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Ramsey, H; Pilat, N; Hock, K; Klaus, C; Unger, L; Schwarz, C; Baranyi, U; Gattringer, M; Schwaiger, E; Wrba, F; Wekerle, T.
Anti-LFA-1 or rapamycin overcome costimulation blockade-resistant rejection in sensitized bone marrow recipients.
Transpl Int. 2013; 26(2):206-218
Doi: 10.1111/tri.12021
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Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
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Baranyi Ulrike
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- Abstract:
- While costimulation blockade-based mixed chimerism protocols work well for inducing tolerance in rodents, translation to preclinical large animal/nonhuman primate models has been less successful. One recognized cause for these difficulties is the high frequency of alloreactive memory T cells (Tmem) found in the (pre)clinical setting as opposed to laboratory mice. In the present study, we therefore developed a murine bone marrow transplantation (BMT) model employing recipients harboring polyclonal donor-reactive Tmem without concomitant humoral sensitization. This model was then used to identify strategies to overcome this additional immune barrier. We found that B6 recipients that were enriched with 3 × 10(7) T cells isolated from B6 mice that had been previously grafted with Balb/c skin, rejected Balb/c BM despite costimulation blockade with anti-CD40L and CTLA4Ig (while recipients not enriched developed chimerism). Adjunctive short-term treatment of sensitized BMT recipients with rapamycin or anti-LFA-1 mAb was demonstrated to be effective in controlling Tmem in this model, leading to long-term mixed chimerism and donor-specific tolerance. Thus, rapamycin and anti-LFA-1 mAb are effective in overcoming the potent barrier that donor-reactive Tmem pose to the induction of mixed chimerism and tolerance despite costimulation blockade.
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Animals -
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Antibodies - metabolism
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Antibodies, Monoclonal - therapeutic use
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Bone Marrow Cells - cytology
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Bone Marrow Transplantation -
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CD40 Ligand - metabolism
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CTLA-4 Antigen - metabolism
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Chimerism -
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Enzyme-Linked Immunosorbent Assay -
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Flow Cytometry -
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Graft Rejection -
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Interferon-gamma - metabolism
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Lymphocyte Function-Associated Antigen-1 - immunology
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Mice -
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Mice, Inbred BALB C -
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Mice, Inbred C3H -
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Mice, Inbred C57BL -
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Sirolimus - therapeutic use
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Skin Transplantation -
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T-Lymphocytes - cytology
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Transplantation Tolerance -
- Find related publications in this database (Keywords)
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anti-LFA-1
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costimulation blockade
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mixed chimerism
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rapamycin
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T memory cells
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tolerance