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Anti-T lymphocyte immunoglobulin (also known as antithymocyte globulin or ATG) is a polyclonal antibody preparation obtained from the serum of animals (typically rabbits or horses) immunized with human T lymphocytes or thymocytes. It acts as a potent immunosuppressive agent primarily by depleting circulating T cells through complement-dependent cytotoxicity, antibody-dependent cellular cytotoxicity, and apoptosis. It is widely used in conditioning regimens prior to allogeneic hematopoietic stem cell transplantation (HSCT) to prevent graft-versus-host disease (GVHD) and graft rejection, as well as in solid organ transplantation for the prevention and treatment of acute rejection, and in the treatment of severe aplastic anemia.
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