Harnessing the B Cell Response in Kidney Transplantation - Current State and Future Directions.

Harnessing the B Cell Response in Kidney Transplantation - Current State and Future Directions.
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DOI:
10.3389/fimmu.2022.903068
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发表时间:
2022
影响因子:
7.3
通讯作者:
--
中科院分区:
医学2区
文献类型:
--
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尽管在过去的几十年里,由于现代免疫抑制剂的出现,肾移植的结果有了显著的改善,但长期的结果仍然很差。抗体介导的排斥反应(ABMR)是一种B细胞驱动的过程,是导致慢性移植失败的主要原因。目前还没有fda批准的ABMR方案;然而,一些临床试验目前正在进行中。在这篇综述中,我们介绍了目前肾移植中B细胞反应的机制,增敏和ABMR的临床影响,目前免疫抑制方案下的B细胞反应,以及正在进行的ABMR和脱敏治疗的临床试验。
Despite dramatic improvement in kidney transplantation outcomes over the last decades due to advent of modern immunosuppressive agents, long-term outcomes remain poor. Antibody-mediated rejection (ABMR), a B cell driven process, accounts for the majority of chronic graft failures. There are currently no FDA-approved regimens for ABMR; however, several clinical trials are currently on-going. In this review, we present current mechanisms of B cell response in kidney transplantation, the clinical impact of sensitization and ABMR, the B cell response under current immunosuppressive regimens, and ongoing clinical trials for ABMR and desensitization treatment.
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