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10.1681/ASN.2016070727

http://scihub22266oqcxt.onion/10.1681/ASN.2016070727
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C5491279!5491279 !28232617
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suck abstract from ncbi


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pmid28232617
      J+Am+Soc+Nephrol 2017 ; 28 (7 ): 1991-1996
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  • Humoral Compensation after Bortezomib Treatment of Allosensitized Recipients #MMPMID28232617
  • Kwun J ; Burghuber C ; Manook M ; Iwakoshi N ; Gibby A ; Hong JJ ; Knechtle S
  • J Am Soc Nephrol 2017[Jul]; 28 (7 ): 1991-1996 PMID28232617 show ga
  • The efficacy of bortezomib monotherapy in desensitizing kidney transplant candidates with preformed donor-specific antibodies remains unclear. We evaluated the effect of bortezomib on preformed antibodies and upstream components of the B cell response in a primate model sensitized by fully mismatched allogeneic skin transplants to provide mechanistic insights regarding the use of bortezomib as a means of desensitization. Bortezomib treatment given intravenously twice weekly for 1 month (1.3 mg/m(2) per dose) clearly reduced the numbers of antibody-producing cells and CD38(+)CD19(+)CD20(-) plasma cells in the bone marrow (P<0.05), but donor-specific alloantibody levels did not decrease. We observed a rapid but transient induction of circulating IgG(+) B cells and an increased number of proliferating B cells in the lymph nodes after 1 month of treatment. Notably, bortezomib treatment induced germinal center B cell and follicular helper T cell expansion in the lymph nodes. These data suggest that bortezomib-induced plasma cell depletion triggers humoral compensation.
  • |Animals [MESH]
  • |B-Lymphocytes/*drug effects/*immunology [MESH]
  • |Bortezomib/*pharmacology [MESH]
  • |Immunity, Humoral/*drug effects/physiology [MESH]
  • |Macaca mulatta [MESH]
  • |Male [MESH]


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