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Editorial
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Volume 352:617-619 February 10, 2005 Number 6
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Agonistic Autoantibodies and Rejection of Renal Allografts
Julie R. Ingelfinger, M.D.

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 by Dragun, D.
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Allograft rejection remains a major problem in renal transplantation, despite the substantial improvements in post-transplantation management that now result in fewer acute rejection episodes and better overall survival.1 Rejection can be an acute event or a chronic, indolent process in which fibrosis within the graft is prominent and ultimately results in graft loss. Allograft rejection is usually considered to be mediated by T cells, but there is substantial evidence of antibody-mediated injury to the graft outside the now rare context of hyperacute rejection (which occurs when high titers of anti-HLA antibodies are present before transplantation2). Indeed, antibody-mediated rejection (also . . . [Full Text of this Article]




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