Understanding Liver Transplantation Outcomes Through the Lens of Its Tissue-resident Immunobiome.

IF 5.3 2区 医学 Q1 IMMUNOLOGY Transplantation Pub Date : 2025-01-09 DOI:10.1097/TP.0000000000005303
Amy C Prosser, Paul Klenerman, Michaela Lucas
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Abstract

Tissue-resident lymphocytes (TRLs) provide a front-line immunological defense mechanism uniquely placed to detect perturbations in tissue homeostasis. The heterogeneous TRL population spans the innate to adaptive immune continuum, with roles during normal physiology in homeostatic maintenance, tissue repair, pathogen detection, and rapid mounting of immune responses. TRLs are especially enriched in the liver, with every TRL subset represented, including liver-resident natural killer cells; tissue-resident memory B cells; conventional tissue-resident memory CD8, CD4, and regulatory T cells; and unconventional gamma-delta, natural killer, and mucosal-associated invariant T cells. The importance of donor- and recipient-derived TRLs after transplantation is becoming increasingly recognized, although it has not been examined in detail after liver transplantation. This review summarizes the evidence for the roles of TRLs in liver transplant immunology, focusing on their features, functions, and potential for their harnessing to improve transplant outcomes.

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从组织驻留免疫组的角度理解肝移植的结果。
组织驻留淋巴细胞(trl)提供了一种独特的前线免疫防御机制,用于检测组织稳态的扰动。异质TRL群体跨越先天免疫到适应性免疫连续体,在正常生理过程中发挥着维持体内平衡、组织修复、病原体检测和快速增加免疫反应的作用。TRL在肝脏中特别丰富,每一个TRL亚群都有代表,包括肝脏驻留的自然杀伤细胞;组织常驻记忆B细胞;常规组织驻留记忆CD8、CD4和调节性T细胞;非常规γ - δ,自然杀手和粘膜相关的不变T细胞。尽管尚未在肝移植后详细研究,但移植后供体和受体来源的trl的重要性已越来越得到认可。本文综述了trl在肝移植免疫学中作用的证据,重点介绍了它们的特征、功能和利用它们改善移植预后的潜力。
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来源期刊
Transplantation
Transplantation 医学-免疫学
CiteScore
8.50
自引率
11.30%
发文量
1906
审稿时长
1 months
期刊介绍: The official journal of The Transplantation Society, and the International Liver Transplantation Society, Transplantation is published monthly and is the most cited and influential journal in the field, with more than 25,000 citations per year. Transplantation has been the trusted source for extensive and timely coverage of the most important advances in transplantation for over 50 years. The Editors and Editorial Board are an international group of research and clinical leaders that includes many pioneers of the field, representing a diverse range of areas of expertise. This capable editorial team provides thoughtful and thorough peer review, and delivers rapid, careful and insightful editorial evaluation of all manuscripts submitted to the journal. Transplantation is committed to rapid review and publication. The journal remains competitive with a time to first decision of fewer than 21 days. Transplantation was the first in the field to offer CME credit to its peer reviewers for reviews completed. The journal publishes original research articles in original clinical science and original basic science. Short reports bring attention to research at the forefront of the field. Other areas covered include cell therapy and islet transplantation, immunobiology and genomics, and xenotransplantation. ​
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