Review

. 2018 Feb;33(2):199-213.

doi: 10.1007/s00467-017-3599-2. Epub 2017 Feb 23.

Cell therapeutic approaches to immunosuppression after clinical kidney transplantation

Affiliations

¹ Division of Nephrology, University of Heidelberg, Im Neuenheimer Feld 162, 69120, Heidelberg, Germany. christian.morath@med.uni-heidelberg.de.
² Department of Internal Medicine V, GMP Core Facility, University of Heidelberg, Heidelberg, Germany.
³ Division of Nephrology, University of Heidelberg, Im Neuenheimer Feld 162, 69120, Heidelberg, Germany.
⁴ Department of Transplantation Immunology, University of Heidelberg, Heidelberg, Germany.
⁵ Department of Surgery, University Medical Center Mannheim, University of Heidelberg, Mannheim, Germany.
⁶ Department of Radiology, Division of Nuclear Medicine, University of Heidelberg, Heidelberg, Germany.

PMID: 28229281
DOI: 10.1007/s00467-017-3599-2

Review

Cell therapeutic approaches to immunosuppression after clinical kidney transplantation

Christian Morath et al. Pediatr Nephrol. 2018 Feb.

. 2018 Feb;33(2):199-213.

doi: 10.1007/s00467-017-3599-2. Epub 2017 Feb 23.

Authors

Affiliations

¹ Division of Nephrology, University of Heidelberg, Im Neuenheimer Feld 162, 69120, Heidelberg, Germany. christian.morath@med.uni-heidelberg.de.
² Department of Internal Medicine V, GMP Core Facility, University of Heidelberg, Heidelberg, Germany.
³ Division of Nephrology, University of Heidelberg, Im Neuenheimer Feld 162, 69120, Heidelberg, Germany.
⁴ Department of Transplantation Immunology, University of Heidelberg, Heidelberg, Germany.
⁵ Department of Surgery, University Medical Center Mannheim, University of Heidelberg, Mannheim, Germany.
⁶ Department of Radiology, Division of Nuclear Medicine, University of Heidelberg, Heidelberg, Germany.

PMID: 28229281
DOI: 10.1007/s00467-017-3599-2

Abstract

Refinement of immunosuppressive strategies has led to further improvement of kidney graft survival in recent years. Currently, the main limitations to long-term graft survival are life-threatening side effects of immunosuppression and chronic allograft injury, emphasizing the need for innovative immunosuppressive regimens that resolve this therapeutic dilemma. Several cell therapeutic approaches to immunosuppression and donor-specific unresponsiveness have been tested in early phase I and phase II clinical trials in kidney transplantation. The aim of this overview is to summarize current cell therapeutic approaches to immunosuppression in clinical kidney transplantation with a focus on myeloid suppressor cell therapy by mitomycin C-induced cells (MICs). MICs show great promise as a therapeutic agent to achieve the rapid and durable establishment of donor-unresponsiveness in living-donor kidney transplantation. Cell-based therapeutic approaches may eventually revolutionize immunosuppression in kidney transplantation in the near future.

Keywords: Immunosuppression; Mitomycin C-induced cells; Myeloid suppressor cells; Regulatory T cells; Tolerance; Transplantation.

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Cell therapeutic approaches to immunosuppression after clinical kidney transplantation

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Cell therapeutic approaches to immunosuppression after clinical kidney transplantation

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