Vaccination in patients with kidney failure: lessons from COVID-19

N Babel, C Hugo, TH Westhoff - Nature Reviews Nephrology, 2022‏ - nature.com
Infection is the second leading cause of death in patients with chronic kidney disease (CKD).
Adequate humoral (antibody) and cellular (T cell-driven) immunity are required to minimize …

Immunosuppressive agents and infectious risk in transplantation: managing the “net state of immunosuppression”

MB Roberts, JA Fishman - Clinical Infectious Diseases, 2021‏ - academic.oup.com
Successful solid organ transplantation reflects meticulous attention to the details of
immunosuppression, balancing risks for graft rejection against risks for infection. The “net …

[HTML][HTML] Weak antibody response to three doses of mRNA vaccine in kidney transplant recipients treated with belatacept

N Chavarot, A Morel, M Leruez-Ville, E Vilain… - American Journal of …, 2021‏ - Elsevier
Poor responses to mRNA COVID-19 vaccine have been reported after 2 vaccine injections
in kidney transplant recipients (KTRs) treated with belatacept. We analyzed the humoral …

Translating B cell immunology to the treatment of antibody-mediated allograft rejection

PS Heeger, MC Haro, S Jordan - Nature Reviews Nephrology, 2024‏ - nature.com
Abstract Antibody-mediated rejection (AMR), including chronic AMR (cAMR), causes~ 50%
of kidney allograft losses each year. Despite attempts to develop well-tolerated and effective …

T follicular helper cells and T follicular regulatory cells in rheumatic diseases

J Deng, Y Wei, VR Fonseca, L Graca… - Nature Reviews …, 2019‏ - nature.com
As a hallmark of autoimmune rheumatic diseases, autoantibodies have been used in
diagnosis for decades. However, the immunological mechanism underlying their generation …

[HTML][HTML] Immunosuppressive drugs modes of action

M Meneghini, O Bestard, JM Grinyo - Best Practice & Research Clinical …, 2021‏ - Elsevier
The innate and adaptive immune systems work as a complex interplay between different cell
types, involving cytokines and chemokines mediating extracellular and paracrine effects. At …

Immunogenicity and reactogenicity after SARS-CoV-2 mRNA vaccination in kidney transplant recipients taking belatacept

MT Ou, BJ Boyarsky, TPY Chiang, S Bae… - …, 2021‏ - journals.lww.com
Background. Belatacept may impair humoral immunity, impacting the effectiveness of SARS-
CoV-2 mRNA vaccines in transplant recipients. We investigated immunogenicity after SARS …

The calcineurin inhibitor tacrolimus specifically suppresses human T follicular helper cells

EF Wallin, DL Hill, MA Linterman, KJ Wood - Frontiers in Immunology, 2018‏ - frontiersin.org
Background T follicular helper (Tfh) cells are key players in the production of antibody-
producing B cells via the germinal center reaction. Therapeutic strategies targeting Tfh cells …

IL-21–producing effector Tfh cells promote B cell alloimmunity in lymph nodes and kidney allografts

H Zhang, CB Cavazzoni, MA Podestà, ED Bechu… - JCI …, 2023‏ - pmc.ncbi.nlm.nih.gov
Follicular helper T (Tfh) cells have been implicated in controlling rejection after allogeneic
kidney transplantation, but the precise subsets, origins, and functions of Tfh cells in this …

[HTML][HTML] Dual targeting: combining costimulation blockade and bortezomib to permit kidney transplantation in sensitized recipients

CK Burghuber, M Manook, B Ezekian, AC Gibby… - American Journal of …, 2019‏ - Elsevier
Previous evidence suggests that a homeostatic germinal center (GC) response may limit
bortezomib desensitization therapy. We evaluated the combination of costimulation …