Control of organ transplant-associated graft-versus-host disease by activated host lymphocyte infusions.

Abstract:

BACKGROUND:Prolonged persistence of donor-derived T cells after organ transplantation has been proposed to improve long-term allograft survival. However, surviving transplant-derived T cells are also able to mediate devastating graft-versus-host disease (GvHD). Currently, GvHD after organ transplantation is usually refractory to conventional therapy and the disease outcome fatal. METHODS:Graft-reactive host T cells were generated ex vivo from a patient suffering from a severe and refractory liver-transplant-associated GvHD. To control GvHD, activated alloreactive host T cells were repetitively retransferred into the patient (activated host lymphocyte infusion [aHLI]). RESULTS:Adoptive transfer of ex vivo activated alloreactive host T cells (aHLI) led to the control and complete resolution of severe GvHD without inducing allograft rejection. CONCLUSIONS:aHLI opens a novel therapeutic window to control solid-organ transplant-associated GvHD while preserving allograft integrity.

journal_name

Transplantation

journal_title

Transplantation

authors

Kuball J,Theobald M,Ferreira EA,Hess G,Burg J,Maccagno G,Barreiros AP,Lüth S,Schimanski CC,Schuchmann M,Schwarting A,Neurath M,Otto G,Galle PR,Lohse AW

doi

10.1097/01.tp.0000144183.77279.ec

subject

Has Abstract

pub_date

2004-12-27 00:00:00

pages

1774-9

issue

12

eissn

0041-1337

issn

1534-6080

pii

00007890-200412270-00013

journal_volume

78

pub_type

杂志文章
  • Increased immune transcript levels are correlated with acute graft-versus-host disease and cytomegalovirus response after allogeneic stem cell transplantation.

    abstract:BACKGROUND:Donor T cells are primarily responsible for graft-versus-host disease (GVHD). Three effector pathways have been described for T-cell cytotoxicity: granzyme B/perforin, Fas/Fas ligand (FasL), and secreted molecules such as tumor necrosis factor (TNF)-alpha. Therefore, this study evaluates the gene expression ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000100465.83529.42

    authors: Jaksch M,Remberger M,Mattsson J

    更新日期:2004-01-27 00:00:00

  • Generation of adaptive regulatory T cells by alloantigen is required for some but not all transplant tolerance protocols.

    abstract:BACKGROUND:Because CD4CD25Foxp3 regulatory T cells (Tregs) are essential for the maintenance of self-tolerance, significant interest surrounds the developmental cues for thymic-derived natural Tregs (nTregs) and periphery-generated adaptive Tregs (aTregs). In the transplant setting, the allograft may play a role in the...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31820e50b3

    authors: Kim JI,O'connor MR,Duff PE,Zhao G,Lee KM,Eliades P,Deng S,Yeh H,Caton AJ,Markmann JF

    更新日期:2011-04-15 00:00:00

  • Induction of increased graft-versus-host disease by mouse spleen cells sensitized in vitro to allogeneic tumor.

    abstract::The aim of our study was to sensitize cells in vitro, follow their proliferative and cytotoxic responses, and determine their ability to cause lethal graft-versus-host disease (GVHD). C57BL/6 (H2b) spleen cells were incubated with irradiated BALB/C (H2d) Moloney lymphoma cells (LSTRA) in mixed leukocyte culture condit...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197612000-00008

    authors: Einstein AB Jr,Cheever MA,Fefer A

    更新日期:1976-12-01 00:00:00

  • Apolipoprotein E gene polymorphism alters lipids before pancreas transplantation.

    abstract:BACKGROUND:Pancreas transplantation (PTX) improves lipids in patients with type 1 diabetes mellitus. However, there are patients who have persistent abnormal lipids or develop new hyperlipidemia despite PTX. One factor that may influence the lipid profile is apolipoprotein E (Apo E) genotype. Apo E polymorphism, partic...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200210150-00013

    authors: Balakrishnan S,Colling C,Burkman T,Erickson J,Lyden E,Maheshwari H,Mack-Shipman L,Lane J,Larsen J

