Memory T Cells in Transplantation: Old Challenges Define New Directions

Transplantation. 2020 Oct;104(10):2024-2034. doi: 10.1097/TP.0000000000003169.

Abstract

Immunologic memory is the ability of adaptive immune system to quickly and specifically recognize previously encountered antigens and initiate an effector response. Alloreactive memory cells can mount rapid and robust responses to the transplanted organ resulting in allograft injury. Thus preexisting humoral or cellular memory alloresponses are typically associated with poor graft outcomes in experimental and clinical transplantation. While both B and T lymphocytes exhibit memory responses, this review discusses recent updates on the biology of memory T cells and their relevance to the field of transplantation. Three major areas of focus are the emergence and characterization of tissue resident memory T cells, manipulation of T cell metabolic pathways, and the latest promising approaches to targeting detrimental T cell memory in the settings of organ transplantation.

Publication types

  • Review

MeSH terms

  • Adaptive Immunity* / drug effects
  • Animals
  • Graft Rejection / blood
  • Graft Rejection / immunology*
  • Graft Rejection / prevention & control
  • Graft Survival* / drug effects
  • Humans
  • Immunologic Memory* / drug effects
  • Immunosuppressive Agents / therapeutic use
  • Organ Transplantation* / adverse effects
  • Phenotype
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / metabolism
  • Transplantation Tolerance* / drug effects
  • Treatment Outcome

Substances

  • Immunosuppressive Agents