Immune responses against islet allografts during tapering of immunosuppression – a pilot study in 5 subjects

Summary Transplantation of isolated islet of Langerhans cells has great potential as a cure for type 1 diabetes but continuous immune suppressive therapy often causes considerable side effects. Tapering of immunosuppression in successfully transplanted patients would lower patients' health risk...

Full description

Saved in:
Bibliographic Details
Published inClinical and experimental immunology Vol. 169; no. 2; pp. 190 - 198
Main Authors Huurman, V. A. L., van der Torren, C. R., Gillard, P., Hilbrands, R., van der Meer‐Prins, E. P. M. W., Duinkerken, G., Gorus, F. K., Claas, F. H. J., Keymeulen, B., Roelen, D. L., Pipeleers, D. G., Roep, B. O.
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Publishing Ltd 01.08.2012
Blackwell
Oxford University Press
Blackwell Science Inc
Subjects
Online AccessGet full text

Cover

Loading…
Abstract Summary Transplantation of isolated islet of Langerhans cells has great potential as a cure for type 1 diabetes but continuous immune suppressive therapy often causes considerable side effects. Tapering of immunosuppression in successfully transplanted patients would lower patients' health risk. To identify immune biomarkers that may prove informative in monitoring tapering, we studied the effect of tapering on islet auto‐ and alloimmune reactivity in a pilot study in five transplant recipients in vitro. Cytokine responses to the graft were measured using Luminex technology. Avidity of alloreactive cytotoxic T Lymphocytes (CTL) was determined by CD8 blockade. The influence of immunosuppression was mimicked by in vitro replenishment of tacrolimus and MPA, the active metabolite of mycophenolate mofetil. Tapering of tacrolimus was generally followed by decreased C‐peptide production. T‐cell autoreactivity increased in four out of five patients during tapering. Overall alloreactive CTL precursor frequencies did not change, but their avidity to donor mismatches increased significantly after tapering (P = 0·035). In vitro addition of tacrolimus but not MPA strongly inhibited CTL alloreactivity during tapering and led to a significant shift to anti‐inflammatory graft‐specific cytokine production. Tapering of immunosuppression is characterized by diverse immune profiles that appear to relate inversely to plasma C‐peptide levels. Highly avid allospecific CTLs that are known to associate with rejection increased during tapering, but could be countered by restoring immune suppression in vitro. Immune monitoring studies may help guiding tapering of immunosuppression after islet cell transplantation, even though we do not have formal prove yet that the observed changes reflect direct effects of immune suppression on immunity.
AbstractList Summary Transplantation of isolated islet of Langerhans cells has great potential as a cure for type 1 diabetes but continuous immune suppressive therapy often causes considerable side effects. Tapering of immunosuppression in successfully transplanted patients would lower patients' health risk. To identify immune biomarkers that may prove informative in monitoring tapering, we studied the effect of tapering on islet auto‐ and alloimmune reactivity in a pilot study in five transplant recipients in vitro. Cytokine responses to the graft were measured using Luminex technology. Avidity of alloreactive cytotoxic T Lymphocytes (CTL) was determined by CD8 blockade. The influence of immunosuppression was mimicked by in vitro replenishment of tacrolimus and MPA, the active metabolite of mycophenolate mofetil. Tapering of tacrolimus was generally followed by decreased C‐peptide production. T‐cell autoreactivity increased in four out of five patients during tapering. Overall alloreactive CTL precursor frequencies did not change, but their avidity to donor mismatches increased significantly after tapering (P = 0·035). In vitro addition of tacrolimus but not MPA strongly inhibited CTL alloreactivity during tapering and led to a significant shift to anti‐inflammatory graft‐specific cytokine production. Tapering of immunosuppression is characterized by diverse immune profiles that appear to relate inversely to plasma C‐peptide levels. Highly avid allospecific CTLs that are known to associate with rejection increased during tapering, but could be countered by restoring immune suppression in vitro. Immune monitoring studies may help guiding tapering of immunosuppression after islet cell transplantation, even though we do not have formal prove yet that the observed changes reflect direct effects of immune suppression on immunity.
Transplantation of isolated islet of Langerhans cells has great potential as a cure for type 1 diabetes but continuous immune suppressive therapy often causes considerable side effects. Tapering of immunosuppression in successfully transplanted patients would lower patients' health risk. To identify immune biomarkers that may prove informative in monitoring tapering, we studied the effect of tapering on islet auto- and alloimmune reactivity in a pilot study in five transplant recipients in vitro. Cytokine responses to the graft were measured using Luminex technology. Avidity of alloreactive cytotoxic T Lymphocytes (CTL) was determined by CD8 blockade. The influence of immunosuppression was mimicked by in vitro replenishment of tacrolimus and MPA, the active metabolite of mycophenolate mofetil. Tapering of tacrolimus was generally followed by decreased C-peptide production. T-cell autoreactivity increased in four out of five patients during tapering. Overall alloreactive CTL precursor frequencies did not change, but their avidity to donor mismatches increased significantly after tapering (P = 0·035). In vitro addition of tacrolimus but not MPA strongly inhibited CTL alloreactivity during tapering and led to a significant shift to anti-inflammatory graft-specific cytokine production. Tapering of immunosuppression is characterized by diverse immune profiles that appear to relate inversely to plasma C-peptide levels. Highly avid allospecific CTLs that are known to associate with rejection increased during tapering, but could be countered by restoring immune suppression in vitro. Immune monitoring studies may help guiding tapering of immunosuppression after islet cell transplantation, even though we do not have formal prove yet that the observed changes reflect direct effects of immune suppression on immunity.
Transplantation of isolated islet of Langerhans cells has great potential as a cure for type 1 diabetes but continuous immune suppressive therapy often causes considerable side effects. Tapering of immunosuppression in successfully transplanted patients would lower patients' health risk. To identify immune biomarkers that may prove informative in monitoring tapering, we studied the effect of tapering on islet auto- and alloimmune reactivity in a pilot study in five transplant recipients in vitro. Cytokine responses to the graft were measured using Luminex technology. Avidity of alloreactive cytotoxic T Lymphocytes (CTL) was determined by CD8 blockade. The influence of immunosuppression was mimicked by in vitro replenishment of tacrolimus and MPA, the active metabolite of mycophenolate mofetil. Tapering of tacrolimus was generally followed by decreased C-peptide production. T-cell autoreactivity increased in four out of five patients during tapering. Overall alloreactive CTL precursor frequencies did not change, but their avidity to donor mismatches increased significantly after tapering (P = 0·035). In vitro addition of tacrolimus but not MPA strongly inhibited CTL alloreactivity during tapering and led to a significant shift to anti-inflammatory graft-specific cytokine production. Tapering of immunosuppression is characterized by diverse immune profiles that appear to relate inversely to plasma C-peptide levels. Highly avid allospecific CTLs that are known to associate with rejection increased during tapering, but could be countered by restoring immune suppression in vitro. Immune monitoring studies may help guiding tapering of immunosuppression after islet cell transplantation, even though we do not have formal prove yet that the observed changes reflect direct effects of immune suppression on immunity.Transplantation of isolated islet of Langerhans cells has great potential as a cure for type 1 diabetes but continuous immune suppressive therapy often causes considerable side effects. Tapering of immunosuppression in successfully transplanted patients would lower patients' health risk. To identify immune biomarkers that may prove informative in monitoring tapering, we studied the effect of tapering on islet auto- and alloimmune reactivity in a pilot study in five transplant recipients in vitro. Cytokine responses to the graft were measured using Luminex technology. Avidity of alloreactive cytotoxic T Lymphocytes (CTL) was determined by CD8 blockade. The influence of immunosuppression was mimicked by in vitro replenishment of tacrolimus and MPA, the active metabolite of mycophenolate mofetil. Tapering of tacrolimus was generally followed by decreased C-peptide production. T-cell autoreactivity increased in four out of five patients during tapering. Overall alloreactive CTL precursor frequencies did not change, but their avidity to donor mismatches increased significantly after tapering (P = 0·035). In vitro addition of tacrolimus but not MPA strongly inhibited CTL alloreactivity during tapering and led to a significant shift to anti-inflammatory graft-specific cytokine production. Tapering of immunosuppression is characterized by diverse immune profiles that appear to relate inversely to plasma C-peptide levels. Highly avid allospecific CTLs that are known to associate with rejection increased during tapering, but could be countered by restoring immune suppression in vitro. Immune monitoring studies may help guiding tapering of immunosuppression after islet cell transplantation, even though we do not have formal prove yet that the observed changes reflect direct effects of immune suppression on immunity.
