异种移植免疫抑制方案研究进展与临床挑战OA
Research progress and clinical challenges in immunosuppressive regimens for xenotransplantation
异种移植作为解决器官供者来源短缺的重要策略,近年来随着基因修饰技术和免疫抑制方案的不断优化,在临床前和临床研究中取得了显著进展,但在临床应用中仍然面临诸多挑战,包括排斥反应、感染风险等,这些都影响着移植物的长期存活.免疫抑制方案在异种移植中的重要性愈发凸显.因此,本文就异种移植免疫排斥反应机制、异种移植免疫抑制方案的最新研究进展、诱导免疫耐受的前沿策略以及异种移植临床应用中面临的主要挑战进行综述,探讨未来优化策略和临床研究方向,旨在为临床异种移植的安全有效应用提供理论依据和实践指导.
As a pivotal strategy to alleviate the shortage of organ donors,xenotransplantation has achieved remarkable advances in both pre-clinical and clinical studies in recent years,driven by continuous optimization of gene modification techniques and immunosuppressive regimens.Nevertheless,clinical translation still confronts formidable challenges,including rejection and heightened infection risks,which severely compromise long-term graft survival.Consequently,the role of immunosuppressive regimens in xenotransplantation has become increasingly prominent.This article summarizes the mechanisms underlying xenogeneic immune rejection,the latest developments in immunosuppressive regimens,cutting-edge strategies for inducing immune tolerance and the major hurdles facing clinical xenotransplantation.It delves into potential optimization strategies and directions for future clinical research,aiming to offer theoretical insights and practical guidance for the safe and effective application of clinical xenotransplantation.
张宇;王崑;朱许源;陈羽翔;李涛;马晓杰;蒋鸿涛
570100 海口,海南医科大学第二附属医院肾移植科||570100 海口,海南医科大学第二附属医院康复治疗科570100 海口,海南医科大学第二附属医院肾移植科||570100 海口,海南医科大学第二附属医院康复治疗科570100 海口,海南医科大学第二附属医院肾移植科||570100 海口,海南医科大学第二附属医院康复治疗科570100 海口,海南医科大学第二附属医院康复治疗科570100 海口,海南医科大学第二附属医院康复治疗科570100 海口,海南医科大学第二附属医院康复治疗科570100 海口,海南医科大学第二附属医院肾移植科||570100 海口,海南医科大学第二附属医院康复治疗科
医药卫生
异种移植排斥反应感染基因修饰免疫抑制免疫诱导免疫耐受免疫检查点抑制剂基因治疗
XenotransplantationRejectionInfectionGene modificationImmunosuppressionImmune inductionImmune toleranceImmune-checkpoint inhibitorGene therapy
《器官移植》 2026 (1)
28-35,8
国家重点研发计划(2024YFC3406800)国家自然科学基金(82460153、82400891)海南省卫生健康科技创新联合项目(WSJK2025MS163)海南省级博士研究生创新课题(Qhyb2023-179、Qhys2023-430)海南省优秀人才团队建设项目
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