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Citations to this article

Persistent allopeptide reactivity and epitope spreading in chronic rejection of organ allografts.
R Ciubotariu, … , E A Rose, N Suciu-Foca
R Ciubotariu, … , E A Rose, N Suciu-Foca
Published January 15, 1998
Citation Information: J Clin Invest. 1998;101(2):398-405. https://doi.org/10.1172/JCI1117.
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Persistent allopeptide reactivity and epitope spreading in chronic rejection of organ allografts.

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Abstract

The role of the indirect allorecognition pathway in acute allograft rejection has been documented both in organ recipients and in experimental models. However, it is unknown whether self-restricted recognition of donor alloantigens also contributes to chronic allograft rejection. The aim of this study was to determine the relationship between allopeptide reactivity, epitope spreading, and chronic rejection. Using synthetic peptides corresponding to the hypervariable region of 32 HLA-DR alleles, we have followed the specificity of self-restricted T cell alloresponses to the donor in a population of 34 heart allograft recipients. T cells from sequential samples of blood collected from the patients up to 36 mo after transplantation were studied in limiting dilution analysis for allopeptide reactivity. The incidence of coronary artery vasculopathy (CAV) was significantly higher in patients who displayed persistent alloreactivity late after transplantation than in patients who showed no alloreactivity after the first 6 mo after transplantation. Both intra- and intermolecular spreading of epitopes was observed with an increased frequency in patients developing CAV in less than 2 yr, compared with patients without CAV; this suggests that diversification of the immune response against the graft contributes to chronic rejection. These data provide a strategy for identifying patients at risk of developing CAV and a rationale for therapeutic intervention aimed to prevent the progression of the rejection process.

Authors

R Ciubotariu, Z Liu, A I Colovai, E Ho, S Itescu, S Ravalli, M A Hardy, R Cortesini, E A Rose, N Suciu-Foca

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ML Rose
The Journal of Heart and Lung Transplantation 2004
New spectrum of allorecognition pathways: implications for graft rejection and transplantation tolerance
S Jiang, O Herrera, RI Lechler
Current Opinion in Immunology 2004
Arteriopathy in chronic allograft rejection in liver transplantation
A Miyagawa-Hayashino, T Tsuruyama, H Haga, F Oike, K Il-Deok, H Egawa, H Hiai, K Tanaka, T Manabe
Liver Transplantation 2004
Janus kinase-3 (JAK3) inhibition: a novel immunosuppressive option for allogeneic transplantation
MD Saemann, M Zeyda, TM Stulnig, GA Bohmig, T Wekerle, WH Horl, GJ Zlabinger
Transplant International 2004
Blockade of indirect recognition mediated by CD4+ T cells leads to prolonged cardiac xenograft survival
NP Singh, L Guo, X Que, H Shirwan
Xenotransplantation 2004
The active role played by xenogeneic endothelial cells in the indirect presentation pathway is not lymphocyte trans-co-stimulation
A Brossay, S Harang, O Herault, P Bardos, H Watier
Transplant International 2004
Tolerance to autoantigen
TL Sumpter, DS Wilkes
Current Opinion in Organ Transplantation 2004
Lymphoid Neogenesis in Murine Cardiac Allografts Undergoing Chronic Rejection
FK Baddoura, IW Nasr, B Wrobel, Q Li, NH Ruddle, FG Lakkis
American Journal of Transplantation 2004
Transplantation 50 Years Later — Progress, Challenges, and Promises
MH Sayegh, CB Carpenter
New England Journal of Medicine 2004
Clonality analysis of T cells mediating acute and chronic rejection in kidney allografts
F Obata, K Yoshida, Y Ikeda, M Ohkubo, T Saito, Y Takeuchi, N Shinohara, T Endo, S Baba
Transplant Immunology 2004
Tolerance induction in clinical transplantation
T Fehr, M Sykes
Transplant Immunology 2004
Donor non-specific IFN-γ production by primed alloreactive cells as a potential screening test to predict the alloimmune response
F Bendjelloul, TS Desin, AS Shoker
Transplant Immunology 2004
