• Clin Med (Lond) · Dec 2014

    Review

    Optimising long-term graft survival: establishing the benefit of targeting B lymphocytes.

    • Kin Yee Shiu and Anthony Dorling.
    • Royal Free London NHS Foundation Trust, London, UK.
    • Clin Med (Lond). 2014 Dec 1; 14 Suppl 6: s84s88s84-8.

    AbstractKidney transplants do not last for the natural lifespan of most recipients. Of the reasons why transplants fail, damage by the immune system is the commonest cause. Understanding how the immune system recognises transplanted organs has increased significantly in recent years, but there is little insight into how organs are damaged, and no still no way of suppressing immune-mediated damage without exposing patients to the detrimental effects of long-term immunosuppression. In this article, we review the role of antibodies and B cells in immune-mediated damage of kidney transplants, and discuss the potential for manipulation of B cells to improve clinical outcomes.© 2014 Royal College of Physicians.

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