Modification of specific antigen administered prior to transplantation and the route of administration shows promise for donor regulation of the immune response. Specifically, administration of Class I without Class II MHC antigen may prevent sensitization. In addition, pretransplant antigen administration via the portal vein prolongs allograft survival, presumably by processing of the antigen through the liver by an undefined mechanism. This proposal will examine parameters of the immune response to soluble and cellular alloantigens given via the portal vein compared to other routes of administration. Ovalbumin and its immunogenic peptide will be used to examine antigen processing and presentation to T-helper cells and the subsequent development of the delayed type hypersensitivity response, interleukins 1,2,3,4, and tumor necrosis factor (TNF) production. The response to native and heat or ultraviolet B irradiation (UVB) modified cellular alloantigen will be studied. Special attention will be given to the function and products of the Kupffer cells as compared with other macrophage populations. Specific adherence of antigen reactive cells (ARC) to Kupffer cells will be examined as a possible mechanism of sequestration and elimination of ARC. Since Kupffer cells produce prostaglandins and leukotrienes, the immunoregulatory effects of these products will be analyzed. The influence of these parameters on rejection will be examined by transplantation of parathyroid, kidney, heart, and liver allografts in rats. Immunological assessment of recipients of long surviving grafts will be examined for CTLp frequency, anti-idiotypic antibody, suppressor cells, and lymphokine production. In addition, a mouse sponge matrix allograft model will be employed to examine the kinetics of the responsible immune cell subpopulations.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK052232-09
Application #
2905967
Study Section
Surgery, Anesthesiology and Trauma Study Section (SAT)
Program Officer
Serrano, Jose
Project Start
1990-07-01
Project End
2000-06-30
Budget Start
1999-07-01
Budget End
2000-06-30
Support Year
9
Fiscal Year
1999
Total Cost
Indirect Cost
Name
Washington University
Department
Surgery
Type
Schools of Medicine
DUNS #
062761671
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
Shimizu, Yoshiaki; Margenthaler, Julie A; Landeros, Keith et al. (2002) The resistance of P. acnes--primed interferon gamma-deficient mice to low-dose lipopolysaccharide-induced acute liver injury. Hepatology 35:805-14
Genden, E M; Mackinnon, S E; Yu, S et al. (2001) Pretreatment with portal venous ultraviolet B-irradiated donor alloantigen promotes donor-specific tolerance to rat nerve allografts. Laryngoscope 111:439-47
Genden, E M; Mackinnon, S E; Yu, S et al. (2001) Portal venous ultraviolet B-irradiated donor alloantigen prevents rejection in circumferential rat tracheal allografts. Otolaryngol Head Neck Surg 124:481-8
Otomo, N; Margenthaler, J A; Motoyama, K et al. (2001) Organ transplant specificity of tolerance to skin grafts with heart or kidney grafts plus nondepleting anti-CD4 monoclonal antibody (RIB 5/2) and intravenous donor alloantigen administration. J Surg Res 98:59-65
Otomo, N; Motoyama, K; Yu, S et al. (2001) Intrathymic alloantigen-mediated tolerant, completely MHC-mismatched mouse hearts are specifically rejected by adoptively transferred in vitro-sensitized anti-class I L(d+)-specific 2C cells. Transplant Proc 33:159-60
Shimizu, Y; Otomo, N; Yu, S et al. (2001) Donor-specific antigen transfusion-mediated cardiac allograft tolerance is prevented by prior treatment with anti-CD8, but not anti-CD4, antibody. Transplant Proc 33:150-1
Motoyama, K; Arima, T; Yu, S et al. (2000) The kinetics of tolerance induction by nondepleting anti-CD4 monoclonal antibody (RIB 5/2) plus intravenous donor alloantigen administration. Transplantation 69:285-93
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
Otomo, N; Motoyama, K; Yu, S et al. (2000) Intrathymic alloantigen-mediated, tolerant, completely major histocompatibility complex-mismatched mouse hearts are specifically rejected by adoptively transferred anti-class I L(d+)-specific 2C cells. Surgery 128:206-12
Motoyama, K; Lehmann, M; Flye, M W (1999) Analysis of donor-specific unresponsiveness to rat allografts by nondepleting anti-CD4 monoclonal antibody (RIB 5/2) plus donor antigen. Transplant Proc 31:1237-8

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