Transplantation of isolated islet of Langerhans cells has great potential as a cure for type 1 diabetes but continuous immune suppressive therapy often causes considerable side effects. Tapering of immunosuppression in successfully transplanted patients would lower patients' health risk. To identify immune biomarkers that may prove informative in monitoring tapering, we studied the effect of tapering on islet auto- and alloimmune reactivity in a pilot study in five transplant recipients in vitro. Cytokine responses to the graft were measured using Luminex technology. Avidity of alloreactive cytotoxic T Lymphocytes (CTL) was determined by CD8 blockade. The influence of immunosuppression was mimicked by in vitro replenishment of tacrolimus and MPA, the active metabolite of mycophenolate mofetil. Tapering of tacrolimus was generally followed by decreased C-peptide production. T-cell autoreactivity increased in four out of five patients during tapering. Overall alloreactive CTL precursor frequencies did not change, but their avidity to donor mismatches increased significantly after tapering (P=0.035). In vitro addition of tacrolimus but not MPA strongly inhibited CTL alloreactivity during tapering and led to a significant shift to anti-inflammatory graft-specific cytokine production. Tapering of immunosuppression is characterized by diverse immune profiles that appear to relate inversely to plasma C-peptide levels. Highly avid allospecific CTLs that are known to associate with rejection increased during tapering, but could be countered by restoring immune suppression in vitro. Immune monitoring studies may help guiding tapering of immunosuppression after islet cell transplantation, even though we do not have formal prove yet that the observed changes reflect direct effects of immune suppression on immunity.
Summary Transplantation of isolated islet of Langerhans cells has great potential as a cure for type 1 diabetes but continuous immune suppressive therapy often causes considerable side effects. Tapering of immunosuppression in successfully transplanted patients would lower patients' health risk. To identify immune biomarkers that may prove informative in monitoring tapering, we studied the effect of tapering on islet auto- and alloimmune reactivity in a pilot study in five transplant recipients in vitro. Cytokine responses to the graft were measured using Luminex technology. Avidity of alloreactive cytotoxic T Lymphocytes (CTL) was determined by CD8 blockade. The influence of immunosuppression was mimicked by in vitro replenishment of tacrolimus and MPA, the active metabolite of mycophenolate mofetil. Tapering of tacrolimus was generally followed by decreased C-peptide production. T-cell autoreactivity increased in four out of five patients during tapering. Overall alloreactive CTL precursor frequencies did not change, but their avidity to donor mismatches increased significantly after tapering (P = 0·035). In vitro addition of tacrolimus but not MPA strongly inhibited CTL alloreactivity during tapering and led to a significant shift to anti-inflammatory graft-specific cytokine production. Tapering of immunosuppression is characterized by diverse immune profiles that appear to relate inversely to plasma C-peptide levels. Highly avid allospecific CTLs that are known to associate with rejection increased during tapering, but could be countered by restoring immune suppression in vitro. Immune monitoring studies may help guiding tapering of immunosuppression after islet cell transplantation, even though we do not have formal prove yet that the observed changes reflect direct effects of immune suppression on immunity. [PUBLICATION ABSTRACT]
Transplantation of isolated islet of Langerhans cells has great potential as a cure for type 1 diabetes but continuous immune suppressive therapy often causes considerable side effects. Tapering of immunosuppression in successfully transplanted patients would lower patients' health risk. To identify immune biomarkers that may prove informative in monitoring tapering, we studied the effect of tapering on islet auto- and alloimmune reactivity in a pilot study in five transplant recipients in vitro . Cytokine responses to the graft were measured using Luminex technology. Avidity of alloreactive cytotoxic T Lymphocytes (CTL) was determined by CD8 blockade. The influence of immunosuppression was mimicked by in vitro replenishment of tacrolimus and MPA, the active metabolite of mycophenolate mofetil. Tapering of tacrolimus was generally followed by decreased C-peptide production. T-cell autoreactivity increased in four out of five patients during tapering. Overall alloreactive CTL precursor frequencies did not change, but their avidity to donor mismatches increased significantly after tapering ( P = 0·035). In vitro addition of tacrolimus but not MPA strongly inhibited CTL alloreactivity during tapering and led to a significant shift to anti-inflammatory graft-specific cytokine production. Tapering of immunosuppression is characterized by diverse immune profiles that appear to relate inversely to plasma C-peptide levels. Highly avid allospecific CTLs that are known to associate with rejection increased during tapering, but could be countered by restoring immune suppression in vitro . Immune monitoring studies may help guiding tapering of immunosuppression after islet cell transplantation, even though we do not have formal prove yet that the observed changes reflect direct effects of immune suppression on immunity.
Author Claas, F. H. J.
Roelen, D. L.
Duinkerken, G.
Hilbrands, R.
Gorus, F. K.
Gillard, P.
Roep, B. O.
van der Meer‐Prins, E. P. M. W.
Keymeulen, B.
van der Torren, C. R.
Huurman, V. A. L.
Pipeleers, D. G.
Author_xml – sequence: 1
  givenname: V. A. L.
  surname: Huurman
  fullname: Huurman, V. A. L.
– sequence: 2
  givenname: C. R.
  surname: van der Torren
  fullname: van der Torren, C. R.
– sequence: 3
  givenname: P.
  surname: Gillard
  fullname: Gillard, P.
– sequence: 4
  givenname: R.
  surname: Hilbrands
  fullname: Hilbrands, R.
– sequence: 5
  givenname: E. P. M. W.
  surname: van der Meer‐Prins
  fullname: van der Meer‐Prins, E. P. M. W.
– sequence: 6
  givenname: G.
  surname: Duinkerken
  fullname: Duinkerken, G.
– sequence: 7
  givenname: F. K.
  surname: Gorus
  fullname: Gorus, F. K.
– sequence: 8
  givenname: F. H. J.
  surname: Claas
  fullname: Claas, F. H. J.
– sequence: 9
  givenname: B.
  surname: Keymeulen
  fullname: Keymeulen, B.
– sequence: 10
  givenname: D. L.
  surname: Roelen
  fullname: Roelen, D. L.
– sequence: 11
  givenname: D. G.
  surname: Pipeleers
  fullname: Pipeleers, D. G.
– sequence: 12
  givenname: B. O.
  surname: Roep
  fullname: Roep, B. O.
BackLink http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26116715$$DView record in Pascal Francis
https://www.ncbi.nlm.nih.gov/pubmed/22774994$$D View this record in MEDLINE/PubMed
BookMark eNqNUtFuFCEUJabGbqu_YEiMiS-7AgPMzIMmZlN1kya-6DO5wzIrGxZGYGr3zX_wD_0SmXbbap-WkHBv7jmHy-WcoRMfvEEIU7KgZb3dLmglxZwx3i4YoWxBuCRicf0Eze4LJ2hGCGnnLSX8FJ2ltC2plJI9Q6eM1TVvWz5DfrXbjd7gaNIQfDIJwwasTxnb5EzG4FzYROhzwusxWr_BGQZzE4Qe24kc0jgMhZ9s8PjPr98Y8GBdyDjlcb3H1mOB09htjc7pOXrag0vmxeE8R98-Xnxdfp5ffvm0Wn64nGshhZgD6TgwwlrD19D3Je1IDRJA1LTVNe-gr5qm7jjlDQfd9ADAiajXghhKQFfn6P2t7jB2O7PWxucITg3R7iDuVQCr_q94-11twpWqOJFV3RaBNweBGH6MJmW1s0kb58CbMCZFCWvKrrg8Bsp5LTmtCvTVI-g2jNGXSSgquGik4JwV1Mt_m7_v-u7XCuD1AQBJg-sjeG3TA05SKmsqHqagY0gpml5pmyGXfypvtq50piY7qa2aXKMm16jJTurGTuq6CDSPBO7uOIL67pb60zqzP5qnlherKar-AugH4_I
CODEN CEXIAL
CitedBy_id crossref_primary_10_1097_TP_0000000000000682
crossref_primary_10_3389_fmed_2022_932086
crossref_primary_10_1111_ajt_13383
crossref_primary_10_1210_er_2018_00154
crossref_primary_10_1111_dme_12085
crossref_primary_10_1007_s11892_013_0399_3
crossref_primary_10_3727_096368916X693437
crossref_primary_10_1016_j_clim_2013_02_009
crossref_primary_10_2337_db13_0019
crossref_primary_10_3389_fcdhc_2023_1269758
crossref_primary_10_1038_s41598_022_16782_3
crossref_primary_10_1172_JCI93542
crossref_primary_10_1111_ctr_12488
crossref_primary_10_1007_s11892_021_01386_4
crossref_primary_10_3389_fimmu_2023_1112858
crossref_primary_10_2337_db20_0517
crossref_primary_10_1111_cei_12085
crossref_primary_10_1016_j_diabet_2013_10_003
Cites_doi 10.1056/NEJM199806113382407
10.1038/nri1332
10.2337/db09-1486
10.1097/00007890-199109000-00026
10.2337/diabetes.48.3.484
10.1097/TP.0b013e3181bbee98
10.1111/j.2042-7158.1994.tb03752.x
10.1111/j.1365-2249.2010.04183.x
10.1016/j.critrevonc.2005.03.015
10.1056/NEJMoa061267
10.1073/pnas.0608141103
10.2337/diacare.23.6.838
10.4049/jimmunol.1003868
10.2337/diabetes.54.7.2060
10.2337/db09-0503
10.1111/j.0105-2896.2006.00406.x
10.1016/0020-7101(88)90020-7
10.5414/CPP43379
10.3727/096368909X470874
10.1111/j.1365-2249.2008.03812.x
10.2337/diab.45.12.1814
10.1097/00007890-199204000-00035
10.1111/j.1600-6143.2007.01923.x
10.4049/jimmunol.178.9.5419
10.1002/1098-2752(2000)20:8<420::AID-MICR13>3.0.CO;2-O
10.2337/db06-0173
10.1056/NEJMra033540
10.2337/db09-0160
10.1111/j.0105-2896.2006.00420.x
10.1097/SLA.0b013e3181f3efb0
10.1371/journal.pone.0002435
10.1111/j.1600-6143.2008.02479.x
10.1016/S0022-3565(24)35215-2
10.1097/00007890-199504150-00021
10.1016/j.jhep.2009.03.006
10.1016/S1053-2498(98)00002-3
10.1111/j.1600-6143.2006.01280.x
10.3727/096368909X471198
10.1097/00007890-199311000-00033
10.1111/j.1399-0012.2007.00754.x
10.1097/00007890-199307000-00035
10.1016/0198-8859(92)90015-F
10.2337/db09-0498
10.2337/diabetes.53.12.3107
10.4049/jimmunol.1000560
10.1056/NEJM200007273430401
10.1097/00007890-199559040-00006
ContentType Journal Article
Copyright 2012 The Authors. Clinical and Experimental Immunology © 2012 British Society for Immunology
