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An "activated alloantigen-reactive T cell" refers to a T lymphocyte (either CD4+ or CD8+) that has been stimulated by exposure to foreign (non-self) antigens, especially MHC molecules present on transplanted tissues or cells. This activation plays a central role in the immune response against allografts, driving processes such as organ transplant rejection and graft-versus-host disease. The activated state is characterized by upregulation of specific cell surface markers (including CD69, CD25, CD71, and HLA-DR), secretion of pro-inflammatory cytokines (such as IFN-γ and TNFα), and proliferation. While drugs can suppress these T cell responses, this is typically achieved by targeting broader pathways in T cell activation, and there is no single "activated alloantigen-reactive T cell receptor" entity. This concept describes a functional and phenotypic state, not an individual molecular target.
Blockade of T cell activation (signal 1: TCR–MHC interaction, signal 2: co-stimulation) - T cell depletion - Cytokine pathway inhibition - Costimulatory blockade
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