ABSTRACT

E ndothelial cells forming the interface between donor and recipient are the first donor cells to be recognized by the host s immune system. This fact plus the observation that they are highly responsive to cytokines and express numerous molecules which interact with ligands on lymphocytes (Tables 3 .1 ,3 .2) has stimulated much research into their precise role in transplant rejection. It is our view that endothelial cells are pivotal both in controlling the egress of inflamma­ tory cells into the allografted organ but also as specific antigen presenting cells, by present­ ing foreign molecules to the immune (Fig. 3.1).