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Title

Prolonged islet graft survival in NOD mice by blockade of the CD40-CD154 pathway of T-cell costimulation

Authors
Molano, R D
Li, H
Cattan, P
Pileggi, A
Vizzardelli, C
Kenyon, N S
Ricordi, C
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Published in Diabetes. 2001, vol. 50, no. 2, p. 270-6
Abstract Allorejection and recurrence of autoimmunity are the major barriers to transplantation of islets of Langerhans for the cure of type 1 diabetes in humans. CD40-CD154 (CD40 ligand) interaction blockade by the use of anti-CD154 monoclonal antibody (mAb) has shown efficacy in preventing allorejection in several models of organ and cell transplantation. Here we report the beneficial effect of the chronic administration of a hamster anti-murine CD154 mAb, MR1, in prolonging islet graft survival in NOD mice. We explored the transplantation of C57BL/6 islets into spontaneously diabetic NOD mice, a combination in which both allogeneic and autoimmune components are implicated in graft loss. Recipients were treated either with an irrelevant control antibody or with MR1. MR1 administration was effective in prolonging allograft survival, but did not provide permanent protection from diabetes recurrence. The autoimmune component of graft loss was studied in spontaneously diabetic NOD mice that received syngeneic islets from young male NOD mice. In this combination, a less dramatic yet substantial delay in diabetes recurrence was observed in the MR1-treated recipients when compared with the control group. Finally, the allogeneic component was explored by transplanting C57BL/6 islets into chemically induced diabetic male NOD mice. In this setting, long-term graft survival (>100 days) was achieved in MR1-treated mice, whereas control recipients rejected their grafts within 25 days. In conclusion, chronic blockade of CD154 results in permanent protection from allorejection and significantly delays recurrence of diabetes in NOD mice.
Keywords AnimalsAntibodies, Monoclonal/pharmacologyAntigens, CD40/immunologyCD4-CD8 RatioCD40 Ligand/immunologyDiabetes Mellitus/genetics/surgeryDiabetes Mellitus, Experimental/physiopathology/surgeryGraft Survival/drug effectsImmunohistochemistryIslets of Langerhans/metabolism/pathologyIslets of Langerhans Transplantation/immunologyMaleMiceMice, Inbred C57BLMice, Inbred NOD/physiologyT-Lymphocyte Subsets/drug effectsT-Lymphocytes/immunologyTime FactorsTransplantation, Homologous
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PMID: 11272136
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Article (Published version) (259 Kb) - public document Free access
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Research group La transplantation d'îlots de Langerhans (623)
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MOLANO, R D et al. Prolonged islet graft survival in NOD mice by blockade of the CD40-CD154 pathway of T-cell costimulation. In: Diabetes, 2001, vol. 50, n° 2, p. 270-6. https://archive-ouverte.unige.ch/unige:48112

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Deposited on : 2015-03-11

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