Anti-HLA antibodies in heart transplantation
ER Vasilescu, EK Ho, L la Torre, S Itescu, C Marboe, R Cortesini, N Suciu-Foca, D Mancini
Transplant Immunology 2004
Chronic heart allograft rejection in rats demonstrates a dynamic interplay between IFN-γ and IL-10 producing T cells
S Köksoy, TP Kakoulidis, H Shirwan
Transplant Immunology 2004
Tolerance to autoantigen:
TL Sumpter, DS Wilkes
Current Opinion in Organ Transplantation 2004
Infection and Autoimmunity
C Dugué, Y Renaudineau, P Youinou
Infection and Autoimmunity 2004
Use of cytokine enzyme-linked immunosorbent spot (ELISPOT) assay as an immune monitoring tool in solid organ transplantation
ED Poggio, PS Heeger
Transplantation Reviews 2004
Evolution of responding CD4+ and CD8+ T-cell repertoires during the development of graft-versus-host disease directed to minor histocompatibility antigens
TM Friedman, SC Jones, D Statton, GF Murphy, R Korngold
Biology of Blood and Marrow Transplantation 2004
Immunobiology of Organ Transplantation
DS Wilkes, WJ Burlingham
2004
Decreased Expression of the CD3ζ Chain in T Cells Infiltrating the Synovial Membrane of Patients with Osteoarthritis
LI Sakkas, G Koussidis, E Avgerinos, J Gaughan, CD Platsoucas
Clinical and vaccine immunology : CVI 2004
Predominant expression of the Th2 response in chronic cardiac allograft rejection
A Mhoyan, GD Wu, TP Kakoulidis, X Que, ES Yolcu, DV Cramer, H Shirwan
Transplant International 2003
Identical α-chain T-cell receptor transcripts are present on T cells infiltrating coronary arteries of human cardiac allografts with chronic rejection
B Xu, LI Sakkas, BI Goldman, V Jeevanandam, J Gaughan, EL Oleszak, CD Platsoucas
Cellular Immunology 2003
Interactions between the recipient immune system and the left ventricular assist device surface: immunological and clinical implications
S Itescu, R John
The Annals of Thoracic Surgery 2003
Concomitant allorecognition of mismatched donor HLA class I– and class II–derived peptides in pediatric lung transplant recipients with bronchiolitis obliterans syndrome
KC Lu, A Jaramillo, EN Mendeloff, CB Huddleston, SC Sweet, GA Patterson, T Mohanakumar
The Journal of Heart and Lung Transplantation 2003
A Role for Indirect Allorecognition in Lung Transplant Recipients with Obliterative Bronchiolitis
RE Stanford, S Ahmed, M Hodson, NR Banner, ML Rose
American Journal of Transplantation 2003
CHRONIC REJECTION OF MURINE CARDIAC ALLOGRAFTS DISCORDANT AT THE H13 MINOR HISTOCOMPATIBILITY ANTIGEN CORRELATES WITH THE GENERATION OF THE H13-SPECIFIC CD8+ CYTOTOXIC T CELLS1
J Yang, AÉ Jaramillo, W Liu, B Olack, Y Yoshimura, S Joyce, Z Kaleem, T Mohanakumar
Transplantation 2003
Enzyme Linked Immunosorbent Spot (ELISPOT) Assay for Interferon-Gamma Independently Predicts Renal Function in Kidney Transplant Recipients
DE Hricik, V Rodriguez, J Riley, K Bryan, M Tary-Lehmann, N Greenspan, C Dejelo, JA Schulak, PS Heeger
American Journal of Transplantation 2003
The frequency of interferon-gproducing cells reflects alloreactivity against minor histocompatibility antigens
NM van Besouw, LM Vaessen, JM Zuijderwijk, M Vliet, JN IJzermans, PH van der Meide, W Weimar
Transplantation 2003
Chronic cardiac allograft rejection in a rat model disparate for one single class I MHC molecule is associated with indirect recognition by CD4+ T cells
H Shirwan, A Mhoyan, ES Yolcu, X Que, S Ibrahim
Transplant Immunology 2003
Immunologic sensitization in recipients of left ventricular assist devices
R John, K Lietz, M Schuster, Y Naka, V Rao, DM Mancini, EA Rose, CR Smith, MC Oz, NM Edwards, S Itescu
The Journal of Thoracic and Cardiovascular Surgery 2003
CD4 + CD25 + Regulatory T Cells Do Not Significantly Contribute to Direct Pathway Hyporesponsiveness in Stable Renal Transplant Patients
DS Game, MP Hernandez-Fuentes, AN Chaudhry, RI Lechler
Journal of the American Society of Nephrology : JASN 2003
Regulatory CD25 + T Cells in Human Kidney Transplant Recipients
AD Salama, N Najafian, MR Clarkson, WE Harmon, MH Sayegh
Journal of the American Society of Nephrology : JASN 2003
Increasing transplant mass results in long-term allograft survival and recovery from transplant vasculopathy.
