Immunosuppression by Blocking α4-Integrins/VCAM-1 Adhesion

  • M. Isobe
  • J. Hori
  • J. Suzuki
Part of the Current Topics in Microbiology and Immunology book series (CT MICROBIOLOGY, volume 231)


Allograft rejection is the expression of an immune reaction of the recipient against foreign antigens of the transplanted tissue and is mostly mediated by T lymphocytes. The initial step consists of T lymphocyte adhesion to graft endothelium, a process that is mediated by cell adhesion molecules. It has been shown that there are several pathways for recognition of alloantigens on the transplanted vascularized organs, and cell adhesion molecules play important roles in these processes. Adhesion is necessary for tightening of contact between T cells and antigen-presenting cells. Two signals are required for optimal clonal expansion of T cells: one from the T cell receptor upon binding to the major histocompatibility complex (MHC) antigen and the other signal from receptors that are distinctive from T cell receptors (Mueller et al. 1989; Schwartz et al. 1989; Schwartz 1990). Shaw et al. found that several adhesion molecules produce such costimulatory signals (Clevers et al. 1988; Shimizu et al. 1990a; Weaver and Unaue 1990). Schwartz et al. showed that, in the absence of the costimulatory signal, T cells become inactivated against the particular antigen, which leads to clonal anergy of the T cells (Mueller et al. 1989).


Major Histocompatibility Complex Allograft Rejection Cardiac Allograft Soluble Antigen Heart Lung Transplant 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • M. Isobe
    • 1
  • J. Hori
    • 2
  • J. Suzuki
    • 1
  1. 1.The First Department of Internal MedicineShinshu University School of MedicineMatsumotoJapan
  2. 2.Department of OphthalmologyUniversity of Tokyo, School of MedicineBunkyo-ku, TokyoJapan

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