Concept
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