Hall DS, Roberts EM, Ferguson S, Wang Z, Davies JD
Journal of Clinical Immunology 2003
Regulatory functions of alloreactive Th2 clones in human renal transplant recipients
JE Holthe, M Gasser, K Womer, N Najafian, V Dong, DV Samsonov, CS Geehan, A Chandraker, MH Sayegh, AM Waaga
Kidney International 2002
Cellular methods used to evaluate the immune response in transplantation: Reinsmoen : Evaluation of immune response in transplantation
NL Reinsmoen
Tissue Antigens 2002
Call for Revolution: A New Approach to Describing Allograft Deterioration
PF Halloran
American Journal of Transplantation 2002
Induction of tolerance in autoimmune diseases by hematopoietic stem cell transplantation: Getting closer to a cure?
RK Burt, S Slavin, WH Burns, AM Marmont
International Journal of Hematology 2002
EPITOPE SPREADING IN IMMUNE-MEDIATED DISEASES: IMPLICATIONS FOR IMMUNOTHERAPY
CL Vanderlugt, SD Miller
Nature Reviews Immunology 2002
Activation-induced T cell death, and aberrant T cell activation via TNFR1 and CD95-CD95 ligand pathway in stable cardiac transplant recipients
HJ Ankersmit, B Moser, A Zuckermann, G Roth, S Taghavi, M Brunner, E Wolner, G Boltz-Nitulescu
Clinical & Experimental Immunology 2002
Tailoring of immunosuppression in renal and liver allograft recipients displaying donor specific T-suppressor cells
R Cortesini, E Renna-Molajoni, P Cinti, R Pretagostini, E Ho, P Rossi, NS Cortesini
Human Immunology 2002
Dendritic cells crossprime allo-specific self-restricted CD4+ T cells after coculture with dead allogeneic cells
R Ciubotariu, ML Tsang, RM Steinman, N Suciu-Foca, C Münz
Human Immunology 2002
Hierarchical immunogenicity of donor MHC class I peptides in allotransplantation
AG Sitaru, W Timmermann, K Ulrichs, C Otto
Human Immunology 2002
Pathways of allorecognition: implications for transplantation tolerance
DS Game, RI Lechler
Transplant Immunology 2002
Predictive parameters for in vivo alloreactivity
FH Claas
Transplant Immunology 2002
Cytokine gene expression by alloactivated cells in SCID mice
AS Shoker, ZR Lun, R Choudry
Transplant Immunology 2002
Tolerization of dendritic cells by T(S) cells: the crucial role of inhibitory receptors ILT3 and ILT4
CC Chang, R Ciubotariu, JS Manavalan, J Yuan, AI Colovai, F Piazza, S Lederman, M Colonna, R Cortesini, R Dalla-Favera, N Suciu-Foca
Nature Immunology 2002
Road to transplantation tolerance: role of T-suppressor lymphocytes in solid-organ transplantation
R Cortesini
Transplantation Proceedings 2002
Kinetics of transplant arteriosclerosis in MHC-Class I mismatched and fully allogeneic mouse aortic allografts1:
SM Ensminger, BM Spriewald, O Witzke, K Morrison, OE Pajaro, PJ Morris, ML Rose, KJ Wood
Transplantation 2002
INDIRECT ALLORECOGNITION CAN PLAY AN IMPORTANT ROLE IN THE DEVELOPMENT OF TRANSPLANT ARTERIOSCLEROSIS1:
SM Ensminger, BM Spriewald, O Witzke, OE Pajaro, MH Yacoub, PJ Morris, ML Rose, KJ Wood
Transplantation 2002
INDIRECT RECOGNITION AND ANTIBODY PRODUCTION AGAINST A SINGLE MISMATCHED HLA-A2-TRANSGENIC MOLECULE PRECEDE THE DEVELOPMENT OF OBLITERATIVE AIRWAY DISEASE IN MURINE HETEROTOPIC TRACHEAL ALLOGRAFTS1:
MA Smith, A Jaramillo, KS SivaSai, B Naziruddin, Z Kaleem, GA Patterson, T Mohanakumar
Transplantation 2002
Indirect alloreactivity and chronic rejection1:
A Ardehali, MP Fischbein, J Yun, Y Irie, MC Fishbein, H Laks
Transplantation 2002