    更新日期:2002-10-15 00:00:00

  • Donor-recipient microchimerism is not required for tolerance induction following recipient pretreatment with donor-specific transfusion and anti-CD4 antibody. Evidence of a clear role for short-term antigen persistence.

    abstract::There is considerable current interest in the possibility that long-term graft acceptance in clinical solid-organ transplantation might be dependent upon the development of a microchimeric state between the donor and recipient. This possibility has been prompted by the observation that in some transplant patients cell...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199505270-00001

    authors: Bushell A,Pearson TC,Morris PJ,Wood KJ

    更新日期:1995-05-27 00:00:00

  • Reconstitution of 6-sulfo LacNAc dendritic cells after allogeneic stem-cell transplantation.

    abstract:BACKGROUND:Infections and acute graft-versus-host disease (GvHD) represent major complications of allogeneic stem-cell transplantation (SCT). Dendritic cells (DCs) display an extraordinary capacity to induce innate and adaptive immune responses. Therefore, they play a crucial role in the elimination of pathogens and in...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31824fd8b4

    authors: Mager K,Wehner R,Bahr F,Oelschlägel U,Platzbecker U,Wermke M,Shayegi N,Middeke JM,Radke J,Röllig C,Schetelig J,Thiede C,Ehninger G,Schmitz M,Bornhäuser M,Tuve S

    更新日期:2012-06-27 00:00:00

  • Insulin secretion in streptozotocin-diabetic rats transplanted with immunoisolated islets.

    abstract::Islet transplantation may be optimized by islet immunoisolation to prevent direct contact between the islet graft and the host tissue. In this study, we examined the glycemia and insulin secretion in streptozotocin-diabetic rats transplanted with islets subjected to immunoisolation with Algire diffusion chamber or wit...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199103000-00005

    authors: Ar'Rajab A,Bengmark S,Ahrén B

    更新日期:1991-03-01 00:00:00

  • Measuring compliance with drug regimens after renal transplantation: comparison of self-report and clinician rating with electronic monitoring.

    abstract::Nonadherence to immunosuppressants in renal transplant recipients is a major factor affecting graft survival, but it is difficult to detect accurately in clinical practice. Adherence was measured in 153 adult renal transplant recipients using self-report questionnaires and interview, clinician rating, and cyclosporine...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.tp.0000110412.20050.36

    authors: Butler JA,Peveler RC,Roderick P,Horne R,Mason JC

    更新日期:2004-03-15 00:00:00

  • Apoptosis and the expression of Fas and Fas ligand (FasL) antigen in rejection and reinfection in liver allograft specimens.

    abstract:BACKGROUND AND METHODS:To investigate the frequency of apoptosis and the expression of Fas/Fas ligand (FasL) in liver allografts, we examined 97 biopsy specimens from 62 patients after orthotopic liver transplantation. The results of the biopsies were as follows: acute allograft rejection (n=32); hepatitis C virus (HCV...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199904150-00027

    authors: Tannapfel A,Kohlhaw K,Ebelt J,Hauss J,Liebert U,Berr F,Wittekind C

    更新日期:1999-04-15 00:00:00

  • Mechanisms underlying continued survival of rat kidney allografts after a short period of chemical immunosuppression.

    abstract::Experiments have been carried out to investigate whether the continued survival of rat kidney allografts induced by two different methods-namely, immunological enhancement or a limited course of drug treatment with cyclosporine or cyclophosphamide, is maintained by similar mechanisms. (AS X AUG)F1 or AUG strain kidney...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198508000-00008

    authors: Chui YL,Batchelor JR

    更新日期:1985-08-01 00:00:00

  • Reversibility of allograft arteriosclerosis after retransplantation to donor strain.

