Review Article

Improving the Safety of Tolerance Induction: Chimerism and Cellular Co-Treatment Strategies Applied to Vascularized Composite Allografts

Table 1

Methods of tolerance induction for VCA listed chronologically.

Methods Induction pathway

ChimerismBone marrow transplantation
Vascularized bone grafts
T cell depletion ATG, OKT3 mAb, Campath-1H (CD52) mAb, TCR/ TCR mAb
Costimulation blockadeCD154, CD28, and/or CD40 mAbs, B7 ligand, CTLA-4 Ig (fusion protein)
Donor dendritic cellIn vitro manipulation followed by intravenous infusion
Mesenchymal stem cellEx vivo expansion followed by intravenous infusion
Regulatory T cell In vivo induction followed by intravenous infusion