Rethinking the multiple roles of B cells in organ transplantation

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorCOELHO, Veronica
dc.contributor.authorSAITOVITCH, David
dc.contributor.authorKALIL, Jorge
dc.contributor.authorSILVA, Hernandez Moura
dc.date.accessioned2014-01-28T22:17:22Z
dc.date.available2014-01-28T22:17:22Z
dc.date.issued2013
dc.description.abstractPurpose of review To discuss the B-cell diverse functions in organ transplantation, highlighting the emerging debate on the role of regulatory B cells (Bregs). We underscore the need to re-examine and integrate data on B-cell functional activities, aiming to discriminate their regulatory (REG) and inflammatory (INFLAMMA) functions and to translate this knowledge for the development of novel immunomodulatory therapeutic strategies and to rethink the current ones. Recent findings Data from both experimental models and clinical trials point that B cells of various phenotypes have immunoregulatory activity and play an important role in controlling graft inflammation. Data on the state of operational tolerance, in kidney transplantation, suggest the relevance of preserving a healthy B-cell compartment - in numbers and in the Breg capacity to activate the CD40/STAT3 signalling pathway - for achieving and maintaining homeostasis. Moreover, autoantibodies also comprise transplant immunobiology and it seems that not all alloantibodies are deleterious. Summary The role of B cells, in organ transplantation, can no longer be taken as mere generators of plasma cells, which produce alloantibodies deleterious to the graft. B cells also seem to integrate a complex immunoregulatory network in organ transplantation, with Bregs of various phenotypes and possibly also antibodies. The functional discrimination of REG/INFLAMMA B-cell roles needs to be considered in the clinical setting.
dc.description.indexMEDLINE
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [07/59290-7]
dc.description.sponsorshipConselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq
dc.description.sponsorshipiii/INCT) [573879-2008-7]
dc.identifier.citationCURRENT OPINION IN ORGAN TRANSPLANTATION, v.18, n.1, p.13-21, 2013
dc.identifier.doi10.1097/MOT.0b013e32835c8043
dc.identifier.issn1087-2418
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/3927
dc.language.isoeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.relation.ispartofCurrent Opinion in Organ Transplantation
dc.rightsrestrictedAccess
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINS
dc.subjectalloantibodies
dc.subjectautoantibodies
dc.subjectB cells
dc.subjectregulatory B cells
dc.subjectreshaping the B-cell compartment
dc.subjecttransplantation tolerance
dc.subject.otherrenal-allograft recipients
dc.subject.otherhuman-leukocyte antigen
dc.subject.otherexperimental autoimmune encephalomyelitis
dc.subject.otherdose cyclosporine monotherapy
dc.subject.otherantibody-mediated rejection
dc.subject.otherprimary graft dysfunction
dc.subject.otherdonor-specific antibodies
dc.subject.otherregulatory t-cells
dc.subject.otheroperational tolerance
dc.subject.otherhla antibodies
dc.subject.wosTransplantation
dc.titleRethinking the multiple roles of B cells in organ transplantation
dc.typearticle
dc.type.categoryreview
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalSAITOVITCH, David:Natl Inst Sci & Technol INCT, III, Sao Paulo, Brazil; Pontificia Univ Catolica Rio Grande do Sul, Div Nephrol, Sao Lucas Hosp, Porto Alegre, RS, Brazil
hcfmusp.citation.scopus19
hcfmusp.contributor.author-fmusphcVERONICA PORTO CARREIRO DE VASCONCELLOS COELHO
hcfmusp.contributor.author-fmusphcJORGE ELIAS KALIL FILHO
hcfmusp.contributor.author-fmusphcHERNANDEZ MOURA SILVA
hcfmusp.description.beginpage13
hcfmusp.description.endpage21
hcfmusp.description.issue1
hcfmusp.description.volume18
hcfmusp.origemWOS
hcfmusp.origem.pubmed23254702
hcfmusp.origem.scopus2-s2.0-84872976616
hcfmusp.origem.wosWOS:000313963400003
hcfmusp.publisher.cityPHILADELPHIA
hcfmusp.publisher.countryUSA
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