Transplantation

Transplantation is the transfer of cells, tissues or organs from one individual to another for a variety of purposes. It is important because it involves the replacement of missing, defective or damaged organs.

Keywords: transplantation; histocompatibility; grafts

Figure 1. The histocompatibility antigens encoded by the class-I and class-II loci of the HLA complex. The class-I molecules are expressed on the surface of all nucleated cells in the body; class-II molecules are expressed on a subset of cells, primarily those, such as dendritic cells, macrophages and B lymphocytes that are engaged in antigen processing and presentation. The class-I and class-II loci are highly polymorphic.
Figure 2. Segregation of HLA genes within a family. Because the HLA genes are so closely linked, those present on a given member of a chromosome pair are usually transmitted to the next generation as a unit (called a haplotype). The genes are inherited in a Mendelian fashion so that a given offspring has approximately a one-fourth chance of having a full sibling inheriting the same combination.
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 Further Reading
    Appelbaum FR (2003) The current status of hematopoietic cell transplantation. Annual Review of Medicine 54: 491–512.
    Auchinloss H Jr and Sachs DH (1998) Xenogeneic transplantation. Annual Review of Immunology 16: 433–470.
    Charlton B, Auchinloss H Jr and Fathman CG (1994) Mechanisms of transplant tolerance. Annual Review of Immunology 12: 707–734.
    Gorantla VS, Barker JH, Jones JW Jr et al. (2000) Immunosuppressive agents in transplantation: mechanisms of action and current anti-rejection strategies. Microsurgery 20: 420–429.
    Goulmy E (1996) Human minor histocompatibility antigens. Current Opinions in Immunology 8: 75–81.
    Häyry P, Isoniemi H, Yilmay S et al. (1993) Chronic allograft rejection. Immunological Reviews 134: 33–81.
    book Janeway CA Jr, Travers P, Walport M and Shlomchik M (2001) Immunobiology: The Immune System in Health and Disease, 5th edn. New York: Garland Publishing.
    Masri MA (2003) The mosaic of immunosuppressive drugs. Molecular Immunology 39: 1073–1077.
    Roopenian D, Choi EY and Brown A (2002) The immunogenomics of minor histocompatibility antigens. Immunological Reviews 190: 48–94.
    Schroeder RA, Marroquin CE and Kuo PC (2003) Tolerance and the “Holy Grail” of transplantation. Journal of Surgical Research 111: 109–119.
    book Snell GD, Dausset J and Nathenson S (1976) Histocompatibility. New York: Academic Press.
    Waldmann H and Cobbold S (1998) How do monoclonal antibodies induce tolerance? A role for infectious tolerance?. Annual Review of Immunology 16: 619–644.
    Wight C and Cohen B (1997) Organ shortages: maximizing the donor potential. British Medical Bulletin 53: 817–828.
    Wood KJ (1997) Gene therapy and allotransplantation. Current Opinions in Immunology 9: 662–668.
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How to Cite close
Melvold, Roger W(Sep 2005) Transplantation. In: eLS. John Wiley & Sons Ltd, Chichester. http://www.els.net [doi: 10.1038/npg.els.0003997]