Experimental studies on xenograft rejection
Author: Wu, Guosheng
Date: 2001-06-07
Location: Föreläsningssal B69, Huddinge Universitetssjukhus
Time: 10.00
Department: Institutionen för kirurgisk vetenskap / Department of Surgical Science
Abstract
The use of animal organs and tissues may provide a solution to the severe and worsening shortage of human grafts. The aims of the present experimental studies were to provide a better understanding of the rejection mechanisms and give new clues for prevention of xenorejection, thereby hopefully contributing to the development of clinical xenotransplantation.
Guinea pig hearts transplanted into rats undergo hyperacute rejection (HAR) within a few minute& C6rats cannot form the membrane attack complex. Guinea pig hearts transplanted into such rats are not hyperacutely rejected, but instead undergo delayed xenograft rejection (DXR) within 1-2 days. This model thus gives us the opportunity to study the later phases of discordant vascularized xenograft rejection.
In Paper I, we studied the effects of deoxyspergualin (DSG), cyclosporine (CsA) and tacrolimus (FK506) on the survival of guinea pig hearts in C6- rats. Our results showed that DSG moderately prolonged xenograft survival, while CsA and FK506 had no effect. DSG also significantly reduced serum xenoreactive IgM levels. At rejection, xenografts were markedly infiltrated by macrophages, regardless of the therapy used. We concluded that the beneficial effect of DSG was probably related to suppression of induced xenoreactive antibodies (XAb) and that strategies targeting macrophages and XAb may help to overcome DXR.
In Paper II, Lip-C12MDP (liposome-encapsulated dichloromethylene diphosphonate) was used to deplete recipient macrophages. We found that LiP-C12MDP in combination with DSG led to significant prolongation of guinea pig heart survival in C6- rats compared to DSG or Lip-C12MDP alone. The importance of macrophages was also shown in Paper III, where depletion of macrophages dramatically prolonged porcine islet xenograft survival in streptozotocin-diabetic mice, 26 ± 3.8 days in the macrophage-depleted group versus 8 ± 1.2 days in untreated controls. Taken together, our observations suggest that strategies targeting macrophages prolong xenograft survival.
In Paper IV, we showed that the removal of preformed antibodies by plasma exchange and suppression of induced antibodies by DSG increased survival of guinea pig hearts to 6.9 ± 1.1 days versus 2.8 ± 0.5 days in untreated C6- rats. As graft survival was longer, the number of T-cells in the graft increased significantly. This finding suggests that when DXR is prevented by reduction of XAb and macrophage depletion, the cellular infiltrate resembles that seen in allografts. In Paper V, we found that CsA resulted in long-term graft survival in the mouse-to-C6rat heart transplant model, indicating that if complement-mediated injury is prevented, suppression of T-cells is sufficient for long-term graft survival in this concordant model.
In summary, our results show that methods targeting macrophages and XAb prolong discordant vascularized xenograft survival. Control of macrophages is important also in discordant islet xenograffing. The complexity of xenorejection makes it unlikely that any single therapy will be effective. Instead, recipient immunosuppression combined with strategies reducing graft immunogeneicity and improving graft resistance to the rejection response seem to be needed.
Guinea pig hearts transplanted into rats undergo hyperacute rejection (HAR) within a few minute& C6rats cannot form the membrane attack complex. Guinea pig hearts transplanted into such rats are not hyperacutely rejected, but instead undergo delayed xenograft rejection (DXR) within 1-2 days. This model thus gives us the opportunity to study the later phases of discordant vascularized xenograft rejection.
In Paper I, we studied the effects of deoxyspergualin (DSG), cyclosporine (CsA) and tacrolimus (FK506) on the survival of guinea pig hearts in C6- rats. Our results showed that DSG moderately prolonged xenograft survival, while CsA and FK506 had no effect. DSG also significantly reduced serum xenoreactive IgM levels. At rejection, xenografts were markedly infiltrated by macrophages, regardless of the therapy used. We concluded that the beneficial effect of DSG was probably related to suppression of induced xenoreactive antibodies (XAb) and that strategies targeting macrophages and XAb may help to overcome DXR.
