Dr. Alegre leads a research laboratory focused on T cell responses in the contexts of transplantation, autoimmunity, and cancer, with a strong foundation in mouse models and a growing emphasis on clinical translation. A primary focus of the lab is on T cell tolerance in transplantation and the ways in which infections and inflammatory events influence the induction and maintenance of that tolerance.
Dr. Alegre’s work has demonstrated that transplantation tolerance exists along a spectrum of robustness, depending on how many mechanisms of T cell tolerance are activated. Importantly, infections and inflammation can compromise these mechanisms and erode tolerance. This line of investigation has also revealed that bacterial infections not only impact transplant outcomes directly but also modulate immune responses through the microbiota. Dr. Alegre's team has shown that manipulating the microbiota can enhance graft survival, offering new therapeutic opportunities.
On the clinical side, Dr. Alegre has led studies examining the immunology of transplant recipients and patients infected with bacteria that influence transplant outcomes. In collaboration with other investigators, Dr. Alegre has extended this research to explore how the microbiota affects the responsiveness of melanoma patients to immunotherapy, bridging fundamental immunology with translational and clinical applications.
            University of Chicago
            Chicago, Illinois
             - Postdoctoral Research Fellowship in Immunology
            1998          
            Universite Libre de Bruxelles
            Brussels, Belgium
             - Clinical Intensive Care Fellowship
            1995          
            Universite Libre de Bruxelles
            Brussels, Belgium
            PhD - Medical Sciences
            1994          
            University of Chicago
            Chicago, Illinois
            PhD - Immunology
            1993          
            Universite Libre de Bruxelles
            Brussels, Belgium
             - Clinical Internal Medicine training
            1989          
            Universite Libre de Bruxelles
            Brussels, Belgium
            MD - Medicine
            1985          
            Universite Libre de Bruxelles
            Brussels, Belgium
            BS - Science
            1981          
            Best practices of heart transplantation in mice.
            Best practices of heart transplantation in mice. Am J Transplant. 2025 Apr 17.
            PMID: 40252924
          
            Liver-targeted allergen immunotherapy rapidly and safely induces antigen-specific tolerance to treat allergic airway disease in mice.
            Liver-targeted allergen immunotherapy rapidly and safely induces antigen-specific tolerance to treat allergic airway disease in mice. Sci Transl Med. 2025 Apr 16; 17(794):eadl0406.
            PMID: 40238914
          
            CAR Treg synergy with anti-CD154 promotes infectious tolerance and dictates allogeneic heart transplant acceptance.
            CAR Treg synergy with anti-CD154 promotes infectious tolerance and dictates allogeneic heart transplant acceptance. JCI Insight. 2025 Apr 08; 10(7).
            PMID: 40197364
          
            Delivery of butyrate to the lower gut by polymeric micelles prolongs survival of distal skin allografts.
            Delivery of butyrate to the lower gut by polymeric micelles prolongs survival of distal skin allografts. Am J Transplant. 2025 Apr; 25(4):695-705.
            PMID: 39566659
          
            CAR Treg synergy with anti-CD154 mediates infectious tolerance to dictate heart transplant outcomes.
            CAR Treg synergy with anti-CD154 mediates infectious tolerance to dictate heart transplant outcomes. bioRxiv. 2024 Oct 28.
            PMID: 39386649
          
            Contribution of tryptophan and its metabolites to transplant outcome: a mini-review.
            Contribution of tryptophan and its metabolites to transplant outcome: a mini-review. Front Immunol. 2024; 15:1395421.
            PMID: 39474416
          
            Pregnancy dedifferentiates memory CD8+ T cells into hypofunctional cells with exhaustion-enriched programs.
            Pregnancy dedifferentiates memory CD8+ T cells into hypofunctional cells with exhaustion-enriched programs. JCI Insight. 2024 May 21; 9(13).
            PMID: 38771643
          
            Coordinated elimination of bacterial taxa optimally attenuates alloimmunity and prolongs allograft survival.
            Coordinated elimination of bacterial taxa optimally attenuates alloimmunity and prolongs allograft survival. Am J Transplant. 2024 Sep; 24(9):1573-1582.
            PMID: 38519004
          
            Tiny heroes: Microbiota-modified bile acid metabolites protect against drug-induced gut damage.
            Tiny heroes: Microbiota-modified bile acid metabolites protect against drug-induced gut damage. Am J Transplant. 2024 Jul; 24(7):1105-1107.
            PMID: 38508318
          
            Low-affinity CD8+ T cells provide interclonal help to high-affinity CD8+ T cells to augment alloimmunity.
            Low-affinity CD8+ T cells provide interclonal help to high-affinity CD8+ T cells to augment alloimmunity. Am J Transplant. 2024 Jun; 24(6):933-943.
            PMID: 38228228
          
            Elected Council Member
            American Association of Immunologists
            2023 - 2030          
            Named Distinguished Fellow
            American Association of Immunologists
            2023          
            Associate Editor
            Journal of Clinical Investigation
            2022 - 2027          
            Elected Fellow
            American Association for the Advancement of Science
            2022          
            International Lecturer Chaire Francqui-Collen
            Vrijje Universiteit Brussels 
            2021          
            Member, CMIB study section (renamed AI in 2024)
            NIH
            2021 - 2025          
            Chair, Nominations Committee
            American Association of Immunologists
            2020 - 2021          
            Elected to AAP
            Association of American Physicians (AAP)
            2020          
            Elected Fellow
            American Society of Transplantation
            2020          
            Established Investigator Award
            American Society of Transplantation
            2019          
            Paul S. Russell Visiting Professor
            Massachusetts General Hospital and Harvard Medical School
            2018          
            Chair, Community of Basic Scientists
            American Society of Transplantation
            2016 - 2018          
            Section Editor
            American Journal of Transplantation
            2014 - 2020          
            Chair
            Autumn Immunology Conference
            2013          
            Member, AITC study section
            NIH
            2012 - 2018          
            Basic Science Investigator Award
            American Society of Transplantation
            2011          
            Board of Directors
            Autumn Immunology Conference
            2009 - 2014          
            Board of Directors
            American Society of Transplantation
            2009 - 2012          
            Leif B. Sorenson Faculty Research Award
            The University of Chicago
            2008          
            Section Editor
            The Journal of Immunology
            2007 - 2011          
            Member, TTT study section
            NIH
            2006 - 2009          
            Elected
            American Aociety for Clinical Investigation (ASCI)
            2006          
            Basic Science Career Development Award
            American Society of Transplantation
            2005          
            Best PhD Dissertation
            The University of Chicago
            1994          
            Intensive Care Competence Summa Cum Laude
            Universite Libre de Bruxelles
            1994          
            MD Summa Cum Laude
            Universite Libre de Bruxelles
            1985          