    abstract::The rat aortic transplant model was modified to investigate whether the vascular wall changes on chronic rejection are reversible. DA (RT1a) aortas were first transplanted to WF (RT1a) recipients. The first transplantation was accompanied, as described earlier, by an increase in intimal cellularity and thickness and t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199608270-00016

    authors: Mennander A,Häyry P

    更新日期:1996-08-27 00:00:00

  • Amyloid A Amyloidosis After Renal Transplantation: An Important Cause of Mortality.

    abstract:BACKGROUND:There are limited data on the outcome of transplant recipients with familial Mediterranean fever (FMF)-associated AA amyloidosis. The aim of the present study is to evaluate demographic, clinical, laboratory, and prognostic characteristics and outcome measures of these patients. METHODS:Eighty-one renal tra...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0000000000003043

    authors: Sarihan I,Caliskan Y,Mirioglu S,Ozluk Y,Senates B,Seyahi N,Basturk T,Yildiz A,Kilicaslan I,Sever MS

    更新日期:2020-08-01 00:00:00

  • Long-term functions of encapsulated islets grafted in nonhuman primates without immunosuppression.

    abstract:BACKGROUND:Long-term survival and functions of encapsulated islet grafts need to be evaluated in the absence of immunosuppression. The present study aimed to assess the viability and functions of macroencapsulated islets grafted in nonhuman primates without immunosuppression for 1 year. METHODS:Islet transplantations ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31829e26cf

    authors: Sasikala M,Rao GV,Vijayalakshmi V,Pradeep R,Pothani S,Kumar PP,Gaddipati R,Sirisha G,Cheemalakonda R,Tandan M,Subramanyam C,Vasudevan S,Reddy DN

    更新日期:2013-10-15 00:00:00

  • Effect of transplantation site and alpha L3T4 treatment on survival of rat, hamster, and rabbit islet xenografts in mice.

    abstract::Rat, hamster, and rabbit islets were transplanted into diabetic C57BL/B6 mice. The effect on islet xenograft survival of low-temperature culture of the donor islets, alpha L3T4 treatment of the recipients for seven days, and transplantation of the grafts either in the renal capsule or in the liver via the portal vein ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198905000-00002

    authors: Lacy PE,Ricordi C,Finke EH

    更新日期:1989-05-01 00:00:00

  • Apoptosis after intestinal ischemia-reperfusion injury: a morphological study.

    abstract:BACKGROUND:Apoptosis has been identified after ischemia-reperfusion (IR) injury to the brain, heart, kidney, retina, and the adrenals. Intestinal IR injury causes villous and crypt damage, which has so far been attributed to cellular necrosis. This study was undertaken to investigate the possible role of apoptosis afte...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199711270-00003

    authors: Shah KA,Shurey S,Green CJ

    更新日期:1997-11-27 00:00:00

  • The hemodynamic effects of intraoperative injection of muromonab CD3.

    abstract::During anesthesia 5 mg of muromonab CD3 (OKT3), an anti-CD3 monoclonal antibody, was administered prophylactically to twelve patients undergoing cadaveric renal transplantation. Preoperatively, all patients were at or near their dry body weights. Methylprednisolone 500 mg on call to or in the operating room, azathiopr...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199308000-00020

    authors: Robinson ST,Barry JM,Norman DJ

    更新日期:1993-08-01 00:00:00

  • Atypical mixed lymphocyte culture. Identity between mother and child in leukemia and aplastic anemia.

    abstract::The mixed lymphocyte culture tests between one patient with acute lymphocytic leukemia and her mother and between another patient with aplastic anemia and his mother were found nonreactive, despite a one-haplotype difference for HL-A. Two crossovers in each family at the MLC locus or a specific defect in lymphocyte r...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197501000-00008

    authors: Opelz G

    更新日期:1975-01-01 00:00:00

  • Effects of exogenous interleukin-10 in a murine model of graft-versus-host disease to minor histocompatibility antigens.

