The Need for Inducing Tolerance in Vascularized Composite Allotransplantation

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The Need for Inducing Tolerance in Vascularized Composite Allotransplantation

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New Perspectives in Tolerance Induction for Vascularized Composite Allotransplantation

Although transplantation of Vascularized Composite Allografts (VCA) has become a clinical reality, complications resulting from long-term immunosuppression remain major barriers to broader indication. Ideally, induction of tolerance has been considered the Holy Grail in both solid organ and VCA transplantation. Recent advances in immunomodulatory medication and cell-based therapy exploiting don...

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Facial Vascularized Composite Tissue Allotransplantation

Reconstruction of severe composite defects of the face is challenging for reconstructive surgeons. Despite several reconstructive techniques, the functional and aesthetic results of these patients are not acceptable. As a major organ, face, has an utmost importance in daily life. The specific characteristics of face require not a reconstruction, but a replace with same tissue. With the evolutio...

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Split Rejection in Vascularized Composite Allotransplantation

INTRODUCTION Graft monitoring following vascularized composite allotransplantation (VCA) relies primarily on serial skin biopsy. However, given that VCA comprised multiple tissue types, skin biopsy may not accurately reflect rejection in other transplanted tissue. METHODS A review of the literature on episodes of both acute and chronic rejection following VCA was completed. Special attention ...

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Mouse Models of Experimental Vascularized Composite Allotransplantation

The clinical practice of vascularized composite allotransplantation (VCA) has been limited by the potential side effects of chronic immunosuppression. Studies using rodent models have been useful for dissecting mechanisms underlying immunological events induced by VCA and for developing protocols such as mixed chimerism for tolerance induction. Mouse models of VCA have great advantages over rat...

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ژورنال

عنوان ژورنال: Clinical and Developmental Immunology

سال: 2012

ISSN: 1740-2522,1740-2530

DOI: 10.1155/2012/438078