Contribution of long-lived plasma cells to antibody-mediated allograft rejection

Persistent alloantigens derived from allograft tissues can be recognized by the host’s alloreactive immune system. This process enables cognate B cells to differentiate into plasma cells, which secrete donor-specific antibodies that are key drivers of antibody-mediated allograft rejection. A subset...

Full description

Saved in:
Bibliographic Details
Main Authors: Eunkyeong Jang, Jeehee Youn
Format: Article
Language:English
Published: The Korean Society for Transplantation 2024-12-01
Series:Clinical Transplantation and Research
Subjects:
Online Access:https://www.ctrjournal.org/journal/view.html?doi=10.4285/ctr.24.0047
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841531244239650816
author Eunkyeong Jang
Jeehee Youn
author_facet Eunkyeong Jang
Jeehee Youn
author_sort Eunkyeong Jang
collection DOAJ
description Persistent alloantigens derived from allograft tissues can be recognized by the host’s alloreactive immune system. This process enables cognate B cells to differentiate into plasma cells, which secrete donor-specific antibodies that are key drivers of antibody-mediated allograft rejection. A subset of these plasma cells can survive for extended periods in a suitable survival niche and mature into long-lived plasma cells (LLPCs), which are a cellular component of humoral memory. The current understanding of LLPCs is limited due to their scarcity, heterogeneity, and absence of unique markers. However, accumulating evidence indicates that LLPCs, unlike conventional short-lived plasma cells, can respond to extrinsic signals from their survival niches and can resist cell death associated with intracellular stress through cell-intrinsic mechanisms. Notably, they are refractory to traditional immunosuppressants and B cell depletion therapies. This resistance, coupled with their longevity, may explain why current treatments targeting antibody-mediated rejection are often ineffective. This review offers insights into the biology of LLPCs and discusses ongoing therapeutic trials that target LLPCs in the context of antibody-mediated allograft rejection.
format Article
id doaj-art-531ddc4c43be47f6b42469f6f65a4a8a
institution Kabale University
issn 3022-6783
language English
publishDate 2024-12-01
publisher The Korean Society for Transplantation
record_format Article
series Clinical Transplantation and Research
spelling doaj-art-531ddc4c43be47f6b42469f6f65a4a8a2025-01-15T02:51:59ZengThe Korean Society for TransplantationClinical Transplantation and Research3022-67832024-12-0138434135310.4285/ctr.24.0047ctr.24.0047Contribution of long-lived plasma cells to antibody-mediated allograft rejectionEunkyeong Jang0Jeehee Youn1Laboratory of Autoimmunology, Department of Anatomy and Cell Biology, Hanyang University College of Medicine, Seoul, KoreaLaboratory of Autoimmunology, Department of Anatomy and Cell Biology, Hanyang University College of Medicine, Seoul, KoreaPersistent alloantigens derived from allograft tissues can be recognized by the host’s alloreactive immune system. This process enables cognate B cells to differentiate into plasma cells, which secrete donor-specific antibodies that are key drivers of antibody-mediated allograft rejection. A subset of these plasma cells can survive for extended periods in a suitable survival niche and mature into long-lived plasma cells (LLPCs), which are a cellular component of humoral memory. The current understanding of LLPCs is limited due to their scarcity, heterogeneity, and absence of unique markers. However, accumulating evidence indicates that LLPCs, unlike conventional short-lived plasma cells, can respond to extrinsic signals from their survival niches and can resist cell death associated with intracellular stress through cell-intrinsic mechanisms. Notably, they are refractory to traditional immunosuppressants and B cell depletion therapies. This resistance, coupled with their longevity, may explain why current treatments targeting antibody-mediated rejection are often ineffective. This review offers insights into the biology of LLPCs and discusses ongoing therapeutic trials that target LLPCs in the context of antibody-mediated allograft rejection.https://www.ctrjournal.org/journal/view.html?doi=10.4285/ctr.24.0047allografts; graft rejection; antibody-producing cells; plasma cells
spellingShingle Eunkyeong Jang
Jeehee Youn
Contribution of long-lived plasma cells to antibody-mediated allograft rejection
Clinical Transplantation and Research
allografts; graft rejection; antibody-producing cells; plasma cells
title Contribution of long-lived plasma cells to antibody-mediated allograft rejection
title_full Contribution of long-lived plasma cells to antibody-mediated allograft rejection
title_fullStr Contribution of long-lived plasma cells to antibody-mediated allograft rejection
title_full_unstemmed Contribution of long-lived plasma cells to antibody-mediated allograft rejection
title_short Contribution of long-lived plasma cells to antibody-mediated allograft rejection
title_sort contribution of long lived plasma cells to antibody mediated allograft rejection
topic allografts; graft rejection; antibody-producing cells; plasma cells
url https://www.ctrjournal.org/journal/view.html?doi=10.4285/ctr.24.0047
work_keys_str_mv AT eunkyeongjang contributionoflonglivedplasmacellstoantibodymediatedallograftrejection
AT jeeheeyoun contributionoflonglivedplasmacellstoantibodymediatedallograftrejection