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CME on Transplantation is dedicated to online CME conferences, courses and presentations (slides with voice over) on transplantation, given by local and international experts. Its mission is to keep you up-to-date with the most recent developments on transplantation.
 Presentation
"Mechanisms of T and B Cell Tolerance"
Dr. Anita S. Chong (biography)
English - 2004-05-18 - 47 minutes
(27 slides)

Summary :
As the demand for transplantation continues to outstrip the available supply of suitable donors, the achievement of sustained, robust allograft accommodation is increasingly important.

In this presentation, Dr. Anita Chong reviews the mechanisms of both T and B cell-mediated tolerance. The concepts of central and peripheral tolerance are introduced and the evidence for the four intrinsic mechanisms of peripheral T cell tolerance is presented.

Dr. Chong also discusses the importance of addressing B cell-mediated tolerance and the potential role of encapsulation strategies in achieving long-term allograft tolerance.


Copyright © 2004 E-MedHosting.com Inc

Learning objectives :
After viewing this presentation, participants will be able to discuss:
• The definition of tolerance
• Central versus peripheral tolerance
• The four intrinsic mechanisms of peripheral T cell-mediated Tolerance
• B cell-mediated tolerance
• Encapsulation strategies in transplantation

Bibliographic references :
Ildstad ST, Sachs DH. Reconstitution with syngeneic plus allogeneic or xenogeneic bone marrow leads to specific acceptance of allografts or xenografts. Nature. 1984 Jan 12-18;307(5947):168-70.

Sharabi Y, Sachs DH. Engraftment of allogeneic bone marrow following administration of anti-T cell monoclonal antibodies and low-dose irradiation. Transplant Proc. 1989 Feb;21(1 Pt 1):233-5.

Kawai T, Poncelet A, Sachs DH, Mauiyyedi S, Boskovic S, Wee SL, Ko DS, Bartholomew A, Kimikawa M, Hong HZ, Abrahamian G, Colvin RB, Cosimi AB. Long-term outcome and alloantibody production in a non-myeloablative regimen for induction of renal allograft tolerance. Transplantation. 1999 Dec 15;68(11):1767-75.

Mosmann TR, Cherwinski H, Bond MW, Giedlin MA, Coffman RL. Two types of murine helper T cell clone. I. Definition according to profiles of lymphokine activities and secreted proteins. J Immunol. 1986 Apr 1;136(7):2348-57.

Powell TJ Jr, Streilein JW. Neonatal tolerance induction by class II alloantigens activates IL-4-secreting, tolerogen-responsive T cells. J Immunol. 1990 Feb 1;144(3):854-9.

Chan SY, DeBruyne LA, Goodman RE, Eichwald EJ, Bishop DK. In vivo depletion of CD8+ T cells results in Th2 cytokine production and alternate mechanisms of allograft rejection. Transplantation. 1995 Apr 27;59(8):1155-61.

Griffith TS, Brunner T, Fletcher SM, Green DR, Ferguson TA. Fas ligand-induced apoptosis as a mechanism of immune privilege. Science. 1995 Nov 17;270(5239):1189-92.

Bellgrau D, Gold D, Selawry H, Moore J, Franzusoff A, Duke RC. A role for CD95 ligand in preventing graft rejection. Nature. 1995 Oct 19;377(6550):630-2.

Lau HT, Yu M, Fontana A, Stoeckert CJ Jr. Prevention of islet allograft rejection with engineered myoblasts expressing FasL in mice. Science. 1996 Jul 5;273(5271):109-12.

Allison J, Georgiou HM, Strasser A, Vaux DL. Transgenic expression of CD95 ligand on islet beta cells induces a granulocytic infiltration but does not confer immune privilege upon islet allografts. Proc Natl Acad Sci U S A. 1997 Apr 15;94(8):3943-7.

Kang SM, Schneider DB, Lin Z, Hanahan D, Dichek DA, Stock PG, Baekkeskov S. Fas ligand expression in islets of Langerhans does not confer immune privilege and instead targets them for rapid destruction. Nat Med. 1997 Jul;3(7):738-43.

Takeuchi T, Ueki T, Nishimatsu H, Kajiwara T, Ishida T, Jishage K, Ueda O, Suzuki H, Li B, Moriyama N, Kitamura T. Accelerated rejection of Fas ligand-expressing heart grafts. J Immunol. 1999 Jan 1;162(1):518-22.

Noorchashm H, Lieu YK, Song HK, Rostami SY, Greeley SA, Noorchashm N, Barker CF, Naji A. B lymphocytes influence the shape of the mature preimmune CD4+ TCR repertoire. Transplant Proc. 1999 Feb-Mar;31(1-2):832-3.

   


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