One major challenge in the field of transplantation is the critical shortage of donor organs. While xenotransplantation might address this problem, its potential use is limited by the hyperacute rejection reaction that inevitably occurs when organs are transplanted between phylogenetically distant species. Hyperacute xenograft rejection is characterized by prominent evidence of vascular injury that is thought to be initiated by the reaction of natural antibodies and complement of the recipient with the endothelial lining of blood vessels of the donor organ. It is the overall objective of the proposed research to elucidate the pathogenesis of hyperacute xenograft rejection and to develop strategies to prevent it; the achievement of these goals will contribute to the application of xenotransplantation for amelioration of disease in humans.
One specific aim of the proposed research is the further characterization of a porcine endothelial cell glycoprotein, gp135, which appears to be the most important target of human natural antibodies in the initiation of the rejection reaction. Monoclonal antibodies directed against this glycoprotein and/or partial amino acid sequences will be used to isolate and clone full length cDNA. The protein and cDNA sequences will be used to deduce the function of gp135 based on homology with other known sequences and as it relates to the pathophysiology of hyperacute rejection. To the extent that other porcine endothelial cell glycoproteins are found to be pathophysiologically important, these glycoproteins will be investigated as well. Another aim of this project is to define the roles of human natural antibodies and complement in mediating injury to xenogeneic endothelium. Human natural antibodies and human and murine monoclonal antibodies directed against specific porcine endothelial cell antigens, including gp135, will be tested with and without complement for the ability to stimulate or """"""""activate"""""""" porcine endothelial cells. The manifestations of endothelial cell activation as it occurs will be related to the specific structures recognized by anti-endothelial cell antibodies and the active complement moieties or combination thereof required as a stimulus.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL052297-02
Application #
2229604
Study Section
Surgery, Anesthesiology and Trauma Study Section (SAT)
Project Start
1993-09-01
Project End
1996-08-31
Budget Start
1994-09-01
Budget End
1995-08-31
Support Year
2
Fiscal Year
1994
Total Cost
Indirect Cost
Name
Duke University
Department
Surgery
Type
Schools of Medicine
DUNS #
071723621
City
Durham
State
NC
Country
United States
Zip Code
27705
Soltys, Kyle A; Setoyama, Kentaro; Tafaleng, Edgar N et al. (2017) Host conditioning and rejection monitoring in hepatocyte transplantation in humans. J Hepatol 66:987-1000
Platt, Jeffrey L; Zhou, Xiaofeng; Lefferts, Adam R et al. (2016) Cell Fusion in the War on Cancer: A Perspective on the Inception of Malignancy. Int J Mol Sci 17:
Zhou, Xiaofeng; Merchak, Kevin; Lee, Woojin et al. (2015) Cell Fusion Connects Oncogenesis with Tumor Evolution. Am J Pathol 185:2049-60
Cascalho, Marilia I; Chen, Brian J; Kain, Mandy et al. (2013) The paradoxical functions of B cells and antibodies in transplantation. J Immunol 190:875-9
Lynch, R J; Silva, I A; Chen, B J et al. (2013) Cryptic B cell response to renal transplantation. Am J Transplant 13:1713-23
Platt, Jeffrey L; Tsuji, Shoichiro; Cascalho, Marilia (2011) Novel functions of B cells in transplantation. Curr Opin Organ Transplant 16:61-8
Platt, J L (2011) Accommodation: how you see it, how you don't. Am J Transplant 11:2007-8
McConico, Andrea; Butters, Kim; Lien, Karen et al. (2011) In utero cell transfer between porcine littermates. Reprod Fertil Dev 23:297-302
Zhou, Xiaofeng; Platt, Jeffrey L (2011) Molecular and cellular mechanisms of mammalian cell fusion. Adv Exp Med Biol 713:33-64
Platt, Jeffrey L; Cascalho, Marilia (2011) Donor specific antibodies after transplantation. Pediatr Transplant 15:686-90

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