Immune surveillance and humoral immune responses in kidney transplantation – A look back at T follicular helper cells

T follicular helper cells comprise a specialized, heterogeneous subset of immune-competent T helper cells capable of influencing B cell responses in lymphoid tissues. In physiology, for example in response to microbial challenges or vaccination, this interaction chiefly results in the production of...

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Main Author: Julien Subburayalu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1114842/full
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author Julien Subburayalu
Julien Subburayalu
Julien Subburayalu
author_facet Julien Subburayalu
Julien Subburayalu
Julien Subburayalu
author_sort Julien Subburayalu
collection DOAJ
description T follicular helper cells comprise a specialized, heterogeneous subset of immune-competent T helper cells capable of influencing B cell responses in lymphoid tissues. In physiology, for example in response to microbial challenges or vaccination, this interaction chiefly results in the production of protecting antibodies and humoral memory. In the context of kidney transplantation, however, immune surveillance provided by T follicular helper cells can take a life of its own despite matching of human leukocyte antigens and employing the latest immunosuppressive regiments. This puts kidney transplant recipients at risk of subclinical and clinical rejection episodes with a potential risk for allograft loss. In this review, the current understanding of immune surveillance provided by T follicular helper cells is briefly described in physiological responses to contrast those pathological responses observed after kidney transplantation. Sensitization of T follicular helper cells with the subsequent emergence of detectable donor-specific human leukocyte antigen antibodies, non-human leukocyte antigen antibodies their implication for kidney transplantation and lessons learnt from other transplantation “settings” with special attention to antibody-mediated rejection will be addressed.
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spelling doaj.art-0c78b384895d4cd397c0e007449351d02023-07-12T21:14:04ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-07-011410.3389/fimmu.2023.11148421114842Immune surveillance and humoral immune responses in kidney transplantation – A look back at T follicular helper cellsJulien Subburayalu0Julien Subburayalu1Julien Subburayalu2Department of Internal Medicine I, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, GermanyCenter for Regenerative Therapies (CRTD), Technische Universität Dresden, Dresden, GermanyDepartment of Medicine, University of Cambridge, Cambridge, United KingdomT follicular helper cells comprise a specialized, heterogeneous subset of immune-competent T helper cells capable of influencing B cell responses in lymphoid tissues. In physiology, for example in response to microbial challenges or vaccination, this interaction chiefly results in the production of protecting antibodies and humoral memory. In the context of kidney transplantation, however, immune surveillance provided by T follicular helper cells can take a life of its own despite matching of human leukocyte antigens and employing the latest immunosuppressive regiments. This puts kidney transplant recipients at risk of subclinical and clinical rejection episodes with a potential risk for allograft loss. In this review, the current understanding of immune surveillance provided by T follicular helper cells is briefly described in physiological responses to contrast those pathological responses observed after kidney transplantation. Sensitization of T follicular helper cells with the subsequent emergence of detectable donor-specific human leukocyte antigen antibodies, non-human leukocyte antigen antibodies their implication for kidney transplantation and lessons learnt from other transplantation “settings” with special attention to antibody-mediated rejection will be addressed.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1114842/fullHLA antigensT follicular helper celltransplantation immunologysolid organ transplantation, kidney transplantationdonor-specific HLA antibodynon-HLA antibody
spellingShingle Julien Subburayalu
Julien Subburayalu
Julien Subburayalu
Immune surveillance and humoral immune responses in kidney transplantation – A look back at T follicular helper cells
Frontiers in Immunology
HLA antigens
T follicular helper cell
transplantation immunology
solid organ transplantation, kidney transplantation
donor-specific HLA antibody
non-HLA antibody
title Immune surveillance and humoral immune responses in kidney transplantation – A look back at T follicular helper cells
title_full Immune surveillance and humoral immune responses in kidney transplantation – A look back at T follicular helper cells
title_fullStr Immune surveillance and humoral immune responses in kidney transplantation – A look back at T follicular helper cells
title_full_unstemmed Immune surveillance and humoral immune responses in kidney transplantation – A look back at T follicular helper cells
title_short Immune surveillance and humoral immune responses in kidney transplantation – A look back at T follicular helper cells
title_sort immune surveillance and humoral immune responses in kidney transplantation a look back at t follicular helper cells
topic HLA antigens
T follicular helper cell
transplantation immunology
solid organ transplantation, kidney transplantation
donor-specific HLA antibody
non-HLA antibody
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1114842/full
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