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 by parenteral insulin. We hypothesised that over-expressing anti-apoptotic Bcl-2 or secretion of immunomodulatory CTLA4Ig molecules in islet beta cells would enhance survival of transplanted islets while minimizing systemic side effects. Over-expression of Bcl-2 neither significantly increased preservation of islet cell mass after transplantation into immunocompromised recipients nor decreased cytokine-mediated apoptosis in vitro. Although Bcl-2 over-expression alone was insufficient in protecting islet allografts from rejection, its beneficence was shown by the enhancement of protection when the adaptive immune response was inhibited by locally produced CTLA4Ig. Thus, the combination of anti-apoptotic and immunosuppressive intervention has additive or synergistic efficacy and may reduce the level of systemic immunosuppression or quantity of donor tissue required.

journal_name

Transplantation

journal_title

Transplantation

authors

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

doi

10.1097/01.tp.0000132283.95107.9c

subject

Has Abstract

pub_date

2004-05-27 00:00:00

pages

1610-3

issue

10

eissn

0041-1337

issn

1534-6080

journal_volume

77

pub_type

杂志文章
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    authors: Pettaway CA,Freeman C,Helderman JH,Stastny P

    更新日期:1987-10-01 00:00:00

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    journal_title:Transplantation

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    authors: Sumpter TL,Lunz JG 3rd,Demetris AJ,Thomson AW

    更新日期:2009-08-15 00:00:00

  • Attenuating Ischemia-Reperfusion Injury in Kidney Transplantation by Perfusing Donor Organs With siRNA Cocktail Solution.

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    authors: Zheng X,Zang G,Jiang J,He W,Johnston NJ,Ling H,Chen R,Zhang X,Liu Y,Haig A,Luke P,Jevnikar AM,Min WP

    更新日期:2016-04-01 00:00:00

  • Disparities in Waitlist and Posttransplantation Outcomes in Liver Transplant Registrants and Recipients Aged 18 to 24 Years: Analysis of the UNOS Database.

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    authors: Ebel NH,Hsu EK,Berry K,Horslen SP,Ioannou GN

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

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    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

  • Comparison of sirolimus-based calcineurin inhibitor-sparing and calcineurin inhibitor-free regimens in cadaveric renal transplantation.

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    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

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    authors: Lo A,Egidi MF,Gaber LW,Amiri HS,Vera S,Nezakatgoo N,Gaber AO

    更新日期:2004-04-27 00:00:00

  • ABO compatibility and acute graft-versus-host disease following allogeneic bone marrow transplantation.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198806000-00018

    authors: Bacigalupo A,Van Lint MT,Occhini D,Margiocco M,Ferrari G,Pittaluga PA,Frassoni F,Peralvo J,Lercari G,Carubia F

    更新日期:1988-06-01 00:00:00

  • Recipients' perceptions of their transplanted kidneys.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000168149.95310.6e

    authors: Buldukoglu K,Kulakac O,Kececioglu N,Alkan S,Yilmaz M,Yucetin L

    更新日期:2005-08-27 00:00:00

  • Renal allograft survival in the baboon using a pretreatment protocol with cyclosporine.

    abstract::Cyclosporine extends kidney allograft survival in the chacma baboon, and this study explores various administration protocols to generate optimal serum concentrations of the drug, assessed by radioimmunoassay and by inhibition of lymphocyte transformation by phytohemagglutinin and allogeneic lymphocytes in culture. Se...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198308000-00001

    authors: Smit JA,Drielsma RF,Myburgh JA,Laupacis A,Stiller CR

    更新日期:1983-08-01 00:00:00

  • Abnormal B-cell regulation in highly sensitized patients with sustained serum levels of antibody to HLA class I antigens.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000179640.06825.bf

    authors: Hack N,Angra S,McKnight TL,den Hollander N,Cardella CJ

    更新日期:2005-11-15 00:00:00

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    abstract::Transcription factors of the nuclear factor of activated T cells (NFAT) family regulate both immune activation and insulin production. Calcineurin inhibitors (CNIs) target NFAT activation. Hence, CNIs not only prevent organ transplant rejection but also contribute to the development of new-onset diabetes after transpl...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31823f7f26

    authors: Chen Y,Sampaio MS,Yang JW,Min D,Hutchinson IV

    更新日期:2012-02-15 00:00:00

  • Studies on heterophile antibodies in transplantation sera.

