Evidence that functional deletion of donor-reactive T lymphocytes in kidney allograft recipients can occur at the level of cytotoxic T cells, IL-2-producing T cells, or both. A limiting dilution study.

Abstract:

:The frequencies of circulating donor-reactive cytotoxic lymphocyte precursors (CLP) and Il-2-producing helper lymphocyte precursors (HLP) were determined by limiting dilution analysis in 19 kidney allograft recipients before and at various intervals (up to 2 years) after transplantation. A significant, selective, and stable reduction of the frequencies of donor-reactive (but not of third party-reactive) CLP and/or HLP was observed in some patients beginning 3 to 6 months after transplantation. One patient developed reduced frequency of CLP only, 3 patients reduced frequencies of HLP only, and 2 patients reduced frequencies of both CLP and HLP. The selective reduction of donor-reactive CLP and/or HLP frequencies ranged from 5-25-fold when compared with the pretransplantation level and was associated with stable graft function. These data indicate that functional deletion of circulating donor-reactive T cells can occur at the level of cytotoxic T lymphocytes, Il-2-producing helper T lymphocytes, or both. Implications of these findings for the individualization of immunosuppressive regimens will be discussed.

journal_name

Transplantation

journal_title

Transplantation

authors

Zanker B,Jooss-Rüdiger J,Franz HE,Wagner H,Kabelitz D

doi

10.1097/00007890-199309000-00025

subject

Has Abstract

pub_date

1993-09-01 00:00:00

pages

628-32

issue

3

eissn

0041-1337

issn

1534-6080

journal_volume

56

pub_type

杂志文章
  • Activation of autoimmune B cells and chronic rejection.

    abstract::Allotransplantation into immunosuppressed individuals results in long-term survival of grafts. However, the grafts are damaged, probably at many stages before, during and after implantation. The hypothesis to be presented is that release of antigens and autoantigens from the chronically damaged graft results in breaki...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.tp.0000153294.38939.5f

    authors: Rose ML

    更新日期:2005-02-15 00:00:00

  • Impact of Tacrolimus Compared With Cyclosporin on the Incidence of Acute Allograft Rejection in Human Immunodeficiency Virus-Positive Kidney Transplant Recipients.

    abstract:BACKGROUND:Kidney transplantation (KT) of human immunodeficiency virus (HIV)-positive patients has transformed the management of end-stage kidney disease in this population. Although favourable outcomes have been reported, patients experience high rates of acute allograft rejection (AR). We examined factors associated ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000879

    authors: Gathogo E,Harber M,Bhagani S,Levy J,Jones R,Hilton R,Davies G,Post FA,UK HIV Kidney Transplantation Study Group.

    更新日期:2016-04-01 00:00:00

  • Sequential antilymphoblast globulin and cyclosporine for renal transplantation.

    abstract::The nephrotoxic effects of cyclosporine (CsA) seem to be augmented by co-existing renal injury. A high rate of prolonged delayed function (acute tubular necrosis [ATN]) and non-function (NF) has been associated with the use of CsA prior to and following renal transplantation. Cyclosporine has also been associated with...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198701000-00019

    authors: Sommer BG,Henry M,Ferguson RM

    更新日期:1987-01-01 00:00:00

  • Sotrastaurin (AEB071) alone and in combination with cyclosporine A prolongs survival times of non-human primate recipients of life-supporting kidney allografts.

    abstract:BACKGROUND:Sotrastaurin (STN), a novel oral protein kinase C inhibitor that inhibits early T-cell activation, was assessed in non-human primate recipients of life-supporting kidney allografts. METHODS:Cynomolgus monkey recipients of life-supporting kidney allografts were treated orally with STN alone or in combination...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31823cf92f

    authors: Bigaud M,Wieczorek G,Beerli C,Audet M,Blancher A,Heusser C,Morris RE,Wagner J

    更新日期:2012-01-27 00:00:00

  • Bcl-2 protection of islet allografts is unmasked by costimulation blockade.