2015 INIST-CNRS
2012 The Authors. Clinical and Experimental Immunology © 2012 British Society for Immunology.
2012 The Authors. Clinical and Experimental Immunology © 2012 British Society for Immunology 2012
Copyright_xml – notice: 2012 The Authors. Clinical and Experimental Immunology © 2012 British Society for Immunology
– notice: 2015 INIST-CNRS
– notice: 2012 The Authors. Clinical and Experimental Immunology © 2012 British Society for Immunology.
– notice: 2012 The Authors. Clinical and Experimental Immunology © 2012 British Society for Immunology 2012
DBID AAYXX
CITATION
IQODW
CGR
CUY
CVF
ECM
EIF
NPM
7T5
7U9
H94
M7N
7X8
5PM
DOI 10.1111/j.1365-2249.2012.04605.x
DatabaseName CrossRef
Pascal-Francis
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
Immunology Abstracts
Virology and AIDS Abstracts
AIDS and Cancer Research Abstracts
Algology Mycology and Protozoology Abstracts (Microbiology C)
MEDLINE - Academic
PubMed Central (Full Participant titles)
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
AIDS and Cancer Research Abstracts
Immunology Abstracts
Virology and AIDS Abstracts
Algology Mycology and Protozoology Abstracts (Microbiology C)
MEDLINE - Academic
DatabaseTitleList
MEDLINE
CrossRef
MEDLINE - Academic
AIDS and Cancer Research Abstracts
AIDS and Cancer Research Abstracts

Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
Biology
EISSN 1365-2249
EndPage 198
ExternalDocumentID PMC3406379
3376870381
22774994
26116715
10_1111_j_1365_2249_2012_04605_x
CEI4605
Genre article
Research Support, Non-U.S. Gov't
Journal Article
GroupedDBID ---
.3N
.55
.GA
.GJ
.Y3
05W
0R~
10A
169
29B
2WC
31~
36B
3O-
3SF
4.4
50Y
50Z
51W
51X
52M
52N
52O
52P
52R
52S
52T
52U
52V
52W
52X
53G
5GY
5HH
5LA
5VS
5WD
66C
6J9
702
7PT
8-0
8-1
8-3
8-4
8-5
8UM
930
A01
A03
A8Z
AABZA
AACZT
AAESR
AAEVG
AAFWJ
AAMMB
AAONW
AAPXW
AARHZ
AAUAY
AAVAP
AAZKR
ABCQN
ABCUV
ABDBF
ABDFA
ABEJV
ABEML
ABGNP
ABJNI
ABLJU
ABNHQ
ABOCM
ABPTD
ABPVW
ABQNK
ABVGC
ABXVV
ACAHQ
ACFBH
ACGFO
ACGFS
ACMXC
ACPOU
ACPRK
ACSCC
ACUFI
ACUHS
ACVCV
ACXQS
ADBBV
ADEOM
ADIPN
ADIYS
ADIZJ
ADKYN
ADMGS
ADOZA
ADQBN
ADVEK
ADXAS
ADZMN
AEFGJ
AEGXH
AEIMD
AEMQT
AENEX
AFBPY
AFEBI
AFFQV
AFFZL
AFGKR
AFRAH
AFTUV
AFXAL
AFZJQ
AGMDO
AGORE
AGUTN
AGXDD
AHGBF
AHMMS
AIACR
AIAGR
AIDQK
AIDYY
AIURR
AJAOE
AJBYB
AJDVS
AJEEA
AJNCP
ALAGY
ALMA_UNASSIGNED_HOLDINGS
ALXQX
AMBMR
AMYDB
AOIJS
ATGXG
ATUGU
AZBYB
AZVAB
BAFTC
BAWUL
BCRHZ
BEYMZ
BHBCM
BMXJE
BROTX
BRXPI
BY8
C45
CAG
COF
D-6
D-7
D-E
D-F
DCZOG
DIK
DPXWK
DR2
DRFUL
DRMAN
DRSTM
DU5
E3Z
EAD
EAP
EAS
EBB
EBC
EBD
EBS
EBX
EJD
EMB
EMK
EMOBN
ESX
EX3
F00
F01
F04
F5P
FUBAC
G-S
G.N
GODZA
GX1
H.X
H13
HF~
HZI
HZ~
IH2
IHE
IX1
J0M
J5H
K48
KBUDW
KBYEO
KOP
KSI
KSN
LATKE
LC2
LC3
LEEKS
LH4
LITHE
LOXES
LP6
LP7
LUTES
LW6
LYRES
MK4
MRFUL
MRMAN
MRSTM
MSFUL
MSMAN
MSSTM
MXFUL
MXMAN
MXSTM
N04
N05
N9A
NF~
NOMLY
NU-
O66
O9-
OAUYM
OBS
OCZFY
OHT
OIG
OJZSN
OK1
OPAEJ
OVD
OWPYF
P2P
P2W
P2X
P2Z
P4B
P4D
Q.N
Q11
QB0
Q~Q
R.K
ROL
ROX
RPM
RX1
SUPJJ
SV3
TEORI
TR2
TUS
UB1
V8K
W8V
W99
WBKPD
WHWMO
WIH
WIJ
WIK
WIN
WOHZO
WOQ
WOW
WQJ
WVDHM
WXI
X7M
XG1
Y6R
YFH
YOC
YUY
ZGI
ZXP
ZZTAW
~IA
~KM
~WT
AAHHS
AAYXX
ACCFJ
ADZOD
AEEZP
AEQDE
AIWBW
AJBDE
CITATION
IQODW
1OC
24P
33P
AEUQT
AFPWT
CGR
CUY
CVF
ECM
EIF
FIJ
IPNFZ
NPM
WRC
7T5
7U9
H94
M7N
7X8
5PM
ID FETCH-LOGICAL-c5655-a0b4a2029e4daffa0bb07a6aa5719c74baf3887b41484ac8faaa4057d50e10ac3
IEDL.DBID DR2
ISSN 0009-9104
1365-2249
IngestDate Thu Aug 21 13:58:29 EDT 2025
Sun Aug 24 04:07:26 EDT 2025
Fri Jul 11 00:19:00 EDT 2025
Wed Aug 13 09:35:00 EDT 2025
Wed Feb 19 01:51:39 EST 2025
Mon Jul 21 09:14:54 EDT 2025
Tue Jul 01 05:14:25 EDT 2025
Thu Apr 24 22:51:40 EDT 2025
Wed Aug 20 07:25:45 EDT 2025
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 2
Keywords Human
Calcineurin inhibitor
Immune response
Enzyme
IMP dehydrogenase
Enzyme inhibitor
Homograft
cytotoxic T-lymphocytes
islet cell transplantation
Lactone
Biochemistry
Transplantation
Macrolide
Immunosuppression
Treatment
Tacrolimus
Surgery
Graft
Protein synthesis inhibitor
Oxidoreductases
Immunosuppressive agent
Mycophenolate mofetil
Cell
Cytotoxic T lymphocyte
Language English
License https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model
CC BY 4.0
2012 The Authors. Clinical and Experimental Immunology © 2012 British Society for Immunology.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c5655-a0b4a2029e4daffa0bb07a6aa5719c74baf3887b41484ac8faaa4057d50e10ac3
Notes JDRF Center for Beta Cell Therapy in Diabetes.
