Irradiation before and donor splenocyte infusion immediately after transplantation induce tolerance to lung, but not heart allografts in miniature swine

作者: Wiebke Sommer , Gwen Buechler , Katharina Jansson , Murat Avsar , Ann-Kathrin Knöfel

DOI: 10.1111/TRI.12916

关键词:

摘要: Solid organs may differ in their potential to induce and maintain a state of donor-specific tolerance. Previously, we induced stable immunological tolerance lung transplantation model miniature swine. Here, wished transfer this established protocol into heart swine. Heterotopic (HTX) was performed four, left-sided (LTX) seven minipigs from gender SLA mismatched donors. All recipients received non-myeloablative irradiation, donor splenocyte infusion intravenous pharmacologic immunosuppression for 28 postoperative days. All transplanted hearts were rejected within 95 days. In contrast, four animals the LTX group developed surviving beyond 500 days, three further 119, 239 360 days post transplantation. both groups peripheral blood leukocyte chimerism peaked 1h after reperfusion allograft. Importantly, early level significantly higher compared HTX remained detectable throughout entire observation period. In conclusion, lungs vary with pre-operative recipient irradiation co-transplantation. This could be due differential levels passenger chimerism. This article is protected by copyright. rights reserved.

参考文章(33)
Maria Lucia L. Madariaga, Daniel Kreisel, Joren C. Madsen, Organ-specific differences in achieving tolerance Current Opinion in Organ Transplantation. ,vol. 20, pp. 392- 399 ,(2015) , 10.1097/MOT.0000000000000206
David M. Rothstein, Geoffrey Camirand, New insights into the mechanisms of Treg function Current Opinion in Organ Transplantation. ,vol. 20, pp. 376- 384 ,(2015) , 10.1097/MOT.0000000000000212
Karin Hock, Benedikt Mahr, Christoph Schwarz, Thomas Wekerle, Deletional and regulatory mechanisms coalesce to drive transplantation tolerance through mixed chimerism. European Journal of Immunology. ,vol. 45, pp. 2470- 2479 ,(2015) , 10.1002/EJI.201545494
Niloufar Safinia, Cristiano Scotta, Trishan Vaikunthanathan, Robert I. Lechler, Giovanna Lombardi, Regulatory T Cells: Serious Contenders in the Promise for Immunological Tolerance in Transplantation Frontiers in Immunology. ,vol. 6, pp. 438- 438 ,(2015) , 10.3389/FIMMU.2015.00438
M. J. O’Neil, E. C. Mannon, C. Leblang, I. A. Rosales, R. B. Colvin, D. H. Sachs, J. S. Allan, J. C. Madsen, Effects of Lung Cotransplantation on Cardiac Allograft Tolerance Across a Full Major Histocompatibility Complex Barrier in Miniature Swine American Journal of Transplantation. ,vol. 16, pp. 979- 986 ,(2016) , 10.1111/AJT.13489
CH. RENARD, B. KRISTENSEN, C. GAUTSCHI, V. HRUBAN, M. FREDHOLM, M. VAIMAN, Joint report of the first international comparison test on swine lymphocyte alloantigens (SLA) Animal Genetics. ,vol. 19, pp. 63- 72 ,(2009) , 10.1111/J.1365-2052.1988.TB00792.X
Bianca Kruse, Stefanie Thissen, Gregor Warnecke, Murat Avsar, Jens Gottlieb, Jens M. Hohlfeld, Johann H. Karstens, Volkhard Kaever, Florian Länger, Brigitte Pabst, Hendrik Ungefroren, Axel Haverich, Martin Strüber, Correlation of Donor Leukocyte Chimerism With Pulmonary Allograft Survival After Immunosuppressive Drug Withdrawal in a Porcine Model Transplantation. ,vol. 87, pp. 1468- 1477 ,(2009) , 10.1097/TP.0B013E3181A3C4CB
Rainer W.G. Gruessner, Brett K. Levay-Young, Raouf E. Nakhleh, Jeffry D. Shearer, Michele Dunning, Curtis M. Nelson, Angelika C. Gruessner, Portal donor-specific blood transfusion and mycophenolate mofetil allow steroid avoidance and tacrolimus dose reduction with sustained levels of chimerism in a pig model of intestinal transplantation. Transplantation. ,vol. 77, pp. 1500- 1506 ,(2004) , 10.1097/01.TP.0000128298.12937.B2
Roy Calne, Hugh Davies, Organ graft tolerance: the liver effect The Lancet. ,vol. 343, pp. 67- 68 ,(1994) , 10.1016/S0140-6736(94)90809-5