A review of studies contributing to a strategy for immune tolerance in the transplant setting and their relevance to the future of face transplants.
Written in 2006; 3,300 words; 23 sources; MLA; $ 94.95
Paper Summary:
This paper discusses the problem of medicine's inability to induce antigen-specific immune tolerance, the final technical obstacle to bringing face transplants into widespread clinical application. The paper presents an overview of historic and current immunological research - from the use of chimerism, to the use of monoclonal antibodies to control T-cell activation - and its role in future prospects for a non-pharmaceutical strategy for tolerance induction in humans. The paper highlights studies that have examined tolerance in recipients of composite tissue allografts (CTAs), with emphasis on studies using animal models involving skin allografts, and with the intent of providing insight into the issues presented by transplantation of a face. It includes graphs and photographs to illustrate this.
Outline:
Abstract
Introduction
CTA Study Goals
Antigenicity of Facial Allograft Components
Immune Tolerance and Chimerism
T-cells: Activation and Blockage
Memory Cells: The Ghost in the Immune Machine
Conclusion
From the Paper:
"Investigators are exploring several strategies in an attempt to provide medicine with safe and effective pharmaceuticals and clinical protocols for inducing tolerance after transplant. These include creating and using chimerism, and developing targeted bio-engineered monoclonal antibodies to inactivate or destroy T cells. This review, in its overview of historical and current immunological research, provides insight into the development of a T-cell-based strategy from a basic understanding of chimerism. This review also highlights studies that examine tolerance in recipients of CTA transplants, with specific emphasis on those using skin allograft animal models."
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