Figure 2.
The host immune response and regenerative medicine. (A) Direct allorecognition occurs by cytotoxic T cells (Tc cells) recognizing and eliminating allogeneic donor cells, while indirect allorecognition occurs by helper T cells (Th cells) recognizing donor antigens taken up and displayed by host antigen-presenting cells. (B) Implanted biomaterials can provoke a foreign body reaction resulting in the formation of a fibrous capsule containing both macrophages and foreign body giant (FBG) cells. (C) An example of immune evasion, in which transgene expression and CRISPR/Cas9 are used to generate hypoimmunogenic hiPSCs with upregulated CD47 but neither class of MHC (B2m-/- and Ciita-/-). (D) An example of immune modulation, in which ECM-derived biomaterials recruit T helper 2 cells (Th2 cells), which secrete cytokines that can polarize macrophages to an M2-like phenotype. In turn, these alternatively-activated macrophages secrete cytokines that sustain Th2 cell activation.