Heart allograft tolerance induced and maintained by vascularized hind-limb transplant in rats

Clin Dev Immunol. 2013:2013:483856. doi: 10.1155/2013/483856. Epub 2013 Mar 12.

Abstract

Organ/tissue transplantation has become an effective therapy for end-stage diseases. However, immunosuppression after transplantation may cause severe side effects. Donor-specific transplant tolerance was proposed to solve this problem. In this study, we report a novel method for inducing and maintaining heart allograft tolerance rats. First, we induced indefinite vascularized hind-limb allograft survival with a short-term antilymphocyte serum + Cyclosporine A treatment. Peripheral blood chimerism disappeared 6-7 weeks after immunosuppression was withdrawn. Then the recipients accepted secondary donor-strain skin and heart transplantation 200 days following vascularized hind-limb transplantation without any immunosuppression, but rejected third party skin allografts, a status of donor-specific tolerance. The ELISPOT results suggested a mechanism of clone deletion. These findings open new perspectives for the role of vascularized hind-limb transplant in the induction and maintenance of organ transplantation tolerance.

MeSH terms

  • Animals
  • Antilymphocyte Serum / administration & dosage
  • Cyclosporine / administration & dosage
  • Graft Survival / drug effects
  • Heart Transplantation / immunology*
  • Hindlimb / immunology*
  • Hindlimb / transplantation
  • Immunosuppression Therapy / methods*
  • Isoantigens / immunology
  • Male
  • Neovascularization, Physiologic
  • Rats
  • Rats, Inbred Lew
  • Skin Transplantation / immunology*
  • Time Factors

Substances

  • Antilymphocyte Serum
  • Isoantigens
  • Cyclosporine