MODELING CHRONIC LUNG ALLOGRAFT REJECTION IN MINIATURE SWINE1:
JS Allan, JC Wain, ML Schwarze, SL Houser, LC Benjamin, JC Madsen, DH Sachs
Transplantation 2002
Depletion of recipient CD4+ but not CD8+ T lymphocytes prevents the development of cardiac allograft vasculopathy1:
WY Szeto, AM Krasinskas, D Kreisel, AS Krupnick, SH Popma, BR Rosengard
Transplantation 2002
Different kinetics of obliterative airway disease development in heterotopic murine tracheal allografts induced by CD4+ and CD8+ T cells1:
T Higuchi, A Jaramillo, Z Kaleem, GA Patterson, T Mohanakumar
Transplantation 2002
HLA-B7 β-pleated sheet-derived synthetic peptides are immunodominant T-cell epitopes regulating alloresponses
A Freese, N Zavazava
Blood 2002
Enzyme-Linked Immunosorbent Spot Assay Analysis of Peripheral Blood Lymphocyte Reactivity to Donor HLA-DR Peptides: Potential Novel Assay for Prediction of Outcomes for Renal Transplant Recipients
N Najafian, AD Salama, EV Fedoseyeva, G Benichou, MH Sayegh
Journal of the American Society of Nephrology : JASN 2002
Induction of tolerance in autoimmune diseases by hematopoietic stem cell transplantation: getting closer to a cure?
Burt RK, Slavin S, Burns WH, Marmont AM
International Journal of Hematology 2002
Loss of direct and maintenance of indirect alloresponses in renal allograft recipients: implications for the pathogenesis of chronic allograft nephropathy
RJ Baker, MP Hernandez-Fuentes, PA Brookes, AN Chaudhry, HT Cook, RI Lechler
Journal of immunology (Baltimore, Md. : 1950) 2001
Tolerance and chronic rejection
PJ Morris, KJ Wood, KL Womer, RS Lee, JC Madsen, MH Sayegh
Philosophical Transactions of The Royal Society B Biological Sciences 2001
EARLY INDUCTION OF PLATELET-DERIVED GROWTH FACTOR LIGANDS AND RECEPTORS IN ACUTE RAT RENAL ALLOGRAFT REJECTION1
J Savikko, EA Kallio, E Willebrand
Transplantation 2001
Indirect recognition of allopeptides promotes the development of cardiac allograft vasculopathy
RS Lee, K Yamada, SL Houser, KL Womer, ME Maloney, HS Rose, MH Sayegh, JC Madsen
Proceedings of the National Academy of Sciences 2001
Predominant IL-10 Production in Indirect Alloreactivity Is Not Associated with Rejection
M Spadafora-Ferreira, JA Fonseca, C Granja, DM Malheiros, J Kalil, V Coelho
Clinical Immunology 2001
Indirect Allorecognition of Mismatched Donor HLA Class II Peptides in Lung Transplant Recipients with Bronchiolitis Obliterans Syndrome
SI Reznik, A Jaramillo, KS SivaSai, KL Womer, MH Sayegh, EP Trulock, GA Patterson, T Mohanakumar
American Journal of Transplantation 2001
Cellular and molecular parameters in human renal allograft rejection
M Kamoun
Clinical Biochemistry 2001
Detection of T suppressor cells in patients with organ allografts
R Ciubotariu, R Vasilescu, E Ho, P Cinti, C Cancedda, L Poli, M Late, Z Liu, P Berloco, R Cortesini, NS Cortesini
Human Immunology 2001
Analysis of the CD40/CD40L role in the sustenance of alloreactive antibody production
AS Shoker, ZR Lun, R Choudry, A Saxena
Transplant Immunology 2001
Oral exposure to alloantigen generates intragraft CD8+ regulatory cells
J Liu, Z Liu, P Witkowski, G Vlad, JS Manavalan, L Scotto, S Kim-Schulze, R Cortesini, MA Hardy, N Suciu-Foca
Journal of immunology (Baltimore, Md. : 1950) 2001
Oral exposure to alloantigen generates intragraft CD8+ regulatory cells
J Liu, Z Liu, P Witkowski, G Vlad, JS Manavalan, L Scotto, S Kim-Schulze, R Cortesini, MA Hardy, N Suciu-Foca
