Research outlined in this grant application is intended to study two separate methods for inducing organ allograft tolerance. One model is a method for removing cells from the transplanted organ capable of inducing allograft rejection. The second model is an attempt to tolerize the recipient of organ allografts by specifically removing a subpopulation of T helper cells actively involved in induction of allogeneic responsiveness. Both of these models make use of basic research data which suggest that murine T helper cells (bearing the L3T4 differentiation antigens) recognize and respond to MHC Class II molecules (Ia molecules) for induction of organ allograft rejection. By specifically removing the MHC Class II bearing cells from endocrine organs through the use of immunotoxins (monoclonal anti-Ia antibodies conjugated with ricin A chain) or by administering AlphaL3T4 antibodies to rodents, we intend to generate organ allograft tolerance which will allow long-term organ allograft survival in the absence of additional immunosuppression. Both of these models have potential applicability to human transplantation models. The use of anti-Ia immunotoxins most readily lends itself to the concept of endocrine organ allotransplantation whereas the selective specific short-term removal of T helper cells from the recipient might be applicable to any allogeneic organ allograft transplantation model.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK037104-03
Application #
3235832
Study Section
Immunobiology Study Section (IMB)
Project Start
1986-04-01
Project End
1989-03-31
Budget Start
1988-04-01
Budget End
1989-03-31
Support Year
3
Fiscal Year
1988
Total Cost
Indirect Cost
Name
Stanford University
Department
Type
Schools of Medicine
DUNS #
800771545
City
Stanford
State
CA
Country
United States
Zip Code
94305
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Flavin, T; Shizuru, J; Seydel, K et al. (1990) Selective T-cell depletion with Ox-38 anti-CD4 monoclonal antibody prevents cardiac allograft rejection in rats. J Heart Transplant 9:482-8
Weyand, C M; Goronzy, J; Swarztrauber, K et al. (1989) Immunosuppression by anti-CD4 treatment in vivo. Persistence of secondary antiviral immune responses. Transplantation 47:1034-8
Trager, D K; Banks, B A; Rosenbaum, G E et al. (1989) Cardiac allograft prolongation in mice treated with combined posttransplantation total-lymphoid irradiation and anti-L3T4 antibody therapy. Transplantation 47:587-91
Weyand, C M; Goronzy, J; Swarztrauber, K et al. (1989) Immunosuppression by anti-CD4 treatment in vivo. Cellular and humoral responses to alloantigens. Transplantation 47:1039-42
Butterfield, K; Fathman, C G; Budd, R C (1989) A subset of memory CD4+ helper T lymphocytes identified by expression of Pgp-1. J Exp Med 169:1461-6
Shizuru, J A; Gregory, A K; Chao, C T et al. (1987) Islet allograft survival after a single course of treatment of recipient with antibody to L3T4. Science 237:278-80