    abstract::One major limitation in pancreatic islet transplantation is availability of donor tissue. Donor shortage is exacerbated by islet apoptosis from the stresses of islet isolation and transplantation. Furthermore, the side effects of immunosuppressive drugs preclude transplants into patients whose diabetes is controlled b...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000132283.95107.9c

    authors: Sutherland RM,Allison J,Thomas HE,Brady JL,Kay TW,Lew AM

    更新日期:2004-05-27 00:00:00

  • Role of the thymus in transplantation tolerance in miniature swine: V. Deficiency of the graft-to-thymus pathway of tolerance induction in recipients of cardiac transplants.

    abstract:BACKGROUND:We have previously shown that both thymic immigrants (graft to thymus pathway) and thymic emigrants (thymus to graft pathway) are involved in tolerance to renal allografts in miniature swine treated with a short course of calcineurin inhibitors. This study investigates the role of these pathways in cardiac t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000198735.17555.f1

    authors: Yamamoto S,Teranishi K,Kamano C,Samelson-Jones E,Arakawa H,Nobori S,Okumi M,Houser S,Shimizu A,Sachs DH,Yamada K

    更新日期:2006-02-27 00:00:00

  • Conversion from tacrolimus to cyclosporin in stable renal transplant patients: safety, metabolic changes, and pharmacokinetic comparison.

    abstract:BACKGROUND:Conversion from tacrolimus to cyclosporin has not previously been reported as routine clinical practice, but only as indicated by rejection or adverse effects. METHODS:The safety and metabolic outcome of elective conversion from tacrolimus to cyclosporin was examined in 19 recipients of cadaver renal transp...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Higgins RM,Hart P,Lam FT,Kashi H

    更新日期:2000-07-15 00:00:00

  • Inhibition of inducible nitric oxide synthase ameliorates functional and histological changes of acute lung allograft rejection.

    abstract:BACKGROUND:We recently demonstrated that inhibition of inducible nitric oxide synthase (iNOS) ameliorated severe acute lung allograft rejection. This study used a rat lung transplant model to determine (1) the time course and cellular localization of iNOS expression during the histological progression of unmodified acu...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199704270-00008

    authors: Worrall NK,Boasquevisque CH,Botney MD,Misko TP,Sullivan PM,Ritter JH,Ferguson TB Jr,Patterson GA

    更新日期:1997-04-27 00:00:00

  • Monocyte-derived dendritic cell precursors facilitate tolerance to heart allografts after total lymphoid irradiation.

    abstract:BACKGROUND:Previous studies have shown that posttransplant total lymphoid irradiation, anti-thymocyte globulin, and an intravenous donor blood cell infusion induce tolerance to ACI heart allografts in Lewis rat hosts. METHODS:In the current study, fresh ACI monocytes and dendritic cell precursors, derived from short-t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199811270-00004

    authors: Hayamizu K,Huie P,Sibley RK,Strober S

    更新日期:1998-11-27 00:00:00

  • Absorption of shed I-Ak and H-2Kk antigens by lymphoid cells.

    abstract::The fate of cell surface I-Ak and H-2Kk antigens shed by murine spleen cells in culture was studied by incubation of nonlabeled spleen cells or splenic T or B cells with culture fluids containing shed radiolabeled alloantigens. Approximately 30 to 40% of the shed alloantigens could be absorbed by syngeneic or allogene...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198201000-00008

    authors: Emerson SG,Cone RE

    更新日期:1982-01-01 00:00:00

  • Cytomegalovirus disease is not a major risk factor for ischemic heart disease after renal transplantation.

    abstract:BACKGROUND:It has been suggested that cytomegalovirus infection increases the risk of ischemic heart disease. Both cytomegalovirus and ischemic heart disease are common after renal transplantation, suggesting a possible causal association in this population. METHODS AND PATIENTS:We studied 1004 consecutive renal trans...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200110270-00011

    authors: Hernández D,Hanson E,Kasiske MK,Danielson B,Roel J,Kasiske BL

    更新日期:2001-10-27 00:00:00

  • Outcomes After Declining Increased Infectious Risk Kidney Offers for Pediatric Candidates in the United States.

