Concepedia

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transplantation

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Genetic Immunology of Transplantation

1957 - 1963

During 1957-1963, transplantation research coalesced around an immunobiological framework in which host–graft interactions, isoantibody effects, and irradiation-modulated immune responses shaped rejection pathways. Genetic identity and relatedness emerged as decisive determinants of survival, demonstrated by twin and sibling grafts, guiding early donor matching concepts. Clinically, surgical case-series combined with immunosuppressive strategies and supportive hematopoietic manipulations to extend graft function, while skin graft studies served as accessible models for dissecting immunity and tolerance.

Immunobiology of transplantation emerged as a central theme, integrating passive transfer experiments, isoantibody effects, delayed-type hypersensitivity, and irradiation-modulated immunity to map host–graft rejection pathways. [6] [10] [13] [11]

Genetic identity and relatedness dictated early graft outcomes, with kidney transplants between identical twins, siblings, and twin pairs illustrating compatibility-driven survival and the viability of homografts. [2] [1] [7] [17] [18] [5]

Clinical evolution toward durable graft function combined surgical case-series with immunosuppressive strategies and problem-solving in six-member renal homograft experiences. [16] [15] [14] [3]

Hematopoietic/immune system manipulation emerged as a strategy to support transplantation, via bone marrow infusion and lymphoid cell transfers in irradiated and non-irradiated contexts. [4] [12] [9] [11]

Skin grafts and isoantibody studies served model systems for dissecting transplantation immunity and tolerance, providing mechanistic insights applicable to broader organ transplantation. [10] [13] [9] [19]

Immunosuppression and Histocompatibility

1964 - 1975

Calcineurin Immunosuppression Era

1976 - 1982

Transplantation Immunoregulation Era

1983 - 1989

Tolerance Induction and Costimulation

1990 - 2002

Antibody-Mediated Rejection Paradigm

2003 - 2009

Costimulation-Blockade Immunosuppression

2010 - 2016

Immunomodulated Normothermic Transplantation

2017 - 2024