Kidney‐Induced Cardiac Allograft Tolerance in Miniature Swine is Dependent on MHC‐Matching of Donor Cardiac and Renal Parenchyma

Kidney allografts possess the ability to enable a short course of immunosuppression to induce tolerance of themselves and of cardiac allografts across a full‐MHC barrier in miniature swine. However, the renal element(s) responsible for kidney‐induced cardiac allograft tolerance (KICAT) are unknown....

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Veröffentlicht in:American journal of transplantation 2015-06, Vol.15 (6), p.1580-1590
Hauptverfasser: Madariaga, M. L., Michel, S. G., La Muraglia, G. M., Sekijima, M., Villani, V., Leonard, D. A., Powell, H. J., Kurtz, J. M., Farkash, E. A., Colvin, R. B., Allan, J. S., Cetrulo, Jr, C. L., Huang, C. A., Sachs, D. H., Yamada, K., Madsen, J. C.
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container_end_page 1590
container_issue 6
container_start_page 1580
container_title American journal of transplantation
container_volume 15
creator Madariaga, M. L.
Michel, S. G.
La Muraglia, G. M.
Sekijima, M.
Villani, V.
Leonard, D. A.
Powell, H. J.
Kurtz, J. M.
Farkash, E. A.
Colvin, R. B.
Allan, J. S.
Cetrulo, Jr, C. L.
Huang, C. A.
Sachs, D. H.
Yamada, K.
Madsen, J. C.
description Kidney allografts possess the ability to enable a short course of immunosuppression to induce tolerance of themselves and of cardiac allografts across a full‐MHC barrier in miniature swine. However, the renal element(s) responsible for kidney‐induced cardiac allograft tolerance (KICAT) are unknown. Here we investigated whether MHC disparities between parenchyma versus hematopoietic‐derived “passenger” cells of the heart and kidney allografts affected KICAT. Heart and kidney allografts were co‐transplanted into MHC‐mismatched recipients treated with high‐dose tacrolimus for 12 days. Group 1 animals (n = 3) received kidney and heart allografts fully MHC‐mismatched to each other and to the recipient. Group 2 animals (n = 3) received kidney and heart allografts MHC‐matched to each other but MHC‐mismatched to the recipient. Group 3 animals (n = 3) received chimeric kidney allografts whose parenchyma was MHC‐mismatched to the donor heart. Group 4 animals (n = 3) received chimeric kidney allografts whose passenger leukocytes were MHC‐mismatched to the donor heart. Five of six heart allografts in Groups 1 and 3 rejected 150 days without rejection (p 
doi_str_mv 10.1111/ajt.13131
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L. ; Michel, S. G. ; La Muraglia, G. M. ; Sekijima, M. ; Villani, V. ; Leonard, D. A. ; Powell, H. J. ; Kurtz, J. M. ; Farkash, E. A. ; Colvin, R. B. ; Allan, J. S. ; Cetrulo, Jr, C. L. ; Huang, C. A. ; Sachs, D. H. ; Yamada, K. ; Madsen, J. C.</creator><creatorcontrib>Madariaga, M. L. ; Michel, S. G. ; La Muraglia, G. M. ; Sekijima, M. ; Villani, V. ; Leonard, D. A. ; Powell, H. J. ; Kurtz, J. M. ; Farkash, E. A. ; Colvin, R. B. ; Allan, J. S. ; Cetrulo, Jr, C. L. ; Huang, C. A. ; Sachs, D. H. ; Yamada, K. ; Madsen, J. C.</creatorcontrib><description>Kidney allografts possess the ability to enable a short course of immunosuppression to induce tolerance of themselves and of cardiac allografts across a full‐MHC barrier in miniature swine. However, the renal element(s) responsible for kidney‐induced cardiac allograft tolerance (KICAT) are unknown. Here we investigated whether MHC disparities between parenchyma versus hematopoietic‐derived “passenger” cells of the heart and kidney allografts affected KICAT. Heart and kidney allografts were co‐transplanted into MHC‐mismatched recipients treated with high‐dose tacrolimus for 12 days. Group 1 animals (n = 3) received kidney and heart allografts fully MHC‐mismatched to each other and to the recipient. Group 2 animals (n = 3) received kidney and heart allografts MHC‐matched to each other but MHC‐mismatched to the recipient. Group 3 animals (n = 3) received chimeric kidney allografts whose parenchyma was MHC‐mismatched to the donor heart. Group 4 animals (n = 3) received chimeric kidney allografts whose passenger leukocytes were MHC‐mismatched to the donor heart. Five of six heart allografts in Groups 1 and 3 rejected &lt;40 days. In contrast, heart allografts in Groups 2 and 4 survived &gt;150 days without rejection (p &lt; 0.05). These data demonstrate that KICAT requires MHC‐matching between kidney allograft parenchyma and heart allografts, suggesting that cells intrinsic to the kidney enable cardiac allograft tolerance. Kidney‐induced cardiac allograft tolerance requires MHC‐matching between kidney allograft parenchyma and heart allografts, suggesting that cells intrinsic to the kidney enable cardiac allograft tolerance.