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Transplant glomerulopathy is considered a form of chronic antibody-mediated rejection. PAS stain. Chronic rejection is an insidious form of rejection that leads to graft destruction over the course of months, but most often years after tissue transplantation. [12]
Cellular immunity, also known as cell-mediated immunity, is an immune response that does not rely on the production of antibodies. Rather, cell-mediated immunity is the activation of phagocytes , antigen-specific cytotoxic T-lymphocytes , and the release of various cytokines in response to an antigen .
These antibodies can cause antibody-mediated rejection and are therefore considered a contraindication against transplantation in most cases. [1] DSA are a result of B cell and plasma cell activation and bind to HLA and/or non-HLA molecules on the endothelium [ 1 ] of the graft.
Antibody-dependent cellular cytotoxicity. Antibody-dependent cellular cytotoxicity (ADCC), also referred to as antibody-dependent cell-mediated cytotoxicity, is a mechanism of cell-mediated immune defense whereby an effector cell of the immune system kills a target cell, whose membrane-surface antigens have been bound by specific antibodies. [1]
It contrasts with cell-mediated immunity. Humoral immunity is also referred to as antibody-mediated immunity. The study of the molecular and cellular components that form the immune system, including their function and interaction, is the central science of immunology.
Hyperacute and accelerated rejection is antibody-mediated immune response to the allograft. Recipient's blood already contains circulating antibodies before the transplantation [3] – either IgM or antibodies incurred by previous immunization (e.g. by repeated blood transfusion).
In this way, polyclonal antibodies inhibit cell-mediated immune reactions, including graft rejection, delayed hypersensitivity (i.e., tuberculin skin reaction), and the graft-versus-host disease (GVHD), but influence thymus-dependent antibody production.
In antibody-dependent cell-mediated cytotoxicity, the pathogen does not need to be internalised to be destroyed. ADCC requires an effector cell with the ability to eliminate pathogens through release of cytotoxic agents, most notably natural killer cells. However, macrophages, neutrophils and eosinophils are sometimes implicated. [6]