In studies that provide the background for this application we have transplanted rat metanephric allografts and xenografts into adult rodent hosts. We have established that: 1) metanephroi can be transplanted into the omentum of outbred or inbred rats without the use of immune suppression such that they undergo growth and differentiation in hosts, acquire a blood supply from the host, and clear inulin from the host's circulation; 2) metanephroi can be transplanted across the rat MHC and this is possible because of a state of peripheral tolerance due to T cell ignorance; 3) metanephroi can be stored in vitro for at least 3 days prior to transplantation without affecting growth, development and function in hosts; 4) xenotransplantation of metanephroi across a concordant barrier (rat to mouse) can be performed; and 5) inulin clearances of transplanted metanephroi (rat to rat) can be increased, using growth factors, by a factor of 225 relative to clearances obtained in the original group of transplants. The overall unifying hypothesis to be tested by studies outlined in this competitive renewal application is that renal fnction sufficient to sustain life can result from allograft metanephroi transplanted into the abdominal cavity of adult rats after native kidneys are removed. To this end, the Principal Investigator proposes to carry out a series of investigations the specific aim of which is to determine whether growth factors and renal growth promoting agents can enhance the development growth and function of transplanted allograft metanephroi such that such one or two transplanted developed metanephroi can sustain life in a rat after native kidneys are removed. Our studies will provide insight into the physiology and feasibility of a novel means of renal transplantation that could be applied to humans.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21DK063379-01
Application #
6466321
Study Section
General Medicine B Study Section (GMB)
Program Officer
Wilder, Elizabeth L
Project Start
2002-05-01
Project End
2004-04-30
Budget Start
2002-05-01
Budget End
2003-04-30
Support Year
1
Fiscal Year
2002
Total Cost
$153,166
Indirect Cost
Name
Washington University
Department
Type
Schools of Medicine
DUNS #
062761671
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
Hammerman, Marc R (2004) Organogenesis of kidneys following transplantation of renal progenitor cells. Transpl Immunol 12:229-39
Hammerman, Marc R (2004) Organogenesis of endocrine pancreas from transplanted embryonic anlagen. Transpl Immunol 12:249-58
Rogers, Sharon A; Chen, Feng; Talcott, Mike et al. (2004) Islet cell engraftment and control of diabetes in rats after transplantation of pig pancreatic anlagen. Am J Physiol Endocrinol Metab 286:E502-9
Hammerman, Marc R (2004) Renal organogenesis from transplanted metanephric primordia. J Am Soc Nephrol 15:1126-32
Hammerman, Marc R (2004) Treatment for end-stage renal disease: an organogenesis/tissue engineering odyssey. Transpl Immunol 12:211-8
Hammerman, Marc R (2004) Growing new kidneys in situ. Clin Exp Nephrol 8:169-77
Hammerman, Marc R (2004) Applications of organ precursor cell therapy: can lessons from embryonic kidney transplantation be applied to the endocrine pancreas? Curr Opin Nephrol Hypertens 13:23-9
Hammerman, Marc R (2004) Transplantation of embryonic organs - kidney and pancreas. Am J Transplant 4 Suppl 6:14-24
Rogers, Sharon A; Liapis, Helen; Hammerman, Marc R (2003) Intraperitoneal transplantation of pancreatic anlagen. ASAIO J 49:527-32
Hammerman, Marc R (2003) Applications of cell therapy to whole kidney replacement. Curr Opin Nephrol Hypertens 12:1-3

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