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
ObjectType-Article-2
ObjectType-Feature-1
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/3406379
PMID 22774994
PQID 1545865442
PQPubID 36527
PageCount 9
ParticipantIDs pubmedcentral_primary_oai_pubmedcentral_nih_gov_3406379
proquest_miscellaneous_1028028346
proquest_miscellaneous_1024476413
proquest_journals_1545865442
pubmed_primary_22774994
pascalfrancis_primary_26116715
crossref_citationtrail_10_1111_j_1365_2249_2012_04605_x
crossref_primary_10_1111_j_1365_2249_2012_04605_x
wiley_primary_10_1111_j_1365_2249_2012_04605_x_CEI4605
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate August 2012
PublicationDateYYYYMMDD 2012-08-01
PublicationDate_xml – month: 08
  year: 2012
  text: August 2012
PublicationDecade 2010
PublicationPlace Oxford, UK
PublicationPlace_xml – name: Oxford, UK
– name: Oxford
– name: England
PublicationTitle Clinical and experimental immunology
PublicationTitleAlternate Clin Exp Immunol
PublicationYear 2012
Publisher Blackwell Publishing Ltd
Blackwell
Oxford University Press
Blackwell Science Inc
Publisher_xml – name: Blackwell Publishing Ltd
– name: Blackwell
– name: Oxford University Press
– name: Blackwell Science Inc
References 2009; 88
2010; 59
1995; 59
2000; 23
2006; 55
1991; 52
1999; 48
1999; 291
2006; 15
2000; 20
2004; 4
1998; 338
2009; 156
2010; 185
2006; 6
2005; 43
1994; 46
1992; 35
2010; 161
2008; 3
1992; 53
2006; 355
2006; 212
2009; 58
2007; 178
1993; 56
2004; 53
2004; 351
2009; 50
1999; 18
2009; 9
1988; 23
2008; 118
2005; 54
2010; 252
2007; 7
2008; 22
2000; 343
2005; 56
2006; 103
2009; 18
1996; 45
2011; 186
Strijbosch (2021122708375686800_b23) 1988; 23
Roelen (2021122708375686800_b19) 1992; 53
Ricordi (2021122708375686800_b2) 2004; 4
Halloran (2021122708375686800_b42) 2004; 351
The CITR Research Group (2021122708375686800_b29) 2009; 18
Waldmann (2021122708375686800_b48) 2006; 212
Decochez (2021122708375686800_b21) 2000; 23
Nagase (2021122708375686800_b39) 1994; 46
Orlando (2021122708375686800_b14) 2009; 50
Huurman (2021122708375686800_b16) 2008; 3
Johnson (2021122708375686800_b12) 2009; 18
Roncarolo (2021122708375686800_b9) 2006; 212
Penn (2021122708375686800_b6) 1995; 59
Merkel (2021122708375686800_b27) 2005; 43
Meiser (2021122708375686800_b40) 1999; 18
Roelen (2021122708375686800_b18) 2009; 156
Salama (2021122708375686800_b46) 2007; 178
Keymeulen (2021122708375686800_b30) 1996; 45
Gorantla (2021122708375686800_b41) 2000; 20
Rickels (2021122708375686800_b35) 2006; 15
Velthuis (2021122708375686800_b47) 2010; 59
Shapiro (2021122708375686800_b3) 2006; 355
Levitsky (2021122708375686800_b49) 2009; 88
Orlando (2021122708375686800_b15) 2010; 252
Keymeulen (2021122708375686800_b4) 2006; 103
Housley (2021122708375686800_b44) 2011; 186
Tree (2021122708375686800_b50) 2010; 59
Ouwehand (2021122708375686800_b33) 1993; 56
Ricordi (2021122708375686800_b10) 1991; 52
Skowera (2021122708375686800_b32) 2008; 118
Campbell (2021122708375686800_b36) 2007; 7
Huurman (2021122708375686800_b17) 2009; 9
Sewgobind (2021122708375686800_b45) 2010; 161
Fishman (2021122708375686800_b7) 1998; 338
Taylor (2021122708375686800_b8) 2005; 56
van Besouw (2021122708375686800_b31) 2008; 22
Roelen (2021122708375686800_b24) 1993; 56
Vendrame (2021122708375686800_b37) 2010; 59
Hilbrands (2021122708375686800_b38) 2009; 58
Kleijwegt (2021122708375686800_b43) 2010; 185
Roep (2021122708375686800_b20) 1999; 48
Zhang (2021122708375686800_b11) 2006; 55
Ryan (2021122708375686800_b5) 2005; 54
Gummert (2021122708375686800_b25) 1999; 291
Monti (2021122708375686800_b26) 2008; 118
Street (2021122708375686800_b28) 2004; 53
Roelen (2021122708375686800_b34) 1995; 59
Shapiro (2021122708375686800_b1) 2000; 343
Roussey-Kesler (2021122708375686800_b13) 2006; 6
Bouma (2021122708375686800_b22) 1992; 35
18365398 - Clin Transpl. 2006;:413-20
19996930 - Transplantation. 2009 Dec 15;88(11):1303-11
16903922 - Immunol Rev. 2006 Aug;212:301-13
15983207 - Diabetes. 2005 Jul;54(7):2060-9
10565830 - J Pharmacol Exp Ther. 1999 Dec;291(3):1100-12
17442921 - J Immunol. 2007 May 1;178(9):5419-23
15057784 - Nat Rev Immunol. 2004 Apr;4(4):259-68
7709440 - Transplantation. 1995 Apr 15;59(7):1039-42
1566356 - Transplantation. 1992 Apr;53(4):899-903
19067657 - Am J Transplant. 2009 Feb;9(2):382-8
9624195 - N Engl J Med. 1998 Jun 11;338(24):1741-51
17005949 - N Engl J Med. 2006 Sep 28;355(13):1318-30
3225063 - Int J Biomed Comput. 1988 Dec;23(3-4):279-90
1716797 - Transplantation. 1991 Sep;52(3):519-22
16119513 - Int J Clin Pharmacol Ther. 2005 Aug;43(8):379-88
20357361 - Diabetes. 2010 Jul;59(7):1721-30
17090674 - Proc Natl Acad Sci U S A. 2006 Nov 14;103(46):17444-9
19500470 - Cell Transplant. 2009;18(8):833-45
15561940 - Diabetes. 2004 Dec;53(12):3107-14
16936190 - Diabetes. 2006 Sep;55(9):2429-36
1286979 - Hum Immunol. 1992 Oct;35(2):85-92
11150994 - Microsurgery. 2000;20(8):420-9
16539630 - Am J Transplant. 2006 Apr;6(4):736-46
19602536 - Diabetes. 2009 Oct;58(10):2267-76
18802479 - J Clin Invest. 2008 Oct;118(10):3390-402
19796497 - Cell Transplant. 2009;18(7):753-67
20299476 - Diabetes. 2010 Jun;59(6):1451-60
8922370 - Diabetes. 1996 Dec;45(12):1814-21
10911004 - N Engl J Med. 2000 Jul 27;343(4):230-8
10194038 - J Heart Lung Transplant. 1999 Feb;18(2):143-9
7687397 - Transplantation. 1993 Jul;56(1):190-5
21107102 - Ann Surg. 2010 Dec;252(6):915-28
20528886 - Clin Exp Immunol. 2010 Aug;161(2):364-77
8249126 - Transplantation. 1993 Nov;56(5):1223-9
16903904 - Immunol Rev. 2006 Aug;212:28-50
19394103 - J Hepatol. 2009 Jun;50(6):1247-57
7517447 - J Pharm Pharmacol. 1994 Feb;46(2):113-7
18431516 - J Clin Invest. 2008 May;118(5):1806-14
20574005 - J Immunol. 2010 Aug 1;185(3):1412-8
20086230 - Diabetes. 2010 Apr;59(4):947-57
10078547 - Diabetes. 1999 Mar;48(3):484-90
7878750 - Transplantation. 1995 Feb 27;59(4):480-5
10841006 - Diabetes Care. 2000 Jun;23(6):838-44
17845564 - Am J Transplant. 2007 Oct;7(10):2311-7
19161445 - Clin Exp Immunol. 2009 Apr;156(1):141-8
15616206 - N Engl J Med. 2004 Dec 23;351(26):2715-29
21572024 - J Immunol. 2011 Jun 15;186(12):6779-87
18339130 - Clin Transplant. 2008 Mar-Apr;22(2):129-35
18560516 - PLoS One. 2008;3(6):e2435
15979320 - Crit Rev Oncol Hematol. 2005 Oct;56(1):155-67
References_xml – volume: 4
  start-page: 259
  year: 2004
  end-page: 68
  article-title: Clinical islet transplantation: advances and immunological challenges
  publication-title: Nat Rev Immunol
– volume: 43
  start-page: 379
  year: 2005
  end-page: 88
  article-title: Trough levels of mycophenolic acid and its glucuronidated metabolite in renal transplant recipients
  publication-title: Int J Clin Pharmacol Ther
– volume: 56
  start-page: 190
  year: 1993
  end-page: 5
  article-title: Differential inhibition of primed alloreactive CTLs in vitro by clinically used concentrations of cyclosporine and FK506
  publication-title: Transplantation
– volume: 18
  start-page: 833
  year: 2009
  end-page: 45
  article-title: Different effects of FK506, rapamycin, and mycophenolate mofetil on glucose‐stimulated insulin release and apoptosis in human islets
  publication-title: Cell Transplant
– volume: 59
  start-page: 1721
  year: 2010
  end-page: 30
  article-title: Simultaneous detection of circulating autoreactive CD8+ T‐cells specific for different islet cell‐associated epitopes using combinatorial MHC multimers
  publication-title: Diabetes
– volume: 55
  start-page: 2429
  year: 2006
  end-page: 36
  article-title: Sirolimus is associated with reduced islet engraftment and impaired beta‐cell function
  publication-title: Diabetes
– volume: 6
  start-page: 736
  year: 2006
  end-page: 46
  article-title: Clinical operational tolerance after kidney transplantation
  publication-title: Am J Transplant
– volume: 103
  start-page: 17444
  year: 2006
  end-page: 9
  article-title: Correlation between beta cell mass and glycemic control in type 1 diabetic recipients of islet cell graft
  publication-title: Proc Natl Acad Sci U S A
– volume: 48
  start-page: 484
  year: 1999
  end-page: 90
  article-title: Auto‐ and alloimmune reactivity to human islet allografts transplanted into type 1 diabetic patients
  publication-title: Diabetes
– volume: 59
  start-page: 480
  year: 1995
  end-page: 5
  article-title: Primary kidney tumors before and after renal transplantation
  publication-title: Transplantation
– volume: 23
  start-page: 279
  year: 1988
  end-page: 90