    abstract:BACKGROUND:Kidneys from infectious risk donors (IRD) confer substantial survival benefit in adults, yet the benefit of IRD kidneys to pediatric candidates remains unclear in the context of high waitlist prioritization. METHODS:Using 2010-2016 Scientific Registry of Transplant Recipients data, we studied 2417 pediatric...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0000000000002674

    authors: Bowring MG,Jackson KR,Wasik H,Neu A,Garonzik-Wang J,Durand C,Desai N,Massie AB,Segev DL

    更新日期:2019-12-01 00:00:00

  • Randomized trial comparing late concentration-controlled calcineurin inhibitor or mycophenolate mofetil withdrawal.

    abstract:BACKGROUND:Early calcineurin inhibitor (CNI) withdrawal with mycophenolate mofetil (MMF) has not become routine practice, due to concerns about excess acute rejection. Therapeutic drug monitoring may be advantageous when the CNI or MMF is withdrawn. METHODS:This prospective, randomized, concentration-controlled withdr...

    journal_title:Transplantation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/TP.0b013e31824ad60a

    authors: Mourer JS,Hartigh Jd,van Zwet EW,Mallat MJ,Dubbeld J,de Fijter JW

    更新日期:2012-05-15 00:00:00

  • Immune privilege in the testis. I. Basic parameters of allograft survival.

    abstract::The fate of solid tissue allografts--skin or parathyroid glands--implanted in the interstitial tissue of the testis was investigated using inbred rats. The results affirm that the testis is an immunologically privileged site despite its efficient lymphatic drainage. Skin allografts survived at least several days longe...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198310000-00014

    authors: Head JR,Neaves WB,Billingham RE

    更新日期:1983-10-01 00:00:00

  • The use of a prostacyclin analog, iloprost, as an adjunct to pulmonary preservation with Euro-Collins solution.

    abstract::The addition of prostaglandin to the single-flush technique of lung preservation is considered to enhance subsequent graft function. We have evaluated the use of the prostacyclin analog, Iloprost, in an animal model of unilateral lung transplantation. Group 1 (n = 5) received Iloprost as a pretreatment intravenously (...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199003000-00003

    authors: Hooper TL,Fetherston GJ,Flecknell PA,Dark JH,McGregor CG

    更新日期:1990-03-01 00:00:00

  • Ultrasound changes within the liver after total pancreatectomy and intrahepatic islet cell autotransplantation.

    abstract:OBJECTIVE:Intrahepatic infusion is the most common method of islet autotransplantation. Structural and functional changes within the liver may result from a number of factors, including embolization of the terminal branches of the portal vein, the effects of high insulin concentration on surrounding hepatocytes or resp...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31817348d6

    authors: Ong SL,Pollard C,Rees Y,Garcea G,Webb M,Illouz S,Berry DP,Dennison AR

    更新日期:2008-06-27 00:00:00

  • Isolation of large numbers of mesenchymal stem cells from the washings of bone marrow collection bags: characterization of fresh mesenchymal stem cells.

    abstract:BACKGROUND:Bone marrow (BM) is an excellent source of mesenchymal stem cells (MSC) which can be expanded in vitro for further use. However, large volumes of BM specimens are not routinely available. We hypothesized that the normally discarded BM collection kits might be a convenient source of large numbers of MSC. MET...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000259752.13304.0b

    authors: Mageed AS,Pietryga DW,DeHeer DH,West RA

    更新日期:2007-04-27 00:00:00

  • Detection of Complement-binding Donor-specific Antibodies, Not IgG-antibody Strength Nor C4d Status, at Antibody-mediated Rejection Diagnosis Is an Independent Predictor of Kidney Graft Failure.

