Memory T cells in transplantation - progress and challenges.

Memory T cells in transplantation - progress and challenges.
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DOI:
10.1097/mot.0b013e3283626130
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发表时间:
2013-08
影响因子:
2.2
通讯作者:
Ghobrial RM
Ghobrial RM
中科院分区:
医学4区
文献类型:
--
作者:
Li XC;Kloc M;Ghobrial RM

文献摘要

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Memory T cells present a different set of challenges to transplant patients; they are needed for protection again invading pathogens, especially under conditions of immunosuppression. But their presence also threatens transplant survival, as some of them are alloreactive. Efforts to resolve this paradox will be critical in the induction of transplant tolerance. There has been significant progress made in the past few years in the areas of population diversity of memory T cells, metabolic control of their induction, and mechanisms and pathways involved in memory cell exhaustion. Multiple targets on memory T cells have been identified and some of which are under vigorous testing in various transplant models. Memory T cells are both friends and foes to transplant patients, and tolerance strategies should selectively target alloreactive memory T cells and leave other memory cells unaltered. This remains a major challenge in the clinic.