Journal of immunology (Baltimore, Md. : 1950) 2001
Detection of cardiac myosin-specific autoimmunity in a model of chronic heart allograft rejection
HK Rolls, K Kishimoto, BM Illigens, V Dong, MH Sayegh, G Benichou, EV Fedoseyeva
Transplantation Proceedings 2001
Renal transplant patients show variations in their self-reactive repertoires: a serial study
K Portugal, I Dozmorov, I Sidorov, I Marrero, JA Fonseca, M Spadafora-Ferreira, J Kalil, V Coelho
International Immunology 2001
Allospecific human T suppressor cells in kidney transplantation
ER Molajoni, P Cinti, E Ho, B Evangelista, D Peritore, L Poli, R Pretagostini, P Berloco, NS Cortesini, R Cortesini
Transplantation Proceedings 2001
Indirect allorecognition promotes the development of cardiac allograft vasculopathy
RS Lee, K Yamada, SL Houser, KL Womer, ME Maloney, HS Rose, MH Sayegh, JC Madsen
Transplantation Proceedings 2001
Tolerance induction in indirect alloresponses by analogs of HLA-derived peptides
L Frasca, A Tamir, S Jurcevic, B Marinari, A Monizio, R Sorrentino, M Carbonari, E Piccolella, RI Lechler, G Lombardi
Transplantation Proceedings 2001
Immune reactivity toward HLA class II determinants in renal transplantation
A Iniotaki-Theodoraki, P Douramani, J Boletis, A Papassavas, H Theodoropoulou, A Kostakis, C Stavropoulos-Giokas
Transplantation Proceedings 2001
Alloantigen recognition pathways and transplant tolerance
GJ Pettigrew, EM Bolton, JA Bradley
Transplantation Proceedings 2001
Indirect allorecognition in heart allograft rejection
R Ciubotariu, Z Liu, E Ho, R Vasilescu, A Foca-Rodi, AI Colovai, P Fisher, M Hardy, EA Rose, R Cortesini, NS Cortesini
Transplantation Proceedings 2001
Indirect alloreactivity and cytokine production to HLA-DR peptides in human renal transplantation
M Spadafora-Ferreira, C Granja, JA Fonseca, I Marrero, J Kalil, V Coelho
Transplantation Proceedings 2001
Adoptive transfer of minor histocompatibility antigen-specific T lymphocytes eradicates leukemia cells without causing graft-versus-host disease
P Fontaine, G Roy-Proulx, L Knafo, C Baron, DC Roy, C Perreault
Nature Medicine 2001
THE ROLE OF THE ALLOGRAFT IN THE INDUCTION OF DONOR-SPECIFIC T CELL HYPORESPONSIVENESS:
RJ Baker, MP Hernandez-Fuentes, PA Brookes, AN Chaudhry, RI Lechler
Transplantation 2001
ANTIVIMENTIN ANTIBODIES ARE AN INDEPENDENT PREDICTOR OF TRANSPLANT-ASSOCIATED CORONARY ARTERY DISEASE AFTER CARDIAC TRANSPLANTATION1:
S Jurcevic, ME Ainsworth, A Pomerance, JD Smith, DR Robinson, MJ Dunn, MH Yacoub, ML Rose
Transplantation 2001
Transplantation Surgery
NS Hakim, GM Danovitch
2001
Epitope Mapping of the Indirect T Cell Response to Allogeneic Class I MHC: Sequences Shared by Donor and Recipient MHC May Prime T Cells That Provide Help for Alloantibody Production
E Lovegrove, GJ Pettigrew, EM Bolton, JA Bradley
Journal of immunology (Baltimore, Md. : 1950) 2001
Therapeutic Immunosuppression
AW Thomson
2001
Indirect Allorecognition of Donor Class I and II Major Histocompatibility Complex Peptides Promotes the Development of Transplant Vasculopathy
KL Womer, JR Stone, B Murphy, A Chandraker, MH Sayegh
Journal of the American Society of Nephrology : JASN 2001
Etiology and pathophysiology of chronic transplant dysfunction
EA Kouwenhoven, JN IJzermans, RW Bruin
Transplant International 2000
Mechanisms of chronic rejection