</description><identifier>ISSN: 1600-6135</identifier><identifier>EISSN: 1600-6143</identifier><identifier>DOI: 10.1111/ajt.13131</identifier><identifier>PMID: 25824550</identifier><language>eng</language><publisher>United States: Elsevier Limited</publisher><subject>Allografts ; Animals ; basic (laboratory) research / science ; Graft Rejection - immunology ; Graft Rejection - prevention &amp; control ; Heart ; Heart - physiology ; Heart Transplantation ; heart transplantation / cardiology ; Histocompatibility - immunology ; Histocompatibility - physiology ; Immunosuppression Therapy ; Immunosuppressive Agents - therapeutic use ; Kidney - physiology ; Kidney Transplantation ; kidney transplantation / nephrology ; Major Histocompatibility Complex - immunology ; Major Histocompatibility Complex - physiology ; Models, Animal ; Swine ; Swine, Miniature ; Tacrolimus - therapeutic use ; Tissue and Organ Procurement ; tolerance ; tolerance: mechanisms ; Transplantation Tolerance - immunology ; Transplantation Tolerance - physiology</subject><ispartof>American journal of transplantation, 2015-06, Vol.15 (6), p.1580-1590</ispartof><rights>Copyright 2015 The American Society of Transplantation and the American Society of Transplant Surgeons</rights><rights>Copyright 2015 The American Society of Transplantation and the American Society of Transplant Surgeons.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4431-866d6239d5620fb402a85efc1763e05b93d9e67e979635dc60d431e37af4afd13</citedby><cites>FETCH-LOGICAL-c4431-866d6239d5620fb402a85efc1763e05b93d9e67e979635dc60d431e37af4afd13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fajt.13131$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fajt.13131$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25824550$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Madariaga, M. L.</creatorcontrib><creatorcontrib>Michel, S. G.</creatorcontrib><creatorcontrib>La Muraglia, G. M.</creatorcontrib><creatorcontrib>Sekijima, M.</creatorcontrib><creatorcontrib>Villani, V.</creatorcontrib><creatorcontrib>Leonard, D. A.</creatorcontrib><creatorcontrib>Powell, H. J.</creatorcontrib><creatorcontrib>Kurtz, J. M.</creatorcontrib><creatorcontrib>Farkash, E. A.</creatorcontrib><creatorcontrib>Colvin, R. B.</creatorcontrib><creatorcontrib>Allan, J. S.</creatorcontrib><creatorcontrib>Cetrulo, Jr, C. L.</creatorcontrib><creatorcontrib>Huang, C. A.</creatorcontrib><creatorcontrib>Sachs, D. H.</creatorcontrib><creatorcontrib>Yamada, K.</creatorcontrib><creatorcontrib>Madsen, J. C.</creatorcontrib><title>Kidney‐Induced Cardiac Allograft Tolerance in Miniature Swine is Dependent on MHC‐Matching of Donor Cardiac and Renal Parenchyma</title><title>American journal of transplantation</title><addtitle>Am J Transplant</addtitle><description>Kidney allografts possess the ability to enable a short course of immunosuppression to induce tolerance of themselves and of cardiac allografts across a full‐MHC barrier in miniature swine. However, the renal element(s) responsible for kidney‐induced cardiac allograft tolerance (KICAT) are unknown. Here we investigated whether MHC disparities between parenchyma versus hematopoietic‐derived “passenger” cells of the heart and kidney allografts affected KICAT. Heart and kidney allografts were co‐transplanted into MHC‐mismatched recipients treated with high‐dose tacrolimus for 12 days. Group 1 animals (n = 3) received kidney and heart allografts fully MHC‐mismatched to each other and to the recipient. 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Here we investigated whether MHC disparities between parenchyma versus hematopoietic‐derived “passenger” cells of the heart and kidney allografts affected KICAT. Heart and kidney allografts were co‐transplanted into MHC‐mismatched recipients treated with high‐dose tacrolimus for 12 days. Group 1 animals (n = 3) received kidney and heart allografts fully MHC‐mismatched to each other and to the recipient. Group 2 animals (n = 3) received kidney and heart allografts MHC‐matched to each other but MHC‐mismatched to the recipient. Group 3 animals (n = 3) received chimeric kidney allografts whose parenchyma was MHC‐mismatched to the donor heart. Group 4 animals (n = 3) received chimeric kidney allografts whose passenger leukocytes were MHC‐mismatched to the donor heart. Five of six heart allografts in Groups 1 and 3 rejected &lt;40 days. In contrast, heart allografts in Groups 2 and 4 survived &gt;150 days without rejection (p &lt; 0.05). These data demonstrate that KICAT requires MHC‐matching between kidney allograft parenchyma and heart allografts, suggesting that cells intrinsic to the kidney enable cardiac allograft tolerance. Kidney‐induced cardiac allograft tolerance requires MHC‐matching between kidney allograft parenchyma and heart allografts, suggesting that cells intrinsic to the kidney enable cardiac allograft tolerance.</abstract><cop>United States</cop><pub>Elsevier Limited</pub><pmid>25824550</pmid><doi>10.1111/ajt.13131</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Allografts
Animals
basic (laboratory) research / science
Graft Rejection - immunology
Graft Rejection - prevention & control
Heart
Heart - physiology
Heart Transplantation
heart transplantation / cardiology
Histocompatibility - immunology
Histocompatibility - physiology
Immunosuppression Therapy
Immunosuppressive Agents - therapeutic use
Kidney - physiology
Kidney Transplantation
kidney transplantation / nephrology
Major Histocompatibility Complex - immunology
Major Histocompatibility Complex - physiology
Models, Animal
Swine
Swine, Miniature
Tacrolimus - therapeutic use
Tissue and Organ Procurement
tolerance
tolerance: mechanisms
Transplantation Tolerance - immunology
Transplantation Tolerance - physiology
title Kidney‐Induced Cardiac Allograft Tolerance in Miniature Swine is Dependent on MHC‐Matching of Donor Cardiac and Renal Parenchyma
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