UNIGE document Scientific Article
previous document  unige:39988  next document
add to browser collection
Title

Prolonged allogeneic islet graft survival by protoporphyrins

Authors
Pileggi, Antonello
Molano, R Damaris
Ichii, Hirohito
San Jose, Sergio
Zahr, Elsie
Poggioli, Raffaella
Linetsky, Elina
show hidden authors show all authors [1 - 10]
Published in Cell Transplantation. 2005, vol. 14, no. 2-3, p. 85-96
Abstract Transplantation of islets of Langerhans in patients with type 1 diabetes allows for improved metabolic control and insulin independence. The need for chronic immunosuppression limits this procedure to selected patients with brittle diabetes. Definition of therapeutic strategies allowing permanent engraftment without the need for chronic immunosuppression could overcome such limitations. We tested the effect of the use of protoporphyrins (CoPP and FePP), powerful inducers of the cytoprotective protein heme-oxygenase 1 (HO-1), on allogeneic islet graft survival. Chemically induced diabetic C57BL/6 mice received DBA/2 islets. Treatment consisted in peritransplant administration of CoPP or saline. Islets were either cultured in the presence of FePP or vehicle before implant. Short-course administration of CoPP led to long-term islet allograft survival in a sizable proportion of recipients. Long-term graft-bearing animals rejected third-party islets while accepting a second set donor-specific graft permanently, without additional treatment. Preconditioning of islets with FePP by itself led to improved graft survival in untreated recipients, and provided additional advantage in CoPP-treated recipients, resulting in an increased proportion of long-term surviving grafts. Preconditioning of the graft with protoporphyrins prior to implant resulted in reduction of class II expression. Administration of protoporphyrins to the recipients of allogeneic islets also resulted in transient powerful immunosuppression with reduced lymphocyte proliferative responses, increased proportion of regulatory cells (CD4+CD25+), decreased mononuclear cell infiltrating the graft, paralleled by a systemic upregulation of HO-1 expression. All these mechanisms may have contributed to the induction of donor-specific hyporesponsiveness in a proportion of the protoporphyrin-treated animals.
Keywords AnimalsCells, CulturedDiabetes Mellitus, Type 1/therapyGraft Survival/drug effectsHumansImmunosuppression/methodsIslets of Langerhans/cytologyIslets of Langerhans TransplantationMiceProtoporphyrins/pharmacologyTransplantation, HomologousTransplants
Identifiers
PMID: 15881418
Full text
Article (Published version) (916 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Research group La transplantation d'îlots de Langerhans (623)
Citation
(ISO format)
PILEGGI, Antonello et al. Prolonged allogeneic islet graft survival by protoporphyrins. In: Cell Transplantation, 2005, vol. 14, n° 2-3, p. 85-96. https://archive-ouverte.unige.ch/unige:39988

165 hits

0 download

Update

Deposited on : 2014-09-05

Export document
Format :
Citation style :