    abstract::By means of double diffusion in gel reactions, "heterophile" antibodies were demonstrated in human renal transplantation sera. Of thirty-two recipients of renal allografts, 12 (37 per cent) had antibodies to extract of bovine erythrocyte stromata, and 5 (19 per cent) of 26 recipients produced antibodies to extract of ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197501000-00004

    authors: Kano K,Loza U,Gerbasi JR,Milgrom F

    更新日期:1975-01-01 00:00:00

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31816a3372

    authors: Shishida M,Ohdan H,Onoe T,Tanaka Y,Igarashi Y,Banshodani M,Asahara T

    更新日期:2008-04-15 00:00:00

  • Improved metabolic control and quality of life in seven patients with type 1 diabetes following islet after kidney transplantation.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318166a27b

    authors: Cure P,Pileggi A,Froud T,Messinger S,Faradji RN,Baidal DA,Cardani R,Curry A,Poggioli R,Pugliese A,Betancourt A,Esquenazi V,Ciancio G,Selvaggi G,Burke GW 3rd,Ricordi C,Alejandro R

    更新日期:2008-03-27 00:00:00

  • Transient limb ischemia induces remote preconditioning in liver among rats: the protective role of heme oxygenase-1.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000203555.14546.63

    authors: Lai IR,Chang KJ,Chen CF,Tsai HW

    更新日期:2006-05-15 00:00:00

  • Ontogeny of antipig xenoantibody and hyperacute rejection.

    abstract:BACKGROUND:Neonatal primates have been reported to receive pig hearts without hyperacute rejection (HAR). We examined the ontogeny of the anti-pig xenoantibody (XenoAb) and HAR in the neonatal and infant monkeys. METHODS:Twenty-six serum samples from 15 monkeys ages 14-192 days were subjected to hemagglutination titra...

    journal_title:Transplantation

    pub_type: 评论,杂志文章

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    authors: Kawauchi M,Nakajima J,Endoh M,Oka T,Takamoto S

    更新日期:2000-08-27 00:00:00

  • Duodenal histology for monitoring treatment of acute rejection in pancreaticoduodenal allografts in rats.

    abstract:BACKGROUND:Although the value of duodenal histology as a means to diagnose acute rejection in pancreaticoduodenal allografts has been validated, it is not known how the duodenum responds to antirejection treatment in comparison with the pancreas. METHODS:Diabetic Lewis rats received a pancreaticoduodenal allograft. Cy...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200201270-00008

    authors: Mark W,Hechenleitner P,Dietze O,Klima G,Schneeberger S,Steurer W,Candinas D,Margreiter R,Königsrainer A

    更新日期:2002-01-27 00:00:00

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    abstract::Multiple pretransplant sera obtained from alloimmunized renal transplant recipients were tested for the presence of antiidiotypic-like antibodies (AB2) that inhibit donor-specific HLA antibodies in the microlymphocytotoxicity assay. Fourteen patients received repetitive single-donor blood transfusions (SDT). In this p...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198907000-00013

    authors: Phelan DL,Rodey GE,Anderson CB

    更新日期:1989-07-01 00:00:00

  • A quantitative survey of Western Muslim attitudes to solid organ donation.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318231ea17

    authors: Sharif A,Jawad H,Nightingale P,Hodson J,Lipkin G,Cockwell P,Ball S,Borrows R

    更新日期:2011-11-27 00:00:00

  • Controlled Oxygenated Rewarming of Cold Stored Livers Prior to Transplantation: First Clinical Application of a New Concept.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000915

    authors: Hoyer DP,Mathé Z,Gallinat A,Canbay AC,Treckmann JW,Rauen U,Paul A,Minor T

    更新日期:2016-01-01 00:00:00

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000230130.50451.78

    authors: Akaberi S,Lindergård B,Simonsen O,Nyberg G

    更新日期:2006-09-27 00:00:00

  • Fulminant hepatitis is significantly increased in hepatitis B carriers after allogeneic bone marrow transplantation.

