Abstract
The first human unilateral hand allotransplantation was performed in Lyon, in September 1998, followed by other cases all over the world. The technical feasibility of this procedure has thus been demonstrated. Whereas antigenicity of the skin was considered as the major obstacle to human composite tissue allotransplantation, clinical outcomes have demonstrated that hand allotransplantation seems to be well tolerated without drastic immunosuppressive drugs. This chapter briefly describes current advances in the field of tolerance to organ transplantation and elaborates suggestions for the reasons why hand transplantations are likely to be immunologically well tolerated by the host.
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References
Sprent J, Kishimoto H (2002) The thymus and negative selection. Immunol Rev 185:126–135
Seddon B, Mason D (2000) The third function of the thymus. Immunol Today 21:95–99
Wood KJ, Sakaguchi S (2003) Regulatory T cells in transplantation tolerance. Nat Rev Immunol 3:199–210
Sharabi Y, Abraham VS, Sykes M, Sachs DH (1992) Mixed allogeneic chimeras prepared by a non-myeloablative regimen: requirement for chimerism to maintain tolerance. Bone Marrow Transplant 9:191–197
Ko S, Deiwick A, Jager MD, Dinkel A et al (1999) The functional relevance of passenger leukocytes and microchimerism for heart allograft acceptance in the rat. Nat Med 5:1292–1297
Wekerle T, Kurtz J, Ito H et al (2000) Allogeneic bone marrow transplantation with co-stimulatory blockade induces macrochimerism and tolerance without cytoreductive host treatment. Nat Med 6:464–469
Kurtz J, Wekerle T, Sykes M (2004) Tolerance in mixed chimerism — a role for regulatory cells? Trends Immunol 25:518–523
Kanamoto A, Maki T (2004) Chimeric donor cells play an active role in both induction and maintenance phases of transplantation tolerance induced by mixed chimerism. J Immunol 172:1444–1448
Taniguchi H, Abe M, Shirai T et al (1995) Reconstitution ratio is critical for alloreactive T cell deletion and skin graft survival in mixed bone marrow chimeras. J Immunol 155:5631–5636
Wood KJ (2003) Passenger leukocytes and microchimerism: what role in tolerance induction? Transplantation 75:17S–20S
Anderson CC, Matzinger P (2001) Immunity or tolerance: opposite outcomes of microchimerism from skin grafts. Nat Med 7:80–87
Duperrier K, Farre A, Bienvenu J et al (2002) Cyclosporin A inhibits dendritic cell maturation promoted by TNF-alpha or LPS but not by double-stranded RNA or CD40L. J Leukoc Biol 72:953–961
Abe M, Thomson AW (2003) Influence of immunosuppressive drugs on dendritic cells. Transpl Immunol 11:357–365
Lagaraine C, Lebranchu Y (2003) Effects of immunosuppressive drugs on dendritic cells and tolerance induction. Transplantation 75[Suppl]:37–42
Cobbold SP, Nolan KF, Graca L et al (2003) Regulatory T cells and dendritic cells in transplantation tolerance: molecular markers and mechanisms. Immunol Rev 196:109–124
Bacchetta R, Gregori S, Roncarolo MG (2005) CD4+ regulatory T cells:mechanisms of induction and effector function. Autoimmun Rev 4:491–496
Sakaguchi S, Sakaguchi N, Asano M et al (1995) Immunologic self-tolerance maintained by activated T cells expressing IL-2 receptor alpha-chains (CD25). Breakdown of a single mechanism of self-tolerance causes various autoimmune diseases. J Immunol 155:1151–1164
Itoh M, Takahashi T, Sakaguchi N et al (1999) Thymus and autoimmunity: production of CD25+CD4+ naturally anergic and suppressive T cells as a key function of the thymus in maintaining immunologic self-tolerance. J Immunol 162:5317–5326
Zelenika D, Adams E, Humm S et al (2001) The role of CD4+ T-cell subsets in determining transplantation rejection or tolerance. Immunol Rev 182:164–179
Graca L, Honey K, Adams E et al (2000) Cutting edge: anti-CD154 therapeutic antibodies induce infectious transplantation tolerance. J Immunol 165:4783–4786
Wood KJ, Sakaguchi S (2003) Regulatory T cells in transplantation tolerance. Nat Rev Immunol 3:199–210
Jonuleit H, Adema G, Schmitt E (2003) Immune regulation by regulatory T cells: implications for transplantation. Transpl Immunol 11:267–276
Graca L, Cobbold SP, Waldmann H (2002) Identification of regulatory T cells in tolerated allografts. J Exp Med 195:1641–1646
Liang S, Alard P, Zhao Y et al (2005) Conversion of CD4+ CD25-cells into CD4+ CD25+ regulatory T cells in vivo requires B7 costimulation, but not the thymus. J Exp Med 201:127–137
Cortesini R (2003) Regulatory T cells and dendritic cells in transplantation medicine. Transpl Immunol 11:231–233
Kanitakis J, Petruzzo P, Jullien D et al (2005) Pathological score for the evaluation of allograft rejection in human hand (composite tissue) allotransplantation. Eur J Dermatol 15:235–238
Petruzzo P, Revillard JP, Kanitakis J et al (2003) First conventional immunosuppressive protocol. Clin Transplant 17:455–460
Sanchez-Fueyo A, Sandner S, Habicht A et al (2006) Specificity of CD4+CD25+ regulatory T cell function in alloimmunity. J Immunol 176:329–334
Krampera M, Glennie S, Dyson J et al (2003) Bone marrow mesenchymal stem cells inhibit the response of naive and memory antigen-specific T cells to their cognate peptide. Blood 101:3722–3729
Angoulvant D, Clerc A, Benchalal S et al (2004) Human mesenchymal stem cells suppress induction of cytotoxic response to alloantigens. Biorheology 41:469–476
Bartholomew A, Sturgeon C, Siatskas M, Ferrer K et al (2002) Mesenchymal stem cells suppress lymphocyte proliferation in vitro and prolong skin graft survival in vivo. Exp Hematol 30:42–48
Aggarwal S, Pittenger MF (2005) Human mesenchymal stem cells modulate allogeneic immune cell responses. Blood 105:1815–1822
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Eljaafari, A., Petruzzo, P., Martin, X., Dubernard, JM. (2007). Mechanisms Involved in the Induction of Tolerance in Allogeneic Hand Transplantation: A Proposal. In: Lanzetta, M., Dubernard, JM., Petruzzo, P. (eds) Hand Transplantation. Springer, Milano. https://doi.org/10.1007/978-88-470-0374-3_56
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DOI: https://doi.org/10.1007/978-88-470-0374-3_56
Publisher Name: Springer, Milano
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