The presence of high levels of antibodies in humans and baboons directed to galactose alpha1-3 galactose (Gal) epitopes on pig vascular endothelium leads to antibody-mediated destruction of pig organs transplanted into these higher species. A successful method of depleting these anti-Gal antibodies is currently in use, but the return of antibody cannot be prevented. The studies detailed in this Project are aimed towards achieving a state of tolerance in baboons to the Gal epitope, and are largely based on successful studies in mice reported from our center.
In Aim %1, this goal will be sought by transducing the baboon's own bone marrow cells with the gene for alpha 1,3 galactosyltransferase. Reinfusion of the transduced cells into the """"""""conditioned"""""""" baboon (prepared by irradiation, splenectomy, and drug therapy) will result in the expression of Gal on the baboon's cells. This will result in deletion or anergy of Gal-reactive B cells and cessation of production of this antibody.
In Aim #2, this goal will be achieved by successful engraftment of pig bone marrow cells in similarly conditioned baboons. Leukapheresis of pigs treated with pig-specific cytokines (bone marrow cell growth factors) results in large numbers of leukocytes being obtained (>100 x 10^10) in which there are significant numbers of stem cells.
Aim #3 is directed towards facilitating Aims #1 and 2 by providing an immunotoxin, based on a murine monoclonal antibody directed to the CD38 receptor coupled to ricin A, has been demonstrated to inhibit plasma cell function. These studies are intricately intertwined with those of Project 2 and will provide a major source of baboon blood samples and pig tissues for Projects 3 and 4. The work performed in Project 1 will provide information that will greatly facilitate Project 2.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Research Program Projects (P01)
Project #
5P01AI045897-02
Application #
6492287
Study Section
Special Emphasis Panel (ZAI1)
Project Start
2001-09-01
Project End
2002-08-31
Budget Start
Budget End
Support Year
2
Fiscal Year
2001
Total Cost
$296,241
Indirect Cost
Name
Massachusetts General Hospital
Department
Type
DUNS #
City
Boston
State
MA
Country
United States
Zip Code
02199
Mastroianni, Melissa; Ng, Zhi Yang; Goyal, Ritu et al. (2018) Topical Delivery of Immunosuppression to Prolong Xenogeneic and Allogeneic Split-Thickness Skin Graft Survival. J Burn Care Res 39:363-373
Sykes, Megan (2018) IXA Honorary Member Lecture, 2017: The long and winding road to tolerance. Xenotransplantation 25:e12419
Proto, Jonathan D; Doran, Amanda C; Subramanian, Manikandan et al. (2018) Hypercholesterolemia induces T cell expansion in humanized immune mice. J Clin Invest 128:2370-2375
Chen, Mo; Wang, Yuantao; Wang, Hui et al. (2018) Elimination of donor CD47 protects against vascularized allograft rejection in mice. Xenotransplantation :e12459
Watanabe, Hironosuke; Sahara, Hisashi; Nomura, Shunichiro et al. (2018) GalT-KO pig lungs are highly susceptible to acute vascular rejection in baboons, which may be mitigated by transgenic expression of hCD47 on porcine blood vessels. Xenotransplantation 25:e12391
Sachs, David H (2018) Transplantation tolerance through mixed chimerism: From allo to xeno. Xenotransplantation 25:e12420
Fishman, Jay A; Sachs, David H; Yamada, Kazuhiko et al. (2018) Absence of interaction between porcine endogenous retrovirus and porcine cytomegalovirus in pig-to-baboon renal xenotransplantation in vivo. Xenotransplantation 25:e12395
Yamada, Kazuhiko; Shah, Jigesh A; Tanabe, Tatsu et al. (2017) Xenotransplantation: Where Are We with Potential Kidney Recipients? Recent Progress and Potential Future Clinical Trials. Curr Transplant Rep 4:101-109
Chen, Bing; Fan, Wei; Zou, Jun et al. (2017) Complement Depletion Improves Human Red Blood Cell Reconstitution in Immunodeficient Mice. Stem Cell Reports 9:1034-1042
Tena, Aseda A; Sachs, David H; Mallard, Christopher et al. (2017) Prolonged Survival of Pig Skin on Baboons After Administration of Pig Cells Expressing Human CD47. Transplantation 101:316-321

Showing the most recent 10 out of 192 publications