graft and the kinetics of the appearance of DSA in different types of transplants [27].…”
Section: A New Pathway Of Allogenic Immune Activation Operating In Itxmentioning
confidence: 99%
“…In this case, the activation of donor-derived T cells is a feature of a graft vs. host response; however, the cytokines produced by the activated T cells contribute to the class switch and expansion of the host vs. graft B cell response (in this case, recipient B cells act as antigen-presenting cells of the recently described inverted direct pathway). Although this mechanism has been elegantly demonstrated in a mouse model and there are indications that it is acting on human solid organ transplantation, its relative importance still needs to be proven [28]. There is evidence that this could be an important source of DSA in clinical ITx since a correlation between the amount of passenger donor-derived T cells in the graft and the kinetics of the appearance of DSA in different types of transplants [27].…”
Section: A New Pathway Of Allogenic Immune Activation Operating In Itxmentioning
confidence: 99%