Figure 1 Potential strategy for belatacept-based immunosuppression in de novo kidney transplant recipients Figure 1 | Potential strategy for belatacept-based immunosuppression in de novo kidney transplant recipients. a | De novo belatacept therapy is associated with an increased incidence of early post-transplantation, low-grade acute rejection. b | An alternative strategy that could potentially avoid early episodes of acute rejection is to use standard tacrolimus-based therapy for the first 3 months post-transplantation and then gradually introduce belatacept and everolimus while weaning off tacrolimus and mycophenolate mofetil, respectively. This strategy is currently being tested in kidney transplant recipients. ATG, rabbit antithymocyte globulin. Malvezzi, P. & Rostaing, L. (2017) Novel approaches to improve recipient and allograft outcomes Nat. Rev. Nephrol. doi:10.1038/nrneph.2016.190