In Paper II, Lip-C12MDP (liposome-encapsulated dichloromethylene diphosphonate) was used to deplete recipient macrophages. We found that LiP-C12MDP in combination with DSG led to significant prolongation of guinea pig heart survival in C6- rats compared to DSG or Lip-C12MDP alone. The importance of macrophages was also shown in Paper III, where depletion of macrophages dramatically prolonged porcine islet xenograft survival in streptozotocin-diabetic mice, 26 ± 3.8 days in the macrophage-depleted group versus 8 ± 1.2 days in untreated controls. Taken together, our observations suggest that strategies targeting macrophages prolong xenograft survival.
In Paper IV, we showed that the removal of preformed antibodies by plasma exchange and suppression of induced antibodies by DSG increased survival of guinea pig hearts to 6.9 ± 1.1 days versus 2.8 ± 0.5 days in untreated C6- rats. As graft survival was longer, the number of T-cells in the graft increased significantly. This finding suggests that when DXR is prevented by reduction of XAb and macrophage depletion, the cellular infiltrate resembles that seen in allografts. In Paper V, we found that CsA resulted in long-term graft survival in the mouse-to-C6rat heart transplant model, indicating that if complement-mediated injury is prevented, suppression of T-cells is sufficient for long-term graft survival in this concordant model.
In summary, our results show that methods targeting macrophages and XAb prolong discordant vascularized xenograft survival. Control of macrophages is important also in discordant islet xenograffing. The complexity of xenorejection makes it unlikely that any single therapy will be effective. Instead, recipient immunosuppression combined with strategies reducing graft immunogeneicity and improving graft resistance to the rejection response seem to be needed.
List of papers:
I. Wu GS, Korsgren O, Wennberg L, Tibell A (1999). "Deoxyspergualin delays xenograft rejection in the guinea pig-to-C6-deficient rat heart transplantation model. " Transpl Int 12(6): 415-22
Pubmed
II. Wu GS, Korsgren O, Van Rooijen N, Wennberg L, Tibell A (1999). "The effect of macrophage deplection on delayed xenograft rejection: studies in the guinea pig-to-C6-deficient rat heart transplantation model." Xenotransplantation 6: 262-70
III. Wu GS, Korsgren O, Zhang JG, Song ZS, Van Rooijen N, Tibell A (2000). "Pig islet xenograft rejection is markedly delayed in macrophage-depleted mice: a study in streptozotocin diabetic animals." Xenotransplantation 7: 214-20
IV. Wu GS, Korsgren O, Van Rooijen N, Tibell A (2001). "Effect of plasma exchange in combination with deoxyspergualin on the survival of guinea pig hearts in macrophage-depleted C6-deficient rats." (Manuscript)
V. Wu GS, Korsgren O, Van Rooijen N, Tibell A (2001). "Suppression of T cells results in long-term survival of mouse heart xenografts in C6-deficient rats." Xenotransplantation (In Print)
I. Wu GS, Korsgren O, Wennberg L, Tibell A (1999). "Deoxyspergualin delays xenograft rejection in the guinea pig-to-C6-deficient rat heart transplantation model. " Transpl Int 12(6): 415-22
Pubmed
II. Wu GS, Korsgren O, Van Rooijen N, Wennberg L, Tibell A (1999). "The effect of macrophage deplection on delayed xenograft rejection: studies in the guinea pig-to-C6-deficient rat heart transplantation model." Xenotransplantation 6: 262-70
III. Wu GS, Korsgren O, Zhang JG, Song ZS, Van Rooijen N, Tibell A (2000). "Pig islet xenograft rejection is markedly delayed in macrophage-depleted mice: a study in streptozotocin diabetic animals." Xenotransplantation 7: 214-20
IV. Wu GS, Korsgren O, Van Rooijen N, Tibell A (2001). "Effect of plasma exchange in combination with deoxyspergualin on the survival of guinea pig hearts in macrophage-depleted C6-deficient rats." (Manuscript)
V. Wu GS, Korsgren O, Van Rooijen N, Tibell A (2001). "Suppression of T cells results in long-term survival of mouse heart xenografts in C6-deficient rats." Xenotransplantation (In Print)
Issue date: 2001-05-17
Publication year: 2001
ISBN: 91-628-4805-4
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