PMID- 16738956 OWN - NLM STAT- MEDLINE DCOM- 20060921 LR - 20181113 IS - 0344-4325 (Print) IS - 0344-4325 (Linking) VI - 27 IP - 4 DP - 2006 Jun TI - Biologics in the prevention and treatment of graft rejection. PG - 457-76 AB - Biologics are used in solid organ allografting and hematopoietic stem cell transplantation (HSCT) for the induction and maintenance of immunosuppression. In solid organ transplantation, antibodies targeting T cells are part of induction protocols administered for initiation of immunosuppression during organ transfer and during sustained post transplant periods for prevention of graft rejection. Several clinical trials in renal allografting provide data for the efficacy and safety of biologics in this clinical setting. Application of biologics also allows the reduction of calcineurin inhibitors, thereby reducing toxicity and improving long-term graft function. In acute rejection periods, anti T cell antibodies are established in steroid-resistant cases. Strategies interfering with the activity of soluble cytokines are less frequently applied for solid organ transplantation. In HSCT, T cell directed antibodies as part of conditioning protocols improve engraftment and reduce the incidence of detrimental graft vs host disease (GvHD). In acute GvHD, both antibodies targeting T cells and cytokines like TNF-alpha are established therapeutics for remission induction. FAU - Marks, Reinhard AU - Marks R AD - Department of Hematology/Oncology, University Hospital Freiburg, Hugstetter Street 55, Freiburg 79106, Germany. juergen.finke@uniklinik-freiburg.de FAU - Finke, Jurgen AU - Finke J LA - eng PT - Journal Article PT - Review DEP - 20060509 PL - Germany TA - Springer Semin Immunopathol JT - Springer seminars in immunopathology JID - 7910384 RN - 0 (Antibodies) SB - IM MH - Animals MH - Antibodies/immunology/*therapeutic use MH - Graft Rejection/*immunology/*prevention & control MH - Hematopoietic Stem Cell Transplantation/methods MH - Humans MH - Immunotherapy/methods MH - Kidney Transplantation/immunology MH - Mice MH - Rabbits MH - T-Lymphocytes/immunology RF - 94 EDAT- 2006/06/02 09:00 MHDA- 2006/09/22 09:00 CRDT- 2006/06/02 09:00 PHST- 2006/02/23 00:00 [received] PHST- 2006/03/21 00:00 [accepted] PHST- 2006/06/02 09:00 [pubmed] PHST- 2006/09/22 09:00 [medline] PHST- 2006/06/02 09:00 [entrez] AID - 10.1007/s00281-006-0014-7 [doi] PST - ppublish SO - Springer Semin Immunopathol. 2006 Jun;27(4):457-76. doi: 10.1007/s00281-006-0014-7. Epub 2006 May 9.