Abstract
Background. Endocrine allografts are an option for the treatment of endocrine failure. Methods. One lobe of the thyroid was transplanted under the kidney capsule. Results. C57BL/10 (H2b) thyroids were rejected in naive CBA (H2k) mice within 14 days after transplantation. When mice were treated with anti-CD4
monoclonal antibodies (mAb), all grafts survived for more than 60 days. The first
grafts still survived after second C57BL/10 or Balb/c (H2d) thyroid grafts that were transplanted into the same recipients were rejected acutely,
which suggests that the primary grafts were modified under anti-CD4 mAb treatment.
To confirm this hypothesis, C57BL/10 thyroid grafts from anti-CD4 mAb-treated mice
were retransplanted. All grafts survived in naive mice; this correlated with the overexpression
of heme oxygenase-1 (HO-1) in the grafts. Next, an inhibitor of HO-1 (zinc protoporphyrin)
or control compound (copper protoporphyrin) was injected intraperitoneally after transplantation
of C57BL/10 thyroid grafts into the primary CBA recipients that had been treated with
anti-CD4 mAb. The grafts in mice that had been treated with zinc protoporphyrin, but
not copper protoporphyrin, were rejected when retransplanted to naive recipients.
Conclusions. Overexpression of HO-1 correlated with the protection of fully allogeneic thyroid
grafts from rejection when retransplanted into naive recipients. (Surgery 2000;128:910-7.)
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References
- A randomized trial comparing double-drug and triple drug therapy in primary cadaveric renal transplants.Transplantation. 1990; 50: 43-49
- Risk of neoplasia in renal transplant patients.Lancet. 1995; 346: 403-406
- Monoclonal antibodies to promote marrow engraftment and tissue graft tolerance.Nature. 1986; 323: 164-166
- Results of heart transplantation in mice.in: Organ transplantation in rats and mice. : Springer, Berlin1998: 637-647
- Assessment of primarily vascularized cardiac allografts in mice.Transplantation. 1986; 42: 226-227
- The effect of anti-L3T4 monoclonal antibody treatment on first-set rejection of murine cardiac allografts.Transplantation. 1987; 44: 849-852
- T cell subsets and the recognition of MHC class.Immunol Rev. 1983; 74: 129-142
- Identification of a CD4 binding site on the *2 domain of HLA-DR molecules.Nature. 1992; 356: 799-801
- Therapy with monoclonal antibodies by elimination of T-cell subsets in vivo.Nature. 1984; 312: 548-551
- Prolonged survival of nonhuman primate renal allograft recipients treated with only anti-CD4 monoclonal antibody.Surgery. 1990; 108: 406-413
- CD4: a potential target molecule for immunosuppressive therapy and tolerance induction.Transplant Rev. 1991; 5: 150-164
- Islet allograft survival after a single course of treatment of recipients with antibody to L3T4.Science. 1987; 237: 278-280
- Skin allograft rejection by L3T4+ and LYT-2+ T cell subsets.Transplantation. 1986; 41: 634-639
- Manipulation of T-cell responses with monoclonal antibodies.Annu Rev Immunol. 1989; 7: 407-444
- Evidence that long-term cardiac allograft survival induced by anti-CD4 monoclonal anti-body does not require depletion of CD4 + T cells.Transplantation. 1992; 54: 483-490
- Accommodation of vascularized xenografts: Expression of “protective gene” by donor endothelial cells in a host T H2 cytokine environment.Nature Med. 1997; 3: 196-204
- Expression of heme oxygenase-1 can determine cardiac xenograft survival.Nat Med. 1998; 4: 1073-1077
- Bcl-2 and Bcl-XL serve an anti-inflammatory function in endothelial cells through inhibition of NF-kappaB.J Clin Invest. 1999; 103: 543-553
- A20 inhibits cytokine-induced apoptosis and nuclear factor kappaB-dependent gene activation in islets.J Exp Med. 1999; 190: 1135-1146
- The heme oxygenase-carbon monoxide system: a regulator of hepatobiliary function.Hepatology. 2000; 31: 3-6
- Stress protein-induced immunosuppression: inhibition of cellular immune effector functions following overexpression of haem oxygenase (HSP 32).Transpl Immunol. 1998; 6: 84-93
- Antibody-induced transplant arteriosclerosis is prevented by graft expression of anti-oxidant and anti-apoptotic genes.Nat Med. 1998; 4: 1392-1396
- Gene transfer of immunomodulatory peptides correlates with heme oxygenase-1 induction and enhanced allograft survival.Transplantation. 2000; 69: 120-128
- Oxidant stress leads to transcriptional activation of the human heme oxygenase gene in cultured skin fibroblasts.Mol Cell Biol. 1990; 10: 4967-4969
- Induction of heme oxygenase: a general response to oxidant stress in cultured mammalian cells.Cancer Res. 1991; 51: 974-978
Article info
Footnotes
*Reprint requests: Masanori Niimi, MD, PhD, First Department of Surgery, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan.
**Surgery 2000;128:910-7.
Identification
Copyright
© 2000 Mosby, Inc. Published by Elsevier Inc. All rights reserved.