    abstract:BACKGROUND:Antibody-mediated rejection (AMR) remains associated with reduced kidney graft survival and no clear prognostic marker is available. METHODS:We investigated whether donor-specific antibodies (DSA) ability to bind C1q in comparison with AMR C4d status, both indirect signs of complement activation, improve ri...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002265

    authors: Malheiro J,Santos S,Tafulo S,Dias L,Martins S,Fonseca I,Almeida M,Pedroso S,Beirão I,Castro-Henriques A,Cabrita A

    更新日期:2018-11-01 00:00:00

  • Analysis of histoincompatibility in a natural population of the bisexual whiptail lizard Cnemidophorus tigris.

    abstract::Histoincompatibility was analyzed to describe as precisely as possible the sequence of gross morphological events taking place during allograft rejection among closely related conspecifics from a natural population of the bisexual lizard Cnemidophorus tigris. Two types of rejection were noted, depending on whether the...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197708000-00006

    authors: Cuellar O,Smart C

    更新日期:1977-08-01 00:00:00

  • Sirolimus reduces the incidence of acute rejection episodes despite lower cyclosporine doses in caucasian recipients of mismatched primary renal allografts: a phase II trial. Rapamune Study Group.

    abstract:BACKGROUND:The novel agent sirolimus (SRL; Rapamune; rapamycin) inhibits the immune response by a mechanism distinct from those of calcineurin antagonists or antimetabolites. This randomized, controlled, multicenter, single blind, phase II trial examined the combination of SRL, steroids, and full versus reduced doses o...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00007890-199911270-00016

    authors: Kahan BD,Julian BA,Pescovitz MD,Vanrenterghem Y,Neylan J

    更新日期:1999-11-27 00:00:00

  • Administration of donor apoptotic cells: an alternative cell-based therapy to induce tolerance?

    abstract::Apoptotic cells are endowed with immunomodulatory properties. The authors propose infusing apoptotic cells as a cell-based therapy product to facilitate allogeneic hematopoietic engraftment after a nonmyeloablative conditioning regimen. Such an approach may be used to obtain macrochimerism in combined hematopoietic ce...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/01.TP.0000067951.90241.54

    authors: Kleinclauss F,Perruche S,Cahn JY,Tiberghien P,Saas P

    更新日期:2003-05-15 00:00:00

  • Arterial ketone body ratio as a possible indicator for liver transplantation in fulminant hepatic failure.

    abstract::Arterial ketone body ratio (AKBR [acetoacetate/beta-hydroxybutyrate]) was measured in nineteen patients under medical supportive therapy for fulminant hepatic failure (FHF), in order to evaluate its predictive value relative to liver transplantation. Of the 19 patients 8 (42%) were salvaged and 11 (58%) died. Seven of...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199104000-00009

    authors: Saibara T,Onishi S,Sone J,Yamamoto N,Shimahara Y,Mori K,Ozawa K,Yamamoto Y

    更新日期:1991-04-01 00:00:00

  • Murine cytomegalovirus infection leads to increased levels of transplant arteriosclerosis in a murine aortic allograft model.

    abstract:INTRODUCTION:Cytomegalovirus infection after heart transplantation is considered as risk factor for the development of transplant arteriosclerosis. Therefore, the aim of this study was to investigate the effect of murine cytomegalovirus (MCMV) as a single risk factor on transplant arteriosclerosis in an experimental ao...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181e8a699

    authors: Heim C,Abele-Ohl S,Eckl S,Ramsperger-Gleixner M,Mahmoudian S,Weyand M,Stamminger T,Ensminger SM

    更新日期:2010-08-27 00:00:00

  • Prolactin supplementation to culture medium improves beta-cell survival.

    abstract:OBJECTIVES:Recent studies demonstrated that prolactin (PRL) has beneficial effects on beta cells for islet transplantation. We examined the effect of human recombinant PRL (rhPRL) supplementation to the culture media to determine its potential use in the context of clinical islet transplantation. MATERIALS AND METHODS...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181d98af1

    authors: Yamamoto T,Mita A,Ricordi C,Messinger S,Miki A,Sakuma Y,Timoneri F,Barker S,Fornoni A,Molano RD,Inverardi L,Pileggi A,Ichii H

