Review Article

Immunomodulatory Role of Mesenchymal Stem Cell Therapy in Vascularized Composite Allotransplantation

Table 2

The Banff 2007 working classification of skin-containing composite tissue allograft pathology [39].

Banff GradeRejection severityHistopathological features

0No rejectionNo or rare inflammatory infiltrates
1MildMild perivascular infiltration and no involvement of the overlying epidermis
2ModerateModerate-to-severe perivascular inflammation with or without mild epidermal and/or adnexal involvement
No epidermal dyskeratosis or apoptosis
3SevereDense inflammation and epidermal involvement with epithelial apoptosis, dyskeratosis, and/or keratinolysis
4Necrotizing acute rejectionFrank necrosis of epidermis or other skin structures