AM Waaga, M Gasser, I Laskowski, NL Tilney
Current Opinion in Immunology 2000
Coronary Artery Disease in the Transplanted Heart
M Weis, W Scheidt
Annual Review of Medicine 2000
Southwestern Internal Medicine Conference
MA Vazquez
The American Journal of the Medical Sciences 2000
A limited number of HLA epitopes are recognized from HLA class I-specific antibodies detected in the serum of sensitized patients
AC Papassavas, A Iniotaki-Theodoraki, J Boletis, P Douramani, A Kostakis, C Stavropoulos-Giokas
Human Immunology 2000
T-cell recognition of allograft target antigens
KL Womer, MK Nadim, MH Sayegh
Current Opinion in Organ Transplantation 2000
Donor antigen–presenting cells are important in the development of obliterative airway disease
WY Szeto, AM Krasinskas, D Kreisel, SH Popma, BR Rosengard
The Journal of Thoracic and Cardiovascular Surgery 2000
Soluble donor HLA class I and β2m-free heavy chain in serum of lung transplant recipients: steady-state levels and increases in patients with recurrent CMV infection, acute rejection episodes, and poor outcome
LD DeVito-Haynes, E Jankowska-Gan, KC Meyer, RD Cornwell, A Zeevi, B Griffith, J Dauber, A Iacono, WJ Burlingham, RB Love
Human Immunology 2000
Soluble HLA proteins with bound peptides are released from the cell surface by the membrane metalloproteinase
S Demaria, Y Bushkin
Human Immunology 2000
HLA and Transplantation I: Allorecognition of HLA Molecules in Transplantation
RJ Baker
2000
Immunobiology of left ventricular assist devices
S Itescu, JH Ankersmit, AA Kocher, MD Schuster
Progress in Cardiovascular Diseases 2000
Coronary arteries from human cardiac allografts with chronic rejection contain oligoclonal T cells: persistence of identical clonally expanded TCR transcripts from the early post-transplantation period (endomyocardial biopsies) to chronic rejection (coronary arteries)
CA Slachta, V Jeevanandam, B Goldman, WL Lin, CD Platsoucas
Journal of immunology (Baltimore, Md. : 1950) 2000
Initial T-cell activation required for transplant vasculopathy in retransplanted rat cardiac allografts
M Tori, S Kitagawa-Sakakida, Z Li, H Izutani, K Horiguchi, T Ito, H Matsuda, R Shirakura
Transplantation 2000
Chronic Rejection of Renal Transplants: New Clinical Insights
NM Kaplan, BF Palmer, MA Vazquez
The American Journal of the Medical Sciences 2000
Xenotransplantation
B Soin, CM Vial, PJ Friend
The British journal of surgery 2000
PEPTIDE ANALOGUES AS A STRATEGY TO INDUCE TOLERANCE IN T CELLS WITH INDIRECT ALLOSPECIFICITY1:
L Frasca, A Tamir, S Jurcevic, B Marinari, A Monizio, R Sorrentino, M Carbonari, E Piccolella, RI Lechler, G Lombardi
Transplantation 2000
HETEROGENEITY OF T CELL CLONES SPECIFIC FOR A SINGLE INDIRECT ALLOANTIGENIC EPITOPE (I-Ab/H-2Kd54???68) THAT MEDIATE TRANSPLANT REJECTION1:
K Honjo, X yan Xu, RP Bucy
Transplantation 2000
Blockade of CD28-B7, But Not CD40-CD154, Prevents Costimulation of Allogeneic Porcine and Xenogeneic Human Anti-Porcine T Cell Responses
RS Lee, K Yamada, KL Womer, EP Pillsbury, KS Allison, AE Marolewski, D Geng, AD Thall, JS Arn, DH Sachs, MH Sayegh, JC Madsen
Journal of immunology (Baltimore, Md. : 1950) 2000
Role of antibodies in rejection
ML Rose
Current Opinion in Organ Transplantation 1999
Molecular basis of chronic rejection
WW Hancock
Current Opinion in Organ Transplantation 1999
Why do we reject a graft? Role of indirect allorecognition in graft rejection