    更新日期:2010-06-15 00:00:00

  • Early TLR4 Blockade Attenuates Sterile Inflammation-mediated Stress in Islets During Isolation and Promotes Successful Transplant Outcomes.

    abstract:BACKGROUND:During the isolation process, pancreatic islets are exposed to an environment of sterile inflammation resulting in an upregulated inflammatory state before transplantation. Toll-like receptor 4 (TLR4) has been identified as a major mediator of sterile inflammation. Therefore, we sought to determine whether e...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002287

    authors: Chang CA,Murphy K,Kane RR,Lawrence MC,Naziruddin B

    更新日期:2018-09-01 00:00:00

  • Abolition of the effect of cyclosporine on rat cardiac allograft rejection by the new immunomodulator LS-2616 (Linomide).

    abstract::The effect of the quinoline-3-carboxamide LS-2616 (Linomide), given alone or together with cyclosporine, was studied in the first set cardiac allograft transplantation model in the rat. PVG rat hearts were transplanted heterotopically to Wistar/Kyoto rat recipients on day 0. The recipients were given LS-2616 orally on...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198902000-00003

    authors: Wanders A,Larsson E,Gerdin B,Tufveson G

    更新日期:1989-02-01 00:00:00

  • Cytomegalovirus induced up-regulation of LFA-3 (CD58) and ICAM-1 (CD54) is a direct viral effect that is not prevented by ganciclovir or foscarnet treatment.

    abstract::Cytomegalovirus (CMV) is a major pathogen in transplant recipients and AIDS patients, and the virus may also play a role in allograft rejection. Previous work from this laboratory demonstrated increased cell surface expression of the adhesion molecules ICAM-1 (CD54) and LFA-3 (CD58) following CMV infection in vitro. W...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199610270-00014

    authors: Craigen JL,Grundy JE

    更新日期:1996-10-27 00:00:00

  • Anti-CD25 monoclonal antibody therapy affects the death signals of graft-infiltrating cells after clinical heart transplantation.

    abstract:BACKGROUND:To define whether immunosuppressive agents that block the interleukin (IL)-2 pathway could prevent activation-induced cell death of activated T cells in the graft, we measured expression of IL-2, IL-2 receptor alpha chain (CD25), IL-15, Fas, and Fas ligand by real time reverse transcription-polymerase chain ...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.TP.0000063937.53702.97

    authors: Baan CC,Balk AH,van Riemsdijk IC,Vantrimpont PJ,Maat AP,Niesters HG,Zondervan PE,van Gelder T,Weimar W

    更新日期:2003-05-27 00:00:00

  • Infection with human herpesvirus 8 and transplant-associated gammopathy.

    abstract:BACKGROUND:The role of human herpesvirus (HHV)-8 in the pathogenesis of multiple myeloma and its pre-malignant state of monoclonal gammopathy is unclear. HHV-8 is transmitted by organ transplantation, representing a unique model with which to investigate primary HHV-8 infection. METHODS:The authors studied the inciden...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000129065.31427.96

    authors: Regamey N,Hess V,Passweg J,Hess C,Steiger J,Erb P,Cathomas G,Tamm M

    更新日期:2004-05-27 00:00:00

  • Adenovirus infection of the renal allograft with sparing of pancreas graft function in the recipient of a combined kidney-pancreas transplant.

    abstract::We report a case of adenovirus infection of the renal allograft in a combined kidney/pancreas transplant recipient. The clinical presentation was renal allograft failure, which eventually reversed. The pancreatic graft function remained stable. A renal biopsy showed massive tubular necrosis associated with a prominent...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199801150-00027

    authors: Mathur SC,Squiers EC,Tatum AH,Szmalc FS,Daucher JW,Welker DM,Shanley PF

    更新日期:1998-01-15 00:00:00