The overall goal of this research proposal is to define and biochemically characterize tissue specific and/or restricted histocompatibility antigens, and to evaluate their immunogenicity and significance in human renal, cardiac and liver allografts. By serological and cellular immune assays, we present evidence for such non-MHC antigenic systems in human kidney, heart and liver. Furthermore, the studies indicate that non-MHC antigens may play a role in the immunopathology of allograft rejection and development of coronary atherosclerosis in the cardiac allografts. We will continue characterization of non-MHC antigens using eluates prepared from rejected organs, allo- and heteroantisera and monoclonal antibodies. The specificities and cellular localization will be defined by immunofluorescence, immunoperoxidase and electron microscopy. To test the hypothesis that activated lymphocytes along with antibodies to B- lymphocytes and/or endothelial monocyte antigens (EM) play a role in the pathogenesis of coronary lesions, cellular assays will be developed. These will include primed lymphocyte typing (PLT) and cell-mediated lympholysis (CML) and the ability of MHC and non-MHC-specific antibodies to inhibit these reactions. Cultures of cloned biopsy-derived cells from recipients will also be tested for MHC and non-MHC antigen specificity using renal, cardiac, liver and endothelial tissues, normal fibroblasts and monouclear cells from blood as targets. We will continue the biochemical characterization of non-MHC EM antigens defined by the eluate, hetero- and alloantisera and the monoclonal antibodies using cell surface labeling, immunoprecipitation and characterization on SDS-PAGE. Relationships between antigens will be studied using sequential immunoprecipitation, two-dimensional gel electrophoresis and tryptic peptide mapping. cDNA probes for EM antigens will be isolated using two already available wavelengthgt11 expression vector cDNA libraries of antigen- positive human monocytic cell line (U937) and human umbilical vein endothelium. The results of these studies will define the relationship between serologically and cellularly defined non-MHC antigens, their biochemical nature and preliminary molecular genetics.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK032253-09
Application #
3230690
Study Section
Surgery and Bioengineering Study Section (SB)
Project Start
1987-05-01
Project End
1992-07-31
Budget Start
1991-08-01
Budget End
1992-07-31
Support Year
9
Fiscal Year
1991
Total Cost
Indirect Cost
Name
Washington University
Department
Type
Schools of Medicine
DUNS #
062761671
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
Smith, Craig R; Jaramillo, Andres; Poindexter, Nancy J et al. (2002) In vitro T cell proliferation from kidney allograft biopsies with unremarkable pathology: new strategies for an old problem. Transplantation 73:142-5
Smith, C R; Mohanakumar, T; Shimizu, Y et al. (2000) Brief cyclosporine treatment prevents intrathymic (IT) tolerance induction and precipitates acute rejection in an IT rat cardiac allograft model. Transplantation 69:294-9
SivaSai, K S; Jendrisak, M; Duffy, B F et al. (2000) Chimerism in peripheral blood of sensitized patients waiting for renal transplantation: clinical implications. Transplantation 69:538-44
Sivasai, K S; Mohanakumar, T; Phelan, D et al. (2000) Cytomegalovirus immune globulin intravenous (human) administration modulates immune response to alloantigens in sensitized renal transplant candidates. Clin Exp Immunol 119:559-65
SivaSai, K S; Mohanakumar, T; Phelan, D et al. (1999) Down regulation of in vivo and in vitro T cell responses post cytomegalovirus immune globulin intravenous (human) administration in sensitized renal transplant candidates. Transplant Proc 31:1378-81
Shenoy, S; Mohanakumar, T; Todd, G et al. (1999) Immune reconstitution following allogeneic peripheral blood stem cell transplants. Bone Marrow Transplant 23:335-46
Poindexter, N J; Steward, N S; Mohanakumar, T (1999) Characterization of an HLA-A3 restricted human kidney specific T cell clone. Hum Immunol 60:939-43
Shenoy, S; Desch, K; Duffy, B et al. (1998) Analysis of graft-versus-host disease (GVHD) and graft rejection using MHC class I-deficient mice. Clin Exp Immunol 112:188-95
Burlingham, W J; Grailer, A P; Heisey, D M et al. (1998) The effect of tolerance to noninherited maternal HLA antigens on the survival of renal transplants from sibling donors. N Engl J Med 339:1657-64
Poindexter, N; Shenoy, S; Howard, T et al. (1997) Allograft infiltrating cytotoxic T lymphocytes recognize kidney-specific human minor histocompatibility antigens. Clin Transplant 11:174-7

Showing the most recent 10 out of 28 publications