    abstract::IL-10 is a regulatory cytokine of both T cells and monocytes. We have investigated the ability of IL-10 to regulate responses to alloantigens in vitro and in vivo. Addition of IL-10 to mixed lymphocyte cultures profoundly decreased the proliferation and IL-2 production by donor B10.BR cells stimulated with CBA cells e...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Krenger W,Snyder K,Smith S,Ferrara JL

    更新日期:1994-12-15 00:00:00

  • Ketorolac-based analgesia improves outcomes for living kidney donors.

    abstract:BACKGROUND:To reduce the morbidity of living kidney donors we introduced ketorolac-based analgesia for patients undergoing open donor nephrectomy in August 1999. There are no prior reports on the use of ketorolac for patients undergoing donor nephrectomy. METHODS:We conducted a retrospective review of all 198 consecut...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200203150-00014

    authors: Freedland SJ,Blanco-Yarosh M,Sun JC,Hale SJ,Elashoff DA,Litwin MS,Smith RB,Rajfer J,Gritsch HA

    更新日期:2002-03-15 00:00:00

  • Heterotopic Abdominal Rat Heart Transplantation as a Model to Investigate Volume Dependency of Myocardial Remodeling.

    abstract::Heterotopic abdominal rat heart transplantation has been extensively used to investigate ischemic-reperfusion injury, immunological consequences during heart transplantations and also to study remodeling of the myocardium due to volume unloading. We provide a unique review on the latter and present a summary of the ex...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000001585

    authors: Benke K,Sayour AA,Mátyás C,Ágg B,Németh BT,Oláh A,Ruppert M,Hartyánszky I,Szabolcs Z,Radovits T,Merkely B,Szabó G

    更新日期:2017-03-01 00:00:00

  • Relationship of cytomegalovirus viral load in blood to pneumonitis in lung transplant recipients.

    abstract::We developed a multiplex, quantitative, real-time, polymerase chain reaction assay for cytomegalovirus (CMV) and used it to measure the CMV viral load in weekly blood specimens from 43 lung transplant recipients. The median viral load in blood samples immediately preceding bronchoscopy was 1150 copies/microg human DNA...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200108270-00030

    authors: Sanchez JL,Kruger RM,Paranjothi S,Trulock EP,Lynch JP,Hicks C,Shannon WD,Storch GA

    更新日期:2001-08-27 00:00:00

  • Outcomes of laparoscopic donor nephrectomy in obese patients.

    abstract::The applicability of laparoscopic donor nephrectomy (LDN) has not been assessed in the obese donor. We hypothesized that obesity is not a technical contraindication to LDN. From May 1998 to February 1999, 40 patients underwent LDN at the Georgetown Transplant Institute with the transperitoneal technique. Prophylaxis a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200001150-00031

    authors: Kuo PC,Plotkin JS,Stevens S,Cribbs A,Johnson LB

    更新日期:2000-01-15 00:00:00

  • alpha1,3-Galactosyltransferase-gene knockout in cattle using a single targeting vector with loxP sequences and cre-expressing adenovirus.

    abstract:BACKGROUND:Gene targeting in large animals has the potential to be useful in medicine as well as in agriculture. Previously, we reported the first successful targeting of the bovine alpha1,3-galactosyltransferase (alpha1,3GT) gene and establishment of a heterozygous knockout cell line. In this report, we generated both...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000190422.66657.f1

    authors: Sendai Y,Sawada T,Urakawa M,Shinkai Y,Kubota K,Hoshi H,Aoyagi Y

    更新日期:2006-03-15 00:00:00

  • Hemodynamic resuscitation with arginine vasopressin reduces lung injury after brain death in the transplant donor.

    abstract:BACKGROUND:The autonomic storm accompanying brain death leads to neurogenic pulmonary edema and triggers development of systemic and pulmonary inflammatory responses. Neurogenic vasoplegia exacerbates the pulmonary injury caused by brain death and primes the lung for ischemia reperfusion injury and primary graft dysfun...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31816398dd

    authors: Rostron AJ,Avlonitis VS,Cork DM,Grenade DS,Kirby JA,Dark JH

    更新日期:2008-02-27 00:00:00

  • Nosocomial Legionnaires' disease following renal transplantation.