PM Sayegh
Kidney International 1999
Transplantation tolerance: The concept and its applicability
VM Dong, KL Womer, MH Sayegh
Pediatric Transplantation 1999
Analysis of the Reversibility of Chronic Liver Allograft Rejection Implications for a Staging Schema*
K Blakolmer, EC Seaberg, K Batts, L Ferrell, R Markin, R Wiesner, K Detre, A Demetris
The American Journal of Surgical Pathology 1999
Major histocompatibility complex–derived peptides as novel forms of immunosuppression
AM Waaga, B Murphy, MH Sayegh
Current Opinion in Organ Transplantation 1999
Evidence of Indirect Allorecognition in Long-Term Human Renal Transplantation
V Coelho, M Spadafora-Ferreira, I Marrero, JA Fonseca, K Portugal, J Kalil
Clinical Immunology 1999
Transplant surgery injury recruits recipient MHC class II-positive leukocytes into the kidney
JG Penfield, Y Wang, S Li, MA Kielar, SC Sicher, DR Jeyarajah, CY Lu
Kidney International 1999
Antigen presenting cells integrate opposing signals from CD4+ and CD8+ regulatory T lymphocytes to arbitrate the outcomes of immune responses
S Lederman, N Suciu-Foca
Human Immunology 1999
Risk factors in chronic rejection
RP Pelletier, CG Orosz, FG Cosio, RM Ferguson
Current Opinion in Organ Transplantation 1999
Xenoreactions and their modulation with bone marrow transplantation to induce tolerance
H Shirwan, ST Ildstad
Current Opinion in Organ Transplantation 1999
MHC class I-restricted epitope spreading in the context of tumor rejection following vaccination with a single immunodominant CTL epitope
K el-Shami, B Tirosh, E Bar-Haim, L Carmon, E Vadai, M Fridkin, M Feldman, L Eisenbach
European Journal of Immunology 1999
Peptide-conformed β2m-free class I heavy chains are intermediates in generation of soluble HLA by the membrane-bound metalloproteinase
S Demaria, LD DeVito-Haynes, RD Salter, WJ Burlingham, Y Bushkin
Human Immunology 1999
Cellular and humoral mechanisms of vascularized allograft rejection induced by indirect recognition of donor MHC allopeptides
JP Vella, C Magee, L Vos, K Womer, H Rennke, CB Carpenter, W Hancock, MH Sayegh
Transplantation 1999
Advances in small-bowel transplantation
M Gasser, AM Waaga
Transplantation Reviews 1999
Chronic rejection in cyclosporin A treated renal allograft recipients with allopeptide reactive T cells
A Iniotaki-Theodoraki, J Boletis, D Stamatiadis, A Kostakis
Transplantation Proceedings 1999
Persistent allopeptide reactivity and epitope spreading in chronic rejection
N Suciu-Foca, R Ciubotariu, A Colovai, A Foca-Rodi, E Ho, E Rose, R Cortesini
Transplantation Proceedings 1999
PRODUCTION OF HUMAN ALLOREACTIVE ANTIBODIES BY UREMIC SENSITIZED LYMPHOCYTES ENGRAFTED IN SEVERE COMBINED IMMUNODEFICIENT MICE:
A Shoker, Z Sardar, H Yang, M Hussain
Transplantation 1999
CHRONIC ALLOGRAFT REJECTION: Do the Th2 Cells Preferentially Induced by Indirect Alloantigen Recognition Play a Dominant Role?1
H Shirwan
Transplantation 1999
T CELL RECEPTOR REPERTOIRE USAGE IN ALLOTRANSPLANTATION : AN OVERVIEW1:
P Douillard, MC Cuturi, S Brouard, R Josien, JP Soulillou
Transplantation 1999
SEQUENCING OF TWO HLA-A BLANK ALLELES: IMPLICATIONS IN UNRELATED BONE MARROW DONOR MATCHING1:
R Zanone-Ramseier, A Gratwohl, J Gmr, E Roosnek, JM Tiercy
Transplantation 1999
THE EFFECT OF THYMECTOMY ON TOLERANCE INDUCTION AND CARDIAC ALLOGRAFT VASCULOPATHY IN A MINIATURE SWINE HEART/KIDNEY TRANSPLANTATION MODEL1,2:
