Journal
JOURNAL OF IMMUNOLOGY
Volume 165, Issue 1, Pages 1-4Publisher
AMER ASSOC IMMUNOLOGISTS
DOI: 10.4049/jimmunol.165.1.1
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Funding
- NIAID NIH HHS [AI44644] Funding Source: Medline
- NIDDK NIH HHS [DK/AI40519, DK50762] Funding Source: Medline
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Transplantation tolerance, defined as allograft acceptance by an immunocompetent recipient in the absence of long-term immunosuppression, has remained an elusive goal in clinical transplantation. Robust experimental tolerance induction strategies hale in common methods to induce mixed hemopoietic chimerism, To date, however, chimerism induction across allogeneic barriers has required recipient conditioning with irradiation or cytoablative agents. In this paper we show that B6 recipients of fully allogeneic BALB/c skin grafts treated with repeated doses of donor bone marrow and anti-CD40 ligand (CD40L) develop durable (>300 days), readily detectable (6-12%) multilineage hemopoietic chimerism, indefinite allograft acceptance (>300 days), and donor-specific tolerance to secondary skin grafts. Analysis of the TCR repertoire of treated mice indicates that the underlying mechanisms of tolerance are in part mediated by deletion of donor-reactive T cells. These data demonstrate that durable hemopoietic chimerism and robust transplantation tolerance can be achieved without cytotoxic conditioning using a potentially clinically applicable regimen.
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