Proteasome inhibition for antibody-mediated rejection

JJ Everly, RC Walsh, RR Alloway… - Current Opinion in …, 2009 - journals.lww.com
JJ Everly, RC Walsh, RR Alloway, ES Woodle
Current Opinion in Organ Transplantation, 2009journals.lww.com
Proteasome inhibition induces a complex series of biochemical events that results in
pleiotropic effects on multiple cell populations, and plasma cells in particular. Initial clinical
results have provided evidence that bortezomib effectively treats antibody-mediated
rejection and acute cellular rejection and reduces or eliminates donor-specific anti-human
leukocyte antigen antibody. Carefully designed clinical trials are needed to accurately define
the role of proteasome inhibition in transplant recipients.
Summary
Proteasome inhibition induces a complex series of biochemical events that results in pleiotropic effects on multiple cell populations, and plasma cells in particular. Initial clinical results have provided evidence that bortezomib effectively treats antibody-mediated rejection and acute cellular rejection and reduces or eliminates donor-specific anti-human leukocyte antigen antibody. Carefully designed clinical trials are needed to accurately define the role of proteasome inhibition in transplant recipients.
Lippincott Williams & Wilkins