Checkpoint Inhibitors in Kidney Transplant Recipients and the Potential Risk of Rejection

Mohamed M. Ibrahim, Tarek Alhamad

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

The immune system utilizes checkpoints to maintain self-tolerance or to prevent collateral tissue damage during an immune response. The immune system recognizes and eliminates cancer cells; however, cancers can develop multiple strategies to suppress this immune response. Cancers can alter the normal control mechanisms used to enforce peripheral self-tolerance, such as cytotoxic T-lymphocyte-associated protein 4 (CTLA4)-mediated suppression by regulatory T cells. They can also mitigate chronic inflammation through programmed cell death protein-1 (PD1)-mediated exhaustion of antitumor cytotoxic T lymphocytes.

Original languageEnglish
Title of host publicationComplications in Kidney Transplantation
Subtitle of host publicationA Case-Based Guide to Management
PublisherSpringer International Publishing
Pages225-230
Number of pages6
ISBN (Electronic)9783031135699
ISBN (Print)9783031135682
DOIs
StatePublished - Jan 1 2022

Keywords

  • Allograft rejection
  • Checkpoint inhibitors
  • Kidney transplantation

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