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ATG administration very substantially reduces immune competence in patients with normal immune systems, through a combination of actions, some explicitly understood and some more hypothetical.
rATG in particular effects large reductions ( through cell lysis ) in the number of circulating T-lymphocytes, hence preventing ( or at least delaying ) the cellular rejection of transplanted organs.
However, medical opinion remains divided as to when the benefit of this profound reduction in T-cells outweighs the concomitant increased risks of infection and malignancy.

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