    abstract::A cluster of five cases of Legionnaires' disease in renal transplant patients is described. They were treated with erythromycin and rifampicin, and all five survived. Two of them had rejected their grafts prior to their Legionella pneumonia; two rejected their transplants after reduction of immunosuppressive therapy t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Wilczek H,Kallings I,Nyström B,Hoffner S

    更新日期:1987-06-01 00:00:00

  • Over 500 solitary pancreas transplants in nonuremic patients with brittle diabetes mellitus.

    abstract:BACKGROUND:A pancreas transplant alone (PTA) in a nonuremic patient with brittle diabetes mellitus remains a rare procedure because the tradeoff for insulin independence is lifelong immunosuppression. METHODS:Herein we report our results at the University of Minnesota of 513 PTAs from December 17, 1966, through Decemb...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000296820.46978.3f

    authors: Gruessner RW,Sutherland DE,Kandaswamy R,Gruessner AC

    更新日期:2008-01-15 00:00:00

  • Thymocyte/splenocyte-derived CD4+CD25+Treg stimulated by anti-CD200R2 derived dendritic cells suppress mixed leukocyte cultures and skin graft rejection.

    abstract:BACKGROUND:CD200 delivers immunoregulatory signals following engagement of its receptor, CD200R. A family of CD200Rs (CD200R1-4) has been described. Spleen expresses cell surface CD200R1, while bone marrow shows predominantly expression of cell surface CD200R2/R3. We showed that dendritic cell precursors (DCp) cultured...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000214984.65520.50

    authors: Gorczynski RM

    更新日期:2006-04-15 00:00:00

  • Impact of Donor Core Body Temperature on Graft Survival After Heart Transplantation.

    abstract:BACKGROUND:A previous donor intervention trial found that induction of mild therapeutic hypothermia in the brain-dead donor reduced the dialysis requirement after kidney transplantation. Consequences on the performance of cardiac allografts after transplantation were not explored to date. METHODS:Cohort study investig...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002337

    authors: Schnuelle P,Benck U,Krämer BK,Yard BA,Zuckermann A,Wagner F,Szabo G,Borggrefe M,Karck M,Gummert J

    更新日期:2018-11-01 00:00:00

  • Kidney-pancreas transplantation is associated with near-normal sexual function in uremic type 1 diabetic patients.

    abstract:BACKGROUND:Sexual function is altered in patients with type 1 diabetes (T1D) and end-stage renal disease (ESRD), thus affecting quality of life. The present study aimed to analyze sexual function in patients with T1D and ESRD (T1D+ESRD) who received a simultaneous kidney-pancreas (KP) or kidney-alone (KD) transplantati...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31822c6eb8

    authors: Salonia A,D'Addio F,Gremizzi C,Briganti A,Dehò F,Caldara R,Orsenigo E,Staudacher C,Socci C,Rigatti P,Secchi A,Montorsi F,Fiorina P

    更新日期:2011-10-15 00:00:00

  • Nondepleting anti-CD4 monoclonal antibody enhances the ability of oral alloantigen delivery to induce indefinite survival of cardiac allografts: oral tolerance to alloantigen.

    abstract:BACKGROUND:We examined whether oral administration of alloantigen could induce the prolonged survival of cardiac allografts. METHODS:Hearts from CBK (H2k+Kb) transgenic or (C57BL/10xCBA)F1 (H2bxH2k) mice were transplanted into CBA (H2k) recipients pretreated orally with 1 x 10(7) donor splenocytes in the presence or a...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200011270-00021

    authors: Niimi M,Witzke O,Bushell A,Hara M,Morris PJ,Wood KJ

    更新日期:2000-11-27 00:00:00