(taken from the application) It has been suggested that non-allospecific immune-mediated damage, such as inflammation or the toxicity associated with """"""""cytokine storms,"""""""" may be responsible for a large proportion of the primary islet graft non-function see in clinical islet transplantation. Although studies in animals have been informative, the species differences in islet biology and immune responses mak it difficult to extrapolate these results to events resulting from the human leukocyte response to human islets. Unfortunately, no proper tools are available to study damage to human islets by inflammation or """"""""cytokine storms"""""""" created by human leukocytes. We propose to develop a new model to study non-allogeneic immune-mediated human islet destruction, in NOD/LtSz-scid/scid mice. The Severe Combined ImmunoDeficiency (SCID) phenotype is characterized b a lack of adaptive immunity due to a genetic defect. The human leukocytes injected into these mice will come from the same donor as the human islets and therefore have no adaptive immunity against the islet tissue. By activating th leukocytes before placing them in the mice, where further activation is induce by exposure to mouse tissue, we intensify the release of cytokines, creating a """"""""cytokine storm"""""""" with associated upregulation and activation of non-allospecific immunity. We will evaluate the usefulness and limitations of such a model and employ it to investigate the mechanisms of reduced human isle immunogenicity following extended periods of culture. Upon the success of this project, an important new research tool will be available to study and develop techniques that prevent non-allospecific human islet graft destruction.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21DK055263-02
Application #
2906370
Study Section
Special Emphasis Panel (ZDK1-GRB-B (O1))
Program Officer
Harmon, Joan T
Project Start
1998-09-30
Project End
2002-09-29
Budget Start
1999-09-30
Budget End
2002-09-29
Support Year
2
Fiscal Year
1999
Total Cost
Indirect Cost
Name
University of Tennessee Health Science Center
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
941884009
City
Memphis
State
TN
Country
United States
Zip Code
38163
Ahokas, Robert A; Sun, Yao; Bhattacharya, Syamal K et al. (2005) Aldosteronism and a proinflammatory vascular phenotype: role of Mg2+, Ca2+, and H2O2 in peripheral blood mononuclear cells. Circulation 111:51-7
Ahokas, Robert A; Warrington, Kenneth J; Gerling, Ivan C et al. (2003) Aldosteronism and peripheral blood mononuclear cell activation: a neuroendocrine-immune interface. Circ Res 93:e124-35
Gerling, Ivan C; Sun, Yao; Ahokas, Robert A et al. (2003) Aldosteronism: an immunostimulatory state precedes proinflammatory/fibrogenic cardiac phenotype. Am J Physiol Heart Circ Physiol 285:H813-21