Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2003-2-20
pubmed:abstractText
Anti-CD154 variably prolongs allograft survival in nonhuman primates. Rodent studies suggest that adding pretransplant donor-specific transfusion (DST) and/or rapamycin to anti-CD154 improves survival. The CD154-specific Ab IDEC-131 was tested alone and in combination with rapamycin for its ability to inhibit rhesus MLRs. The ability of the Ab to block endothelial activation was also assessed. IDEC-131 was then tested alone and in combination with DST and/or rapamycin for its ability to prevent rejection of full-thickness, MHC-mismatched rhesus skin allografts. Animals were monitored for donor-specific hyporesponsiveness by MLR and alloantibody determination. IDEC-131 modestly inhibited rhesus MLRs and inhibited CD154-dependent endothelial cell activation. Rapamycin combined with IDEC-131 additively inhibited MLRs. IDEC-131 modestly prolonged allograft survival when compared with no treatment, rapamycin alone, or DST plus rapamycin. Adding DST to IDEC-131 did not prolong survival beyond IDEC-131 alone. IDEC-131 plus rapamycin was effective in prolonging graft survival, although animals had episodes of acute rejection before graft demise. Therapy with IDEC-131, rapamycin, and DST induced long-term allograft survival without intermittent acute rejection. However, no evidence for MLR inhibition was seen, and most animals eventually developed alloantibody. All animals ultimately rejected their grafts after drug withdrawal. IDEC-131 modestly prolongs rhesus skin allograft survival. Rapamycin and rapamycin plus DST improves the efficacy of IDEC-131 in prolonging allograft survival. IDEC-131, rapamycin, and DST are a promising combination for clinical evaluation in allotransplantation.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0022-1767
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
170
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2776-82
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:12594309-Administration, Oral, pubmed-meshheading:12594309-Animals, pubmed-meshheading:12594309-Antibodies, Monoclonal, pubmed-meshheading:12594309-Antigens, CD3, pubmed-meshheading:12594309-Blood Transfusion, pubmed-meshheading:12594309-CD40 Ligand, pubmed-meshheading:12594309-Cell Division, pubmed-meshheading:12594309-Cells, Cultured, pubmed-meshheading:12594309-Drug Therapy, Combination, pubmed-meshheading:12594309-Endothelium, Vascular, pubmed-meshheading:12594309-Graft Enhancement, Immunologic, pubmed-meshheading:12594309-Humans, pubmed-meshheading:12594309-Immune Tolerance, pubmed-meshheading:12594309-Immunosuppressive Agents, pubmed-meshheading:12594309-Injections, Intravenous, pubmed-meshheading:12594309-Isoantibodies, pubmed-meshheading:12594309-Lymphocyte Culture Test, Mixed, pubmed-meshheading:12594309-Macaca mulatta, pubmed-meshheading:12594309-Models, Immunological, pubmed-meshheading:12594309-Sirolimus, pubmed-meshheading:12594309-Skin Transplantation, pubmed-meshheading:12594309-T-Lymphocytes, pubmed-meshheading:12594309-Transplantation Conditioning
pubmed:year
2003
pubmed:articleTitle
Studies investigating pretransplant donor-specific blood transfusion, rapamycin, and the CD154-specific antibody IDEC-131 in a nonhuman primate model of skin allotransplantation.
pubmed:affiliation
Transplantation and Autoimmunity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Department of Health and Human Services, Bethesda, MD 20892, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, U.S. Gov't, Non-P.H.S.