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Spontaneous restoration of transplantation tolerance after acute rejection(Open Access)

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机构: [a]Section of Rheumatology, Department of Medicine, University of Chicago, 924 E. 57th Street, JFK-R302, Chicago, IL [b]Section of Transplantation, Department of Surgery, University of Chicago, 5841 S. Maryland Avenue, Chicago, IL [c]Department of Biological Sciences, Chicago State University, 9501 S. King Drive, Chicago, IL [d]Department of Pathology, University of Chicago, 5841 S. Maryland Avenue, Chicago, IL [e]Department of General Surgery, Division II, First People's Hospital of Yunnan Province, Kunming, Yunnan
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Transplantation is a cure for end-stage organ failure but, in the absence of pharmacological immunosuppression, allogeneic organs are acutely rejected. Such rejection invariably results in allosensitization and accelerated rejection of secondary donor-matched grafts. Transplantation tolerance can be induced in animals and a subset of humans, and enables long-term acceptance of allografts without maintenance immunosuppression. However, graft rejection can occur long after a state of transplantation tolerance has been acquired. When such an allograft is rejected, it has been assumed that the same rules of allosensitization apply as to non-tolerant hosts and that immunological tolerance is permanently lost. Using a mouse model of cardiac transplantation, we show that when Listeria monocytogenes infection precipitates acute rejection, thus abrogating transplantation tolerance, the donor-specific tolerant state re-emerges, allowing spontaneous acceptance of a donor-matched second transplant. These data demonstrate a setting in which the memory of allograft tolerance dominates over the memory of transplant rejection. © 2015, Nature Publishing Group. All rights reserved.

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大类 | 1 区 综合性期刊
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大类 | 1 区 综合性期刊
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第一作者机构: [a]Section of Rheumatology, Department of Medicine, University of Chicago, 924 E. 57th Street, JFK-R302, Chicago, IL
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