GAMMA IRRADIATION OF ISOLATED RAT ISLETS PRETRANSPLANTATION PRODUCES INDEFINITE ALLOGRAFT SURVIVAL IN CYCLOSPORINE‐TREATED RECIPIENTS
作者:
ROGER JAMES,
STEPHEN LAKE,
JULIE CHAMBERLAIN,
STEPHEN THIRDBOROUGH,
P. BASSETT,
NATU MISTRY,
PETER BELL,
期刊:
Transplantation
(OVID Available online 1989)
卷期:
Volume 47,
issue 6
页码: 929-932
ISSN:0041-1337
年代: 1989
出版商: OVID
数据来源: OVID
摘要:
In this study we have examined the use of low-dose γ-irradiation for the reduction of islet immunogenicity in the strong allogeneic combination of WAG rat islets transplanted into diabetic AUG recipients. First, we determined that γ-irradiation reduced immunogenicity in vitro by use of a modified MLR with WAG islets as stimulators and AUG splenocytes as responders. We then determined the maximum dose of γ-irradiation that could be used (250 rads) before islet function was affected. As 250 rads islet pretreatment alone was ineffective in prolonging allograft survival, we combined the pretreatment with a short course (days 0, 1, 2; 30 mg/kg) of cyclosporine. We found that CsA was only effective in significantly prolonging allograft survival when given subcutaneously in olive oil. The CsA treatment alone gave a significantly prolonged survival time for the islet allografts (median, 37 days vs. 6 days for controls), but when combined with the 250 rads islet pretreatment a synergistic effect was seen with 100% becoming long-term survivors (>100 days). The longterm surviving AUG rats from both the CsA alone group and the CsA plus 250 rads pretreated islets group were challenged with WAG dendritic cells (DC). The islets from the 250 rads pretreated group were subsequently rejected (day 6) while the CsA alone group were not affected. The role of low dose γ-irradiation when combined with CsA treatment of islet graft recipients in inducing specific unresponsiveness will be discussed.
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