Improving the Safety of Tolerance Induction: Chimerism and Cellular Co-Treatment Strategies Applied to Vascularized Composite Allografts

Although vascularized composite allografts (VCAs) have been performed clinically for a variety of indications, potential complications from long-term immunosuppression and graft-versus-host disease remain important barriers to widespread applications. Recently it has been demonstrated that VCAs inco...

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Main Authors: Wei-Chao Huang, Jeng-Yee Lin, Christopher Glenn Wallace, Fu-Chan Wei, Shuen-Kuei Liao
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2012/107901
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author Wei-Chao Huang
Jeng-Yee Lin
Christopher Glenn Wallace
Fu-Chan Wei
Shuen-Kuei Liao
author_facet Wei-Chao Huang
Jeng-Yee Lin
Christopher Glenn Wallace
Fu-Chan Wei
Shuen-Kuei Liao
author_sort Wei-Chao Huang
collection DOAJ
description Although vascularized composite allografts (VCAs) have been performed clinically for a variety of indications, potential complications from long-term immunosuppression and graft-versus-host disease remain important barriers to widespread applications. Recently it has been demonstrated that VCAs incorporating a vascularized long bone in a rat model provide concurrent vascularized bone marrow transplantation that, itself, functions to establish hematopoietic chimerism and donor-specific tolerance following non-myeloablative conditioning of recipients. Advances such as this, which aim to improve the safety profile of tolerance induction, will help usher in an era of wider clinical VCA application for nonlife-saving reconstructions.
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institution Kabale University
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publishDate 2012-01-01
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series Clinical and Developmental Immunology
spelling doaj-art-70e61f3482c54d49a315f57bd203d0762025-02-03T06:42:10ZengWileyClinical and Developmental Immunology1740-25221740-25302012-01-01201210.1155/2012/107901107901Improving the Safety of Tolerance Induction: Chimerism and Cellular Co-Treatment Strategies Applied to Vascularized Composite AllograftsWei-Chao Huang0Jeng-Yee Lin1Christopher Glenn Wallace2Fu-Chan Wei3Shuen-Kuei Liao4Division of Plastic and Reconstructive Surgery, Tzu Chi General Hospital, New Taipei 231, TaiwanGraduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan 333, TaiwanDepartment of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taoyuan 333, TaiwanDepartment of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taoyuan 333, TaiwanGraduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan 333, TaiwanAlthough vascularized composite allografts (VCAs) have been performed clinically for a variety of indications, potential complications from long-term immunosuppression and graft-versus-host disease remain important barriers to widespread applications. Recently it has been demonstrated that VCAs incorporating a vascularized long bone in a rat model provide concurrent vascularized bone marrow transplantation that, itself, functions to establish hematopoietic chimerism and donor-specific tolerance following non-myeloablative conditioning of recipients. Advances such as this, which aim to improve the safety profile of tolerance induction, will help usher in an era of wider clinical VCA application for nonlife-saving reconstructions.http://dx.doi.org/10.1155/2012/107901
spellingShingle Wei-Chao Huang
Jeng-Yee Lin
Christopher Glenn Wallace
Fu-Chan Wei
Shuen-Kuei Liao
Improving the Safety of Tolerance Induction: Chimerism and Cellular Co-Treatment Strategies Applied to Vascularized Composite Allografts
Clinical and Developmental Immunology
title Improving the Safety of Tolerance Induction: Chimerism and Cellular Co-Treatment Strategies Applied to Vascularized Composite Allografts
title_full Improving the Safety of Tolerance Induction: Chimerism and Cellular Co-Treatment Strategies Applied to Vascularized Composite Allografts
title_fullStr Improving the Safety of Tolerance Induction: Chimerism and Cellular Co-Treatment Strategies Applied to Vascularized Composite Allografts
title_full_unstemmed Improving the Safety of Tolerance Induction: Chimerism and Cellular Co-Treatment Strategies Applied to Vascularized Composite Allografts
title_short Improving the Safety of Tolerance Induction: Chimerism and Cellular Co-Treatment Strategies Applied to Vascularized Composite Allografts
title_sort improving the safety of tolerance induction chimerism and cellular co treatment strategies applied to vascularized composite allografts
url http://dx.doi.org/10.1155/2012/107901
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