Found this from Mass. General Hospital, Boston
The Transplant Trick
"To deal with the problem, the thymus has a system whereby it destroys all T cells that target “self.” (Problems with this system can cause autoimmune diseases such as lupus and rheumatoid arthritis.)
Sachs is convinced that inducing mixed chimerism was an important step in achieving transplant success without immunosuppressants. But other researchers have doubts, though the results of their trials have done little to settle the debate. Some researchers have reported that chimeric patients have been unable to stop taking immunosuppressants, whereas others have reported that patients, without ever achieving chimerism, have gone off the drugs. Some
scientists even point to Sachs’s own trial as evidence that chimerism may not be the key to tolerance. Though all of his patients were initially chimeric, their chimerism disappeared after a few weeks. “So is chimerism really necessary to achieve tolerance? I find it more and more mystifying,” says Shapiro."
http://www.protomag.com/assets/organ-rejection-chimerism?page=4




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