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British researchers
report they have discovered a new way to stop transplanted organs
being rejected by redirecting the body's immune system rather
than shutting it down.
Professor
Maggie Dallman of Imperial College London, reporting in the Journal
of Clinical Investigation, said the technique involves turning
key white blood cells called T cells from "fighters"
to "peacekeepers."
There are
two key types of T cells: T helper cells, which stimulate immune
response, and T suppressor cells that put the brakes on it.
The researchers
said they demonstrated in mice that it is possible to alter whether
T cells specialize in attacking foreign tissue causing rejection,
or instead become part of the body's peacekeeping force.
In their
study, mice were exposed to a combination of stimulated cellular
signal called Notch, which controls the process of immune cells'
specialisation.
Results show
that exposing the mice to a combination of the Notch signal and
material from the donor two weeks in advance of transplantation
stimulated an immune response and significantly increased transplant
acceptance from 20 to up to 80 days.
"Increasingly
organ transplants in the case of kidneys, liver or lung tissue
occur between living relatives so you know in advance who the
donor and recipient are," said Dallman. "Our strategy
opens up the possibility of offering gentler postoperative therapy
by redirecting the recipient's immune system in advance of the
transplant."
Other
Sources: Journal
of Clinical Investigation
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