title: The bimodal expression of tumor necrosis factor-alpha in association with rat lung reimplantation and allograft rejection.
abstract: Lung transplantation has become a therapeutic option for a number of end-stage pulmonary disorders. Lung transplant recipients experience more complications due to acute and chronic allograft rejection as compared to recipients of other solid organs. We postulated that the generation of TNF-alpha plays a significant role in the pathogenesis of acute lung allograft rejection. To test our hypothesis, we used a RT1-incompatible rat lung allograft model and demonstrated the time course, cellular source(s), and major compartment(s) of TNF production during the course of lung allograft rejection. This model allowed for immunogenetic standardization and reproducibility of lung allograft rejection across disparate major histocompatibility barriers. TNF production was characterized at the whole animal, organ, cellular, and molecular levels, and was found to be compartmentalized and expressed in a bimodal fashion from the lung allograft during lung allograft reimplantation and maximal rejection. Lung allograft rejection was significantly attenuated in animals pretreated with neutralizing TNF antisera as compared to animals receiving control sera. These findings may provide interesting insