Application of Kupffer cells in immune tolerance and regulation after liver transplantation
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摘要:
随着器官移植技术的发展、免疫治疗手段的提高,肝移植技术得到迅猛发展,目前已是治疗各种终末期肝病最有效的手段。然而,移植术后急慢性排斥反应和缺血再灌注损伤仍是影响肝移植成功与否及远期生存率的主要因素。Kupffer细胞作为体内最大的巨噬细胞群,在肝移植术后分泌释放不同类型炎症细胞因子,以及诱导T淋巴细胞凋亡、诱导T淋巴细胞分化倾向、吞噬清除凋亡细胞等方面发挥重要作用,在移植术后免疫反应过程中起着既促进排斥反应又诱导耐受的双重角色,但是具体机制尚未明确。因此,探索Kupffer细胞在肝移植术后免疫反应过程中的作用机制,对术后减轻排斥反应、诱导免疫耐受形成具有重要意义。
Abstract:With the development of organ transplantation techniques and the improvement of immunotherapies,liver transplantation( LT)has been developing rapidly and has become the most effective method for treating end- stage liver diseases. However,acute and chronic rejection reactions and ischemia- reperfusion injury occurring after LT are still the major influencing factors for successful LT and long- term survival rate. As the largest group of macrophages in human body,Kupffer cells( KCs) can secrete and release various inflammatory cytokines after LT,and thus play an important role in induction of apoptosis and differentiation of T lymphocytes and clearance of apoptotic cells.KCs play the dual role of promoting rejection response and inducing immune tolerance after LT,but the detailed mechanisms remain unclear.Therefore,investigation of the mechanisms of KCs in immune process after transplantation is very important for reducing rejection reaction and inducing immune tolerance after transplantation.
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Key words:
- liver transplantation /
- Kupffer cells /
- immune tolerance
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