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    pub_type: 杂志文章

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    更新日期:1999-06-15 00:00:00

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    abstract::The incidence of interstitial pneumonitis (IP) was reviewed in 70 consecutive patients who received autologous marrow transplants for hematologic malignancies. All patients were treated with total-body irradiation (TBI), with or without other chemotherapeutic agents. Seven patients (10%) developed IP, 3 were due to cy...

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    pub_type: 杂志文章

    doi:10.1097/00007890-198611000-00015

    authors: Pecego R,Hill R,Appelbaum FR,Amos D,Buckner CD,Fefer A,Thomas ED

    更新日期:1986-11-01 00:00:00

  • Differential immune response of congenic mice to ultraviolet-treated major histocompatibility complex class II-incompatible skin grafts.

    abstract::The influence of ultraviolet (UVB) irradiation on the survival of H-2 class II-disparate skin grafts was studied in congenic mouse strains. Isolated skin was UVB irradiated in vitro at a dose of 40 mJ/cm2 from both sides to remove Ia immunogenicity. Immediately after irradiation the skin was transplanted onto the flan...

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    pub_type: 杂志文章

    doi:10.1097/00007890-198803000-00020

    authors: Vermeer BJ,Santerse B,Van De Kerckhove BA,Schothorst AA,Claas FH

    更新日期:1988-03-01 00:00:00

  • Quantitative comparison of rapamycin and cyclosporine effects on cytokine gene expression studied by reverse transcriptase-competitive polymerase chain reaction.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Zheng XX,Strom TB,Steele AW

    更新日期:1994-07-15 00:00:00

  • 3-[(dodecylthiocarbonyl)methyl]-glutarimide attenuates graft arterial disease by suppressing alloimmune responses and vascular smooth muscle cell proliferation.

    abstract:BACKGROUND:Graft arterial disease (GAD) is a major cause of late graft loss after organ transplantation. Alloimmune responses and vascular remodeling eventually cause the transplant organ to develop GAD. In this study, we aimed to limit the development of GAD by inhibiting alloimmune responses and vascular smooth muscl...

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    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000576

    authors: Zaitsu M,Yamashita K,Shibasaki S,Tsunetoshi Y,Fukai M,Ogura M,Yoshida T,Igarashi R,Kobayashi N,Umezawa K,Todo S

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    pub_type: 杂志文章,评审

    doi:10.1097/01.tp.0000103730.16444.e7

    authors: Hiesse C,Pessione F,Houssin D

    更新日期:2004-02-27 00:00:00

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    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.TP.0000101495.22734.07

    authors: Ciancio G,Burke GW,Gaynor JJ,Mattiazzi A,Roth D,Kupin W,Nicolas M,Ruiz P,Rosen A,Miller J

    更新日期:2004-01-27 00:00:00

  • Serum adiponectin levels and ambulatory blood pressure monitoring in pediatric renal transplant recipients.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181b9e1ec

    authors: Sethna CB,Leonard MB,Gallagher PR,Meyers KE

    更新日期:2009-10-27 00:00:00

  • Heavy Alcohol Use Among Deceased Donors Does Not Impact Recipient Outcomes After Liver Transplantation.

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    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002230

    authors: Arora SS,Chahal KS,Axley P,Eckhoff DE,Kuo YF,Satapathy SK,Wiesner R,Singal AK

    更新日期:2018-11-01 00:00:00