  article-title: Computer aided design and evaluation of limiting and serial dilution experiments
  publication-title: Int J Biomed Comput
– volume: 18
  start-page: 753
  year: 2009
  end-page: 67
  article-title: 2007 update on allogeneic islet transplantation from the Collaborative Islet Transplant Registry (CITR)
  publication-title: Cell Transplant
– volume: 50
  start-page: 1247
  year: 2009
  end-page: 57
  article-title: Operational tolerance after liver transplantation
  publication-title: J Hepatol
– volume: 59
  start-page: 947
  year: 2010
  end-page: 57
  article-title: Recurrence of type 1 diabetes after simultaneous pancreas‐kidney transplantation, despite immunosuppression, is associated with autoantibodies and pathogenic autoreactive CD4 T‐cells
  publication-title: Diabetes
– volume: 161
  start-page: 364
  year: 2010
  end-page: 77
  article-title: The calcineurin inhibitor tacrolimus allows the induction of functional CD4CD25 regulatory T cells by rabbit anti‐thymocyte globulins
  publication-title: Clin Exp Immunol
– volume: 355
  start-page: 1318
  year: 2006
  end-page: 30
  article-title: International trial of the Edmonton protocol for islet transplantation
  publication-title: N Engl J Med
– volume: 56
  start-page: 155
  year: 2005
  end-page: 67
  article-title: Post‐transplant lymphoproliferative disorders (PTLD) after solid organ transplantation
  publication-title: Crit Rev Oncol Hematol
– volume: 212
  start-page: 28
  year: 2006
  end-page: 50
  article-title: Interleukin‐10‐secreting type 1 regulatory T cells in rodents and humans
  publication-title: Immunol Rev
– volume: 23
  start-page: 838
  year: 2000
  end-page: 44
  article-title: High frequency of persisting or increasing islet‐specific autoantibody levels after diagnosis of type 1 diabetes presenting before 40 years of age. The Belgian Diabetes Registry
  publication-title: Diabetes Care
– volume: 186
  start-page: 6779
  year: 2011
  end-page: 87
  article-title: Natural but not inducible regulatory T cells require TNF‐{alpha} signaling for in vivo function
  publication-title: J Immunol
– volume: 54
  start-page: 2060
  year: 2005
  end-page: 9
  article-title: Five‐year follow‐up after clinical islet transplantation
  publication-title: Diabetes
– volume: 53
  start-page: 899
  year: 1992
  end-page: 903
  article-title: Evidence that antibody formation against a certain HLA alloantigen is associated not with a quantitative but with a qualitative change in the cytotoxic T cells recognizing the same antigen
  publication-title: Transplantation
– volume: 7
  start-page: 2311
  year: 2007
  end-page: 17
  article-title: High risk of sensitization after failed islet transplantation
  publication-title: Am J Transplant
– volume: 22
  start-page: 129
  year: 2008
  end-page: 35
  article-title: After discontinuation of calcineurin inhibitors, tapering of mycophenolate mofetil further impairs donor‐directed cytotoxicity
  publication-title: Clin Transplant
– volume: 35
  start-page: 85
  year: 1992
  end-page: 92
  article-title: Determination of cytotoxic T‐lymphocyte precursor frequencies using europium labeling as a nonradioactive alternative to labeling with chromium‐51
  publication-title: Hum Immunol
– volume: 52
  start-page: 519
  year: 1991
  end-page: 22
  article-title: In vivo effect of FK506 on human pancreatic islets
  publication-title: Transplantation
– volume: 59
  start-page: 1451
  year: 2010
  end-page: 60
  article-title: Naturally arising human CD4 T‐cells that recognize islet autoantigens and secrete interleukin‐10 regulate proinflammatory T‐cell responses via linked suppression
  publication-title: Diabetes
– volume: 291
  start-page: 1100
  year: 1999
  end-page: 12
  article-title: Pharmacodynamics of immunosuppression by mycophenolic acid: inhibition of both lymphocyte proliferation and activation correlates with pharmacokinetics
  publication-title: J Pharmacol Exp Ther
– volume: 20
  start-page: 420
  year: 2000
  end-page: 9
  article-title: Immunosuppressive agents in transplantation: mechanisms of action and current anti‐rejection strategies
  publication-title: Microsurgery
– volume: 46
  start-page: 113
  year: 1994
  end-page: 17
  article-title: Distribution and protein binding of FK506, a potent immunosuppressive macrolide lactone, in human blood and its uptake by erythrocytes
  publication-title: J Pharm Pharmacol
– volume: 3
  start-page: e2435
  year: 2008
  article-title: Cellular islet autoimmunity associates with clinical outcome of islet cell transplantation
  publication-title: PLoS ONE
– volume: 118
  start-page: 1806
  year: 2008
  end-page: 14
  article-title: Islet transplantation in patients with autoimmune diabetes induces homeostatic cytokines that expand autoreactive memory T cells
  publication-title: J Clin Invest
– volume: 18
  start-page: 143
  year: 1999
  end-page: 9
  article-title: Combination therapy with tacrolimus and mycophenolate mofetil following cardiac transplantation: importance of mycophenolic acid therapeutic drug monitoring
  publication-title: J Heart Lung Transplant
– volume: 56
  start-page: 1223
  year: 1993
  end-page: 9
  article-title: The detection of cytotoxic T cells with high‐affinity receptors for donor antigens in the transplanted heart as a prognostic factor for graft rejection
  publication-title: Transplantation
– volume: 212
  start-page: 301
  year: 2006
  end-page: 13
  article-title: Infectious tolerance and the long‐term acceptance of transplanted tissue
  publication-title: Immunol Rev
– volume: 185
  start-page: 1412
  year: 2010
  end-page: 18
  article-title: Critical role for TNF in the induction of human antigen‐specific regulatory T cells by tolerogenic dendritic cells
  publication-title: J Immunol
– volume: 59
  start-page: 1039
  year: 1995
  end-page: 42
  article-title: The presence of activated donor HLA class I‐reactive T lymphocytes is associated with rejection of corneal grafts
  publication-title: Transplantation
– volume: 178
  start-page: 5419
  year: 2007
  end-page: 23
  article-title: Clinical transplantation tolerance: many rivers to cross
  publication-title: J Immunol
– volume: 15
  start-page: 413
  year: 2006
  end-page: 20
  article-title: HLA sensitization in islet transplantation
  publication-title: Clin Transpl
– volume: 53
  start-page: 3107
  year: 2004
  end-page: 14
  article-title: Islet graft assessment in the Edmonton Protocol: implications for predicting long‐term clinical outcome
  publication-title: Diabetes
– volume: 252
  start-page: 915
  year: 2010
  end-page: 28
  article-title: Clinical operational tolerance after renal transplantation: current status and future challenges
  publication-title: Ann Surg
– volume: 338
  start-page: 1741
  year: 1998
  end-page: 51
  article-title: Infection in organ‐transplant recipients
  publication-title: N Engl J Med
– volume: 156
  start-page: 141
  year: 2009
  end-page: 8
  article-title: Relevance of cytotoxic alloreactivity under different immunosuppressive regimens in clinical islet cell transplantation
  publication-title: Clin Exp Immunol
– volume: 45
  start-page: 1814
  year: 1996
  end-page: 21
  article-title: Long‐term metabolic control by rat islet grafts depends on the composition of the implant
  publication-title: Diabetes
– volume: 58
  start-page: 2267
  year: 2009
  end-page: 76
  article-title: Differences in baseline lymphocyte counts and autoreactivity are associated with differences in outcome of islet cell transplantation in type 1 diabetic patients
  publication-title: Diabetes
– volume: 351
  start-page: 2715
  year: 2004
  end-page: 29
  article-title: Immunosuppressive drugs for kidney transplantation
  publication-title: N Engl J Med
– volume: 9
  start-page: 382
  year: 2009
  end-page: 8
  article-title: Allograft‐specific cytokine profiles associate with clinical outcome after islet cell transplantation
  publication-title: Am J Transplant
– volume: 88
  start-page: 1303
  year: 2009
  end-page: 11
  article-title: The human ‘Treg MLR’: immune monitoring for FOXP3+ T regulatory cell generation
  publication-title: Transplantation
– volume: 118
  start-page: 3390
  year: 2008
  end-page: 402
  article-title: CTLs are targeted to kill beta cells in patients with type 1 diabetes through recognition of a glucose‐regulated preproinsulin epitope
  publication-title: J Clin Invest
– volume: 343
  start-page: 230
