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Regulation of Instant Blood Mediated Inflammatory Reaction (IBMIR) in Pancreatic Islet Xeno-Transplantation : Points for Therapeutic Interventions

Kourtzelis, Ioannis (author)
Tech Univ Dresden, Fac Med, Dept Clin Pathobiochem, D-01307 Dresden, Germany.
Magnusson, Peetra U. (author)
Uppsala universitet,Klinisk immunologi
Kotlabova, Klara (author)
Tech Univ Dresden, Fac Med, Dept Clin Pathobiochem, D-01307 Dresden, Germany.
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Lambris, John D. (author)
Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA.
Chavakis, Triantafyllos (author)
Tech Univ Dresden, Fac Med, Dept Clin Pathobiochem, D-01307 Dresden, Germany.
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Tech Univ Dresden, Fac Med, Dept Clin Pathobiochem, D-01307 Dresden, Germany Klinisk immunologi (creator_code:org_t)
Cham : Springer International Publishing, 2015
2015
English.
In: IMMUNE RESPONSES TO BIOSURFACES. - Cham : Springer International Publishing. - 9783319186030 - 9783319186023 ; , s. 171-188
  • Conference paper (peer-reviewed)
Abstract Subject headings
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  • Xeno-transplantation of pancreatic islets represents a promising therapeutic alternative for the treatment of type 1 diabetes mellitus. However, potent innate immune responses induced shortly after the transplantation of donor islets to the recipient, comprising the Instant Blood Mediated Immune Reaction (IBMIR), exert detrimental actions on islet graft function. The coagulation and complement cascades together with the leukocyte and platelet populations are the major players in IBMIR. This innate immune attack affects dramatically islet integrity and leads to significant loss of function of the xenograft. In the present review, we focus on the mechanisms contributing to IBMIR components and address therapeutic intervention approaches to limit IBMIR by administering inhibitors in circulation, by coating the islet surface with inhibitors or by generating transgenic donor animals; these approaches could result in improved xenograft survival.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper -- Immunologi inom det medicinska området (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Immunology in the medical area (hsv//eng)

Keyword

Instant blood mediated immune reaction (IBMIR)
Coagulation
Complement
Islet xenotransplantation
Compstatin

Publication and Content Type

ref (subject category)
kon (subject category)

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