RT Journal Article SR Electronic T1 Optimising long-term graft survival: establishing the benefit of targeting B lymphocytes JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP s84 OP s88 DO 10.7861/clinmedicine.14-6-s84 VO 14 IS Suppl 6 A1 Kin Yee Shiu A1 Anthony Dorling YR 2014 UL http://www.rcpjournals.org/content/14/Suppl_6/s84.abstract AB Kidney transplants do not last for the natural lifespan of most recipients. Of the reasons why transplants fail, damage by the immune system is the commonest cause. Understanding how the immune system recognises transplanted organs has increased significantly in recent years, but there is little insight into how organs are damaged, and no still no way of suppressing immune-mediated damage without exposing patients to the detrimental effects of long-term immunosuppression. In this article, we review the role of antibodies and B cells in immune-mediated damage of kidney transplants, and discuss the potential for manipulation of B cells to improve clinical outcomes.