  year: 2000
  end-page: 8
  article-title: Islet transplantation in seven patients with type 1 diabetes mellitus using a glucocorticoid‐free immunosuppressive regimen
  publication-title: N Engl J Med
– volume: 338
  start-page: 1741
  year: 1998
  ident: 2021122708375686800_b7
  article-title: Infection in organ-transplant recipients
  publication-title: N Engl J Med
  doi: 10.1056/NEJM199806113382407
– volume: 4
  start-page: 259
  year: 2004
  ident: 2021122708375686800_b2
  article-title: Clinical islet transplantation: advances and immunological challenges
  publication-title: Nat Rev Immunol
  doi: 10.1038/nri1332
– volume: 59
  start-page: 1721
  year: 2010
  ident: 2021122708375686800_b47
  article-title: Simultaneous detection of circulating autoreactive CD8+ T-cells specific for different islet cell-associated epitopes using combinatorial MHC multimers
  publication-title: Diabetes
  doi: 10.2337/db09-1486
– volume: 52
  start-page: 519
  year: 1991
  ident: 2021122708375686800_b10
  article-title: In vivo effect of FK506 on human pancreatic islets
  publication-title: Transplantation
  doi: 10.1097/00007890-199109000-00026
– volume: 48
  start-page: 484
  year: 1999
  ident: 2021122708375686800_b20
  article-title: Auto- and alloimmune reactivity to human islet allografts transplanted into type 1 diabetic patients
  publication-title: Diabetes
  doi: 10.2337/diabetes.48.3.484
– volume: 88
  start-page: 1303
  year: 2009
  ident: 2021122708375686800_b49
  article-title: The human ‘Treg MLR’: immune monitoring for FOXP3+ T regulatory cell generation
  publication-title: Transplantation
  doi: 10.1097/TP.0b013e3181bbee98
– volume: 46
  start-page: 113
  year: 1994
  ident: 2021122708375686800_b39
  article-title: Distribution and protein binding of FK506, a potent immunosuppressive macrolide lactone, in human blood and its uptake by erythrocytes
  publication-title: J Pharm Pharmacol
  doi: 10.1111/j.2042-7158.1994.tb03752.x
– volume: 161
  start-page: 364
  year: 2010
  ident: 2021122708375686800_b45
  article-title: The calcineurin inhibitor tacrolimus allows the induction of functional CD4CD25 regulatory T cells by rabbit anti-thymocyte globulins
  publication-title: Clin Exp Immunol
  doi: 10.1111/j.1365-2249.2010.04183.x
– volume: 56
  start-page: 155
  year: 2005
  ident: 2021122708375686800_b8
  article-title: Post-transplant lymphoproliferative disorders (PTLD) after solid organ transplantation
  publication-title: Crit Rev Oncol Hematol
  doi: 10.1016/j.critrevonc.2005.03.015
– volume: 355
  start-page: 1318
  year: 2006
  ident: 2021122708375686800_b3
  article-title: International trial of the Edmonton protocol for islet transplantation
  publication-title: N Engl J Med
  doi: 10.1056/NEJMoa061267
– volume: 103
  start-page: 17444
  year: 2006
  ident: 2021122708375686800_b4
  article-title: Correlation between beta cell mass and glycemic control in type 1 diabetic recipients of islet cell graft
  publication-title: Proc Natl Acad Sci U S A
  doi: 10.1073/pnas.0608141103
– volume: 23
  start-page: 838
  year: 2000
  ident: 2021122708375686800_b21
  article-title: High frequency of persisting or increasing islet-specific autoantibody levels after diagnosis of type 1 diabetes presenting before 40 years of age. The Belgian Diabetes Registry
  publication-title: Diabetes Care
  doi: 10.2337/diacare.23.6.838
– volume: 186
  start-page: 6779
  year: 2011
  ident: 2021122708375686800_b44
  article-title: Natural but not inducible regulatory T cells require TNF-{alpha} signaling for in vivo function
  publication-title: J Immunol
  doi: 10.4049/jimmunol.1003868
– volume: 54
  start-page: 2060
  year: 2005
  ident: 2021122708375686800_b5
  article-title: Five-year follow-up after clinical islet transplantation
  publication-title: Diabetes
  doi: 10.2337/diabetes.54.7.2060
– volume: 59
  start-page: 1451
  year: 2010
  ident: 2021122708375686800_b50
  article-title: Naturally arising human CD4 T-cells that recognize islet autoantigens and secrete interleukin-10 regulate proinflammatory T-cell responses via linked suppression
  publication-title: Diabetes
  doi: 10.2337/db09-0503
– volume: 212
  start-page: 301
  year: 2006
  ident: 2021122708375686800_b48
  article-title: Infectious tolerance and the long-term acceptance of transplanted tissue
  publication-title: Immunol Rev
  doi: 10.1111/j.0105-2896.2006.00406.x
– volume: 23
  start-page: 279
  year: 1988
  ident: 2021122708375686800_b23
  article-title: Computer aided design and evaluation of limiting and serial dilution experiments
  publication-title: Int J Biomed Comput
  doi: 10.1016/0020-7101(88)90020-7
– volume: 43
  start-page: 379
  year: 2005
  ident: 2021122708375686800_b27
  article-title: Trough levels of mycophenolic acid and its glucuronidated metabolite in renal transplant recipients
  publication-title: Int J Clin Pharmacol Ther
  doi: 10.5414/CPP43379
– volume: 18
  start-page: 753
  year: 2009
  ident: 2021122708375686800_b29
  article-title: 2007 update on allogeneic islet transplantation from the Collaborative Islet Transplant Registry (CITR)
  publication-title: Cell Transplant
  doi: 10.3727/096368909X470874
– volume: 156
  start-page: 141
  year: 2009
  ident: 2021122708375686800_b18
  article-title: Relevance of cytotoxic alloreactivity under different immunosuppressive regimens in clinical islet cell transplantation
  publication-title: Clin Exp Immunol
  doi: 10.1111/j.1365-2249.2008.03812.x
– volume: 45
  start-page: 1814
  year: 1996
  ident: 2021122708375686800_b30
  article-title: Long-term metabolic control by rat islet grafts depends on the composition of the implant
  publication-title: Diabetes
  doi: 10.2337/diab.45.12.1814
– volume: 53
  start-page: 899
  year: 1992
  ident: 2021122708375686800_b19
  article-title: Evidence that antibody formation against a certain HLA alloantigen is associated not with a quantitative but with a qualitative change in the cytotoxic T cells recognizing the same antigen
  publication-title: Transplantation
  doi: 10.1097/00007890-199204000-00035
– volume: 118
  start-page: 1806
  year: 2008
  ident: 2021122708375686800_b26
  article-title: Islet transplantation in patients with autoimmune diabetes induces homeostatic cytokines that expand autoreactive memory T cells
  publication-title: J Clin Invest
– volume: 7
  start-page: 2311
  year: 2007
  ident: 2021122708375686800_b36
  article-title: High risk of sensitization after failed islet transplantation
  publication-title: Am J Transplant
  doi: 10.1111/j.1600-6143.2007.01923.x
– volume: 178
  start-page: 5419
  year: 2007
  ident: 2021122708375686800_b46
  article-title: Clinical transplantation tolerance: many rivers to cross
  publication-title: J Immunol
  doi: 10.4049/jimmunol.178.9.5419
– volume: 15
  start-page: 413
  year: 2006
  ident: 2021122708375686800_b35
  article-title: HLA sensitization in islet transplantation
  publication-title: Clin Transpl
– volume: 20
  start-page: 420
  year: 2000
  ident: 2021122708375686800_b41
  article-title: Immunosuppressive agents in transplantation: mechanisms of action and current anti-rejection strategies
  publication-title: Microsurgery
  doi: 10.1002/1098-2752(2000)20:8<420::AID-MICR13>3.0.CO;2-O
– volume: 55
  start-page: 2429
  year: 2006
  ident: 2021122708375686800_b11
  article-title: Sirolimus is associated with reduced islet engraftment and impaired beta-cell function
  publication-title: Diabetes
  doi: 10.2337/db06-0173
– volume: 351
  start-page: 2715
  year: 2004
  ident: 2021122708375686800_b42
  article-title: Immunosuppressive drugs for kidney transplantation
  publication-title: N Engl J Med
  doi: 10.1056/NEJMra033540
– volume: 58
  start-page: 2267
  year: 2009
  ident: 2021122708375686800_b38
  article-title: Differences in baseline lymphocyte counts and autoreactivity are associated with differences in outcome of islet cell transplantation in type 1 diabetic patients
  publication-title: Diabetes
  doi: 10.2337/db09-0160
– volume: 118
  start-page: 3390
  year: 2008
  ident: 2021122708375686800_b32
  article-title: CTLs are targeted to kill beta cells in patients with type 1 diabetes through recognition of a glucose-regulated preproinsulin epitope
  publication-title: J Clin Invest
– volume: 212
  start-page: 28
  year: 2006
  ident: 2021122708375686800_b9
  article-title: Interleukin-10-secreting type 1 regulatory T cells in rodents and humans