K Yamada, JK Choo, JS Allan, AE Erhorn, MT Menard, K Mawulawde, JK Slisz, HT Aretz, A Shimizu, DH Sachs, JC Madsen
Transplantation 1999
THE HUMORAL IMMUNE RESPONSE AGAINST AN HLA CLASS I ALLODETERMINANT CORRELATES WITH THE HLA-DR PHENOTYPE OF THE RESPONDER1:
TC Fuller, A Fuller
Transplantation 1999
HLA-Derived Peptides as Novel Immunomodulatory Therapeutics
B Murphy, AM Krensky
Journal of the American Society of Nephrology : JASN 1999
T Cell Costimulatory Blockade: New Therapies for Transplant Rejection
H Gudmundsdottir, LA Turka
Journal of the American Society of Nephrology : JASN 1999
Determinant spreading: lessons from animal models and human disease
J McCluskey, AD Farris, CL Keech, AW Purcell, M Rischmueller, G Kinoshita, P Reynolds, TP Gordon
Immunological Reviews 1998
PREDOMINANT EXPRESSION OF T HELPER 2 CYTOKINES AND ALTERED EXPRESSION OF T HELPER 1 CYTOKINES IN LONG-TERM ALLOGRAFT SURVIVAL INDUCED BY INTRATHYMIC IMMUNE MODULATION WITH DONOR CLASS I MAJOR HISTOCOMPATIBILITY COMPLEX PEPTIDES1,2
H Shirwan, L Barwari, NS Khan
Transplantation 1998
An immunological algorithm to predict risk of high-grade rejection in cardiac transplant recipients
S Itescu, TC Tung, EM Burke, AD Weinberg, D Mancini, RE Michler, NM Suciu-Foca, EA Rose
The Lancet 1998
Intramolecular and intermolecular spreading during the course of organ allograft rejection
N Suciu-Foca, PE Harris, R Cortesini
Immunological Reviews 1998
T cell-mediated xenograft rejection: Specific tolerance is probably required for long term xenograft survival
A Dorling, RI Lechler
Xenotransplantation 1998
The presentation of self and allogeneic MHC peptides to T lymphocytes
G Benichou, KM Malloy, RC Tam, PS Heeger, EV Fedoseyeva
Human Immunology 1998
The metalloproteinase-mediated pathway is essential for generation of soluble HLA class I proteins by activated cells in vitro:
LD DeVito-Haynes, S Demaria, Y Bushkin, WJ Burlingham
Human Immunology 1998
The Role of T-Cell Costimulatory Activation Pathways in Transplant Rejection
FH Epstein, MH Sayegh, LA Turka
New England Journal of Medicine 1998
EBV-B cells as antigen presenting cells in characterization of the self/donor context of allorecognition by T lymphocytes
C Drouet, C Arvieux, G Devouassoux, F Csopaki, O Chavanon, PY Brichon, C Letoublon, JP Zarski, D Barnoud, C Pison
Transplant Immunology 1998
The importance of humoral immune responses in chronic rejection
DV Cramer, H Shirwan
Transplantation Reviews 1998
Contribution of the direct and indirect allorecognition pathway to the rejection of liver allografts
E Renna-Molajoni, P Cinti, AM Orlandini, J Molajoni, PL Cocciolo, B Evangelista, N Suciu-Foca, R Cortesini
Transplantation Proceedings 1998
Peptide mediated immunosuppression: new developments
CC Magee, MH Sayegh
Transplantation Proceedings 1998
Specific immunosuppression of the indirect recognition pathway
N Suciu-Foca, R Cortesini
Transplantation Proceedings 1998
Preformed IgG Antibodies Against Major Histocompatibility Complex Class II Antigens Are Major Risk Factors for High-grade Cellular Rejection in Recipients of Heart Transplantation
S Itescu, TC Tung, EM Burke, A Weinberg, N Moazami, JH Artrip, N Suciu-Foca, EA Rose, MC Oz, RE Michler
Circulation 1998
Cardiac Transplantation
JD Hosenpud, A Cobanoglu, DJ Norman, A Starr
1991

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