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Cell-Based Immunomodulatory Concepts and Tolerance Protocols for Reconstructive Transplantation

  • Johns Hopkins University

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

1 Scopus citations

Abstract

Immunomodulation and tolerance induction during vascularized composite allotransplantation (VCA) represent the “Holy Grail” of the modern era of transplantation. Although lifelong immunosuppression is justifiable for life-saving solid-organ transplantation, it may not be permissible for a life-enhancing procedure such as face or extremity transplantation. Thus, the ability to reduce or completely abolish immunosuppression regimens would significantly shift the risk-benefit balance in favor of VCA. Several immunomodulatory approaches have been attempted for tolerance induction, with central and peripheral immunologic mechanisms representing the forefront of research efforts. In this chapter, we discuss relevant cell-based approaches and experimental protocols for tolerance induction in VCA, as well as the preliminary clinical use of such protocols in reconstructive transplantation.

Original languageEnglish
Title of host publicationStem Cell Biology and Regenerative Medicine
PublisherSpringer Nature
Pages181-202
Number of pages22
DOIs
StatePublished - 2015
Externally publishedYes

Publication series

NameStem Cell Biology and Regenerative Medicine
VolumePart F4880
ISSN (Print)2196-8985
ISSN (Electronic)2196-8993

Keywords

  • Bone marrow
  • Co-stimulation blockade
  • Dendritic cells
  • Facilitating cells
  • Mixed chimerism
  • T regulatory cells
  • Tolerance

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