  publication-title: Immunol Rev
  doi: 10.1111/j.0105-2896.2006.00420.x
– volume: 252
  start-page: 915
  year: 2010
  ident: 2021122708375686800_b15
  article-title: Clinical operational tolerance after renal transplantation: current status and future challenges
  publication-title: Ann Surg
  doi: 10.1097/SLA.0b013e3181f3efb0
– volume: 3
  start-page: e2435
  year: 2008
  ident: 2021122708375686800_b16
  article-title: Cellular islet autoimmunity associates with clinical outcome of islet cell transplantation
  publication-title: PLoS ONE
  doi: 10.1371/journal.pone.0002435
– volume: 9
  start-page: 382
  year: 2009
  ident: 2021122708375686800_b17
  article-title: Allograft-specific cytokine profiles associate with clinical outcome after islet cell transplantation
  publication-title: Am J Transplant
  doi: 10.1111/j.1600-6143.2008.02479.x
– volume: 291
  start-page: 1100
  year: 1999
  ident: 2021122708375686800_b25
  article-title: Pharmacodynamics of immunosuppression by mycophenolic acid: inhibition of both lymphocyte proliferation and activation correlates with pharmacokinetics
  publication-title: J Pharmacol Exp Ther
  doi: 10.1016/S0022-3565(24)35215-2
– volume: 59
  start-page: 1039
  year: 1995
  ident: 2021122708375686800_b34
  article-title: The presence of activated donor HLA class I-reactive T lymphocytes is associated with rejection of corneal grafts
  publication-title: Transplantation
  doi: 10.1097/00007890-199504150-00021
– volume: 50
  start-page: 1247
  year: 2009
  ident: 2021122708375686800_b14
  article-title: Operational tolerance after liver transplantation
  publication-title: J Hepatol
  doi: 10.1016/j.jhep.2009.03.006
– volume: 18
  start-page: 143
  year: 1999
  ident: 2021122708375686800_b40
  article-title: Combination therapy with tacrolimus and mycophenolate mofetil following cardiac transplantation: importance of mycophenolic acid therapeutic drug monitoring
  publication-title: J Heart Lung Transplant
  doi: 10.1016/S1053-2498(98)00002-3
– volume: 6
  start-page: 736
  year: 2006
  ident: 2021122708375686800_b13
  article-title: Clinical operational tolerance after kidney transplantation
  publication-title: Am J Transplant
  doi: 10.1111/j.1600-6143.2006.01280.x
– volume: 18
  start-page: 833
  year: 2009
  ident: 2021122708375686800_b12
  article-title: Different effects of FK506, rapamycin, and mycophenolate mofetil on glucose-stimulated insulin release and apoptosis in human islets
  publication-title: Cell Transplant
  doi: 10.3727/096368909X471198
– volume: 56
  start-page: 1223
  year: 1993
  ident: 2021122708375686800_b33
  article-title: The detection of cytotoxic T cells with high-affinity receptors for donor antigens in the transplanted heart as a prognostic factor for graft rejection
  publication-title: Transplantation
  doi: 10.1097/00007890-199311000-00033
– volume: 22
  start-page: 129
  year: 2008
  ident: 2021122708375686800_b31
  article-title: After discontinuation of calcineurin inhibitors, tapering of mycophenolate mofetil further impairs donor-directed cytotoxicity
  publication-title: Clin Transplant
  doi: 10.1111/j.1399-0012.2007.00754.x
– volume: 56
  start-page: 190
  year: 1993
  ident: 2021122708375686800_b24
  article-title: Differential inhibition of primed alloreactive CTLs in vitro by clinically used concentrations of cyclosporine and FK506
  publication-title: Transplantation
  doi: 10.1097/00007890-199307000-00035
– volume: 35
  start-page: 85
  year: 1992
  ident: 2021122708375686800_b22
  article-title: Determination of cytotoxic T-lymphocyte precursor frequencies using europium labeling as a nonradioactive alternative to labeling with chromium-51
  publication-title: Hum Immunol
  doi: 10.1016/0198-8859(92)90015-F
– volume: 59
  start-page: 947
  year: 2010
  ident: 2021122708375686800_b37
  article-title: Recurrence of type 1 diabetes after simultaneous pancreas-kidney transplantation, despite immunosuppression, is associated with autoantibodies and pathogenic autoreactive CD4 T-cells
  publication-title: Diabetes
  doi: 10.2337/db09-0498
– volume: 53
  start-page: 3107
  year: 2004
  ident: 2021122708375686800_b28
  article-title: Islet graft assessment in the Edmonton Protocol: implications for predicting long-term clinical outcome
  publication-title: Diabetes
  doi: 10.2337/diabetes.53.12.3107
– volume: 185
  start-page: 1412
  year: 2010
  ident: 2021122708375686800_b43
  article-title: Critical role for TNF in the induction of human antigen-specific regulatory T cells by tolerogenic dendritic cells
  publication-title: J Immunol
  doi: 10.4049/jimmunol.1000560
– volume: 343
  start-page: 230
  year: 2000
  ident: 2021122708375686800_b1
  article-title: Islet transplantation in seven patients with type 1 diabetes mellitus using a glucocorticoid-free immunosuppressive regimen
  publication-title: N Engl J Med
  doi: 10.1056/NEJM200007273430401
– volume: 59
  start-page: 480
  year: 1995
  ident: 2021122708375686800_b6
  article-title: Primary kidney tumors before and after renal transplantation
  publication-title: Transplantation
  doi: 10.1097/00007890-199559040-00006
– reference: 18802479 - J Clin Invest. 2008 Oct;118(10):3390-402
– reference: 16539630 - Am J Transplant. 2006 Apr;6(4):736-46
– reference: 15561940 - Diabetes. 2004 Dec;53(12):3107-14
– reference: 18431516 - J Clin Invest. 2008 May;118(5):1806-14
– reference: 19796497 - Cell Transplant. 2009;18(7):753-67
– reference: 16119513 - Int J Clin Pharmacol Ther. 2005 Aug;43(8):379-88
– reference: 20086230 - Diabetes. 2010 Apr;59(4):947-57
– reference: 20528886 - Clin Exp Immunol. 2010 Aug;161(2):364-77
– reference: 16903904 - Immunol Rev. 2006 Aug;212:28-50
– reference: 16936190 - Diabetes. 2006 Sep;55(9):2429-36
– reference: 20299476 - Diabetes. 2010 Jun;59(6):1451-60
– reference: 10841006 - Diabetes Care. 2000 Jun;23(6):838-44
– reference: 19394103 - J Hepatol. 2009 Jun;50(6):1247-57
– reference: 19067657 - Am J Transplant. 2009 Feb;9(2):382-8
– reference: 7517447 - J Pharm Pharmacol. 1994 Feb;46(2):113-7
– reference: 17442921 - J Immunol. 2007 May 1;178(9):5419-23
– reference: 7878750 - Transplantation. 1995 Feb 27;59(4):480-5
– reference: 10565830 - J Pharmacol Exp Ther. 1999 Dec;291(3):1100-12
– reference: 21572024 - J Immunol. 2011 Jun 15;186(12):6779-87
– reference: 8249126 - Transplantation. 1993 Nov;56(5):1223-9
– reference: 10194038 - J Heart Lung Transplant. 1999 Feb;18(2):143-9
– reference: 19602536 - Diabetes. 2009 Oct;58(10):2267-76
– reference: 1286979 - Hum Immunol. 1992 Oct;35(2):85-92
– reference: 21107102 - Ann Surg. 2010 Dec;252(6):915-28
– reference: 7709440 - Transplantation. 1995 Apr 15;59(7):1039-42
– reference: 15057784 - Nat Rev Immunol. 2004 Apr;4(4):259-68
– reference: 10911004 - N Engl J Med. 2000 Jul 27;343(4):230-8
– reference: 15616206 - N Engl J Med. 2004 Dec 23;351(26):2715-29
– reference: 9624195 - N Engl J Med. 1998 Jun 11;338(24):1741-51
– reference: 1566356 - Transplantation. 1992 Apr;53(4):899-903
– reference: 20357361 - Diabetes. 2010 Jul;59(7):1721-30
– reference: 17090674 - Proc Natl Acad Sci U S A. 2006 Nov 14;103(46):17444-9
– reference: 18339130 - Clin Transplant. 2008 Mar-Apr;22(2):129-35
– reference: 15979320 - Crit Rev Oncol Hematol. 2005 Oct;56(1):155-67
– reference: 18365398 - Clin Transpl. 2006;:413-20
– reference: 19161445 - Clin Exp Immunol. 2009 Apr;156(1):141-8
– reference: 19996930 - Transplantation. 2009 Dec 15;88(11):1303-11
– reference: 10078547 - Diabetes. 1999 Mar;48(3):484-90
– reference: 19500470 - Cell Transplant. 2009;18(8):833-45
– reference: 11150994 - Microsurgery. 2000;20(8):420-9
– reference: 7687397 - Transplantation. 1993 Jul;56(1):190-5
– reference: 15983207 - Diabetes. 2005 Jul;54(7):2060-9
– reference: 1716797 - Transplantation. 1991 Sep;52(3):519-22
– reference: 3225063 - Int J Biomed Comput. 1988 Dec;23(3-4):279-90
– reference: 8922370 - Diabetes. 1996 Dec;45(12):1814-21
– reference: 18560516 - PLoS One. 2008;3(6):e2435
– reference: 17845564 - Am J Transplant. 2007 Oct;7(10):2311-7
– reference: 16903922 - Immunol Rev. 2006 Aug;212:301-13
– reference: 20574005 - J Immunol. 2010 Aug 1;185(3):1412-8
– reference: 17005949 - N Engl J Med. 2006 Sep 28;355(13):1318-30
SSID ssj0006662
Score 2.1358576
Snippet Summary Transplantation of isolated islet of Langerhans cells has great potential as a cure for type 1 diabetes but continuous immune suppressive therapy often...
