CD40-ligand in primate cardiac allograft and viral immunity.

Abstract:

:Our laboratory has studied the role of CD40 ligand (CD40L, CD154) in the primate immune response to allogenic and infectious challenges. We find that intensive early blockade of CD40L reliably attenuates acute rejection of primate cardiac allografts. Monotherapy fails to prevent late graft loss, which often occurs in association with rising antidonor antibody titers and allograft vasculopathy, despite continuing anti-CD40L therapy. In contrast, the primary humoral response to T helper dependent influenza viral antigen is inhibited during anti-CD40L therapy, and responses to subsequent immunization are blunted after discontinuation of therapy. These results are encouraging with regard to the tolerogenic potential of costimulatory blockade for specific T helper dependent antigens. However, these findings also indicate that pathogenic allograft responses in primates are probably not entirely CD40L-dependent. As such, additional immunomodulatory strategies are needed to facilitate tolerance to a transplanted organ.

journal_name

Immunol Res

journal_title

Immunologic research

authors

Pierson RN 3rd,Crowe JE Jr,Pfeiffer S,Atkinson J,Azimzadeh A,Miller GG

doi

10.1385/IR:23:2-3:253

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

253-62

issue

2-3

eissn

0257-277X

issn

1559-0755

pii

IR:23:2-3:253

journal_volume

23

pub_type

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