Emerging therapies targeting intra-organ inflammation in transplantation

Am J Transplant. 2015 Feb;15(2):305-11. doi: 10.1111/ajt.13073.

Abstract

Over the past several years, the field of transplantation has witnessed significant progress on several fronts; in particular, achievements have been made in devising novel immunosuppressive strategies. An under-explored area that may hold great potential to improve transplantation outcomes is the design of novel strategies to apply specifically to organs to reduce intra-graft inflammation. A growing body of evidence indicates a key role of intra-graft inflammatory cascade in potently instigating the alloimmune response. Indeed, controlling the activation of innate immunity/inflammatory responses has been shown to be a promising strategy to increase the graft acceptance and survival. In this minireview, we provide an overview of emerging targeted strategies, which can be directly applied to grafts to down-regulate intra-graft inflammation prior to transplantation.

Keywords: basic (laboratory) research/science; innate immunity; ischemia reperfusion injury (IRI); organ transplantation in general; rejection; tolerance.

Publication types

  • Editorial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use*
  • Graft Rejection / immunology
  • Graft Rejection / prevention & control
  • Humans
  • Immunity, Innate / drug effects
  • Immunity, Innate / physiology
  • Immunosuppressive Agents / pharmacology
  • Immunosuppressive Agents / therapeutic use
  • Inflammation / etiology*
  • Inflammation / immunology
  • Inflammation / prevention & control*
  • Organ Transplantation / adverse effects*
  • RNA, Small Interfering / pharmacology
  • RNA, Small Interfering / therapeutic use
  • Signal Transduction / drug effects

Substances

  • Anti-Inflammatory Agents
  • Immunosuppressive Agents
  • RNA, Small Interfering