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Transplant rejection occurs when the recipient's immune system attacks a transplanted organ or tissue, viewing it as foreign. This is primarily driven by T lymphocytes, which identify and destroy non-self cells based on surface molecules called antigens, specifically human leukocyte antigens (HLA). While cell-mediated responses cause rejection over time, pre-existing antibodies can lead to rapid rejection. To prevent this, immunosuppressant drugs are used, which inhibit the immune response. Corticosteroids are crucial, though they increase susceptibility to infection. Careful tissue typing to match donor and recipient antigens is vital for successful transplantation.

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