T cell-mediated rejection is a major risk that limits long-term allograft survival and can necessitate retransplantation. Due to their rapid ability to exhibit effector function after reencountering antigen, graft-specific memory T cells in particular can pose a dangerous threat to transplanted organs. Seminal studies have shown that the quantity of donor-reactive alloreactive memory T cells present prior to transplantation is associated with risk of T cell-mediated rejection and are a barrier to tolerance induction.1,2 In addition, we have previously shown that the quality of memory T cells, including cell-surface phenotype and differentiation status, is a determinant of the relative risk posed by memory T cell populations.3,4 Donor-specific memory T cells can be elicited via past transfusion, transplant, or pregnancy, and via the process of heterologous immunity, in which pathogen-elicited memory T cells cross-react with alloantigens and cause damage to the graft.5-7 Novel pathways that modulate memory T cell survival or functionality may represent useful potential