Cascalho Lab

Case Western Reserve University

PATHOLOGY

Cleveland · United States

NIH-funded
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NIH R01 · 2025

Donor-specific B cells in Transplantation.

Abstract Kidney transplantation elicits powerful B cell responses that generate antibodies specific for the transplant donor. B cell responses to allogeneic HLA (panel reactive antibodies, PRA) and to the transplant donor (donor- specific antibodies, DSA) correlate with risk of rejection and graft loss and thus serve as diagnostic indices of allo-immunity. B cell responses that generate DSA initiate the most vexing types of rejection (antibody- mediated rejection, ABMR) and chronic ABMR and hence much interest exists in development of therapeutics that specifically target B cells. Some B cell responses however may correlate with or even promote graft survival (immune regulation,…

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