Transplantation of isolated islet of Langerhans cells has great potential as a cure for type 1 diabetes but continuous immune suppressive therapy often causes...
Summary Transplantation of isolated islet of Langerhans cells has great potential as a cure for type 1 diabetes but continuous immune suppressive therapy often...
SourceID pubmedcentral
proquest
pubmed
pascalfrancis
crossref
wiley
SourceType Open Access Repository
Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 190
SubjectTerms Adult
Analytical, structural and metabolic biochemistry
Autoimmunity
Avidity
Biological and medical sciences
biomarkers
CD8 antigen
Cytokines
Cytokines - biosynthesis
cytotoxic T‐lymphocytes
Cytotoxicity
Diabetes mellitus
Donors
Female
Follow-Up Studies
Fundamental and applied biological sciences. Psychology
Graft rejection
Graft Survival - drug effects
Graft Survival - immunology
Humans
Immune response
Immunity
Immunity, Cellular
Immunosuppression
Immunosuppressive Agents - administration & dosage
Inflammation
islet cell transplantation
Islet cells
Islets of Langerhans
Islets of Langerhans - immunology
Islets of Langerhans Transplantation - immunology
Lymphocytes T
Male
Metabolites
Middle Aged
Mycophenolate mofetil
Original
Pancreatic islet transplantation
Pilot Projects
Risk factors
Side effects
T-Lymphocytes, Cytotoxic - immunology
Tacrolimus
Transplantation
Transplantation, Homologous
Title Immune responses against islet allografts during tapering of immunosuppression – a pilot study in 5 subjects
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1365-2249.2012.04605.x
https://www.ncbi.nlm.nih.gov/pubmed/22774994
https://www.proquest.com/docview/1545865442
https://www.proquest.com/docview/1024476413
https://www.proquest.com/docview/1028028346
https://pubmed.ncbi.nlm.nih.gov/PMC3406379
Volume 169
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1fa9RAEF-koAjin6o1WssKvubIJrvJ5VFKayvog1i4tzCb7NbQkoRLAq1Pfge_oZ_EmU0ubbRIEV-Ou9udkJub2f1N5rczjL0VygbaAuUHZeLLHJQPaZT7RS6KIhIQCOOqfX6Kj07kh5VajfwnOgsz1IeYHriRZ7j1mhwcdDt3csfQwviBGFrhwqX4FoQnaYDw0eerSlKI0sNNUzXcIeWc1HPjhWY71YMGWlSaHbpd3ARH_2RVXke7brs6fMTONj90YKmcLfpOL_Jvv9WA_D-aeMwejqiWvxvM8Am7Y6ptdnfoc3m5ze59HDP4T1l1TAdSDF8P3FzTcjiFEjEqL1s0IU48gNM12K7lwwlK3kHjyiXy2vKShOu2b0b6bsV_fv_BgTfled1xVyqXlxVXvO01PWBqn7GTw4Mv-0f-2PPBzxFaoqEEWkIYhKmRBViLH3WQQAygEpHmidRgI1wXtcQwTkK-tABAmLNQgREB5NFztlXVlXnBeCwgLRSlmayQ1oQQ2KWJY6tAS9ySU48lm_83y8eC6NSX4zy7FhihYjNSbEaKzZxiswuPiUmyGYqC3EJmb2ZCkyCGsHiPQnlsd2NT2biOtJnLa8ZKytBjb6ZhXAEorQOVqXucg24mkxjRyF_nLAlJythjO4OZXt1AiCFAmkrUx8yApwlUgXw-UpVfXSXyCOFglKAmY2eft1ZGtn9wTO9e_qvgK3afvh6YmLtsq1v35jWiw07vOb_H1_cr8QuSIVkA
linkProvider Wiley-Blackwell
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELZQEQ8J8SivQClG4ppVHnayOaKq1S60PaBW6i2aJHaJWCXRJpGAE_-Bf8gvYcbOpg1UqELcsoonSmbH4288428Ye-tL7WUaKD8oYlfkIF1Iwtwtcr8oQh88Xxm2z-NocSren8mzoR0QnYWx_BDjhhvNDOOvaYLThvR0lpsSLQwgqEQrmJkc3wwB5U1q8G3iq48XXFKI04NNWzVcI8W0rOfKJ03WqnsNtKg2bftdXAVI_6yrvIx3zYJ18ICtNp9q61Q-z_oum-XffmOB_E-6eMjuD8CWv7OW-IjdUNU2u2VbXX7dZrePhiT-Y1Yt6UyK4mtbnqtaDudQIkzlZYtWxKkU4HwNumu5PUTJO2gMYyKvNS9JuG77ZqjgrfjP7z848KZc1R03bLm8rLjkbZ_RHlP7hJ0e7J_sLdyh7YObI7pEW_EyAYEXJEoUoDX-zLwYIgAZ-0keiwx0iK4xExjJCcjnGgAIdhbSU74HefiUbVV1pZ4zHvmQFJIyTdoXWgXg6bmKIi0hE7gqJw6LN39wmg-c6NSaY5Veio1QsSkpNiXFpkax6ReH-aNkY3lBriGzO7GhURCjWHxHXzpsZ2NU6eBK2tSkNiMpROCwN-NtdAKU2YFK1T2OwZkm4ggByV_HzAlMishhz6ydXrxAgFFAkgjUx8SCxwFEQj69U5WfDBl5iIgwjFGTkTHQaysj3dtf0tWLfxV8ze4sTo4O08Pl8YeX7C4NsYWZO2yrW_fqFYLFLts1TuAX3yZcKg
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3bbtQwELVQERUS4lJugVKMxGtWcWInm0fUdtXlUiFEpb5Zk8Ruo1ZJtEkk4Il_4A_5EsZ2Nm2gQhXiLat4VtnZsX0mc3yGkNdM6CDTYOqDPPF5DsKHNMr9ImdFETEImLJqn4fxwRF_eyyOB_6TOQvj9CHGF25mZtj12kzwptDTSW4ZWpg_GIZWOLMlvhniyZt4MTcRvvfpQkoKYXq47qqGWySfsnqu_KbJVnWngRa9pl27i6vw6J-0ystw1-5Xi3vkbP1LHU3lbNZ32Sz_9psI5P9xxX1yd4C19I2Lwwfkhqq2yC3X6PLrFtn8MJTwH5JqaU6kKLpy5FzVUjiBEkEqLVuMIWqIACcr0F1L3RFK2kFj9RJprWlpjOu2bwb-bkV_fv9BgTbled1Rq5VLy4oK2vaZecPUPiJHi_3Puwf-0PTBzxFbYqQEGYcwCFPFC9AaP2ZBAjGASFiaJzwDHeHCmHHM4zjkcw0ABnQWIlAsgDx6TDaqulJPCY0ZpIUwdSbNuFYhBHqu4lgLyDjuyalHkvX_K_NBEd005jiXlzIjdKw0jpXGsdI6Vn7xCBstG6cKcg2bnUkIjYaYw-IzMuGR7XVMyWEhaaUtbMaC89Ajr8bbuASYug5Uqu5xDM4znsQIR_46Zm6gJI898sSF6cUDhJgDpClHf0wCeBxgJMind6ry1EqRR4gHowQ9Gdv4vLYz5O7-0lw9-1fDl2Tz495Cvl8evntObpsRjpW5TTa6Va9eIFLssh27BPwCma9a4g
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Immune+responses+against+islet+allografts+during+tapering+of+immunosuppression+%E2%80%93+a+pilot+study+in+5+subjects&rft.jtitle=Clinical+and+experimental+immunology&rft.au=Huurman%2C+V.+A.+L.&rft.au=van+der+Torren%2C+C.+R.&rft.au=Gillard%2C+P.&rft.au=Hilbrands%2C+R.&rft.date=2012-08-01&rft.pub=Blackwell+Publishing+Ltd&rft.issn=0009-9104&rft.eissn=1365-2249&rft.volume=169&rft.issue=2&rft.spage=190&rft.epage=198&rft_id=info:doi/10.1111%2Fj.1365-2249.2012.04605.x&rft.externalDBID=10.1111%252Fj.1365-2249.2012.04605.x&rft.externalDocID=CEI4605
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0009-9104&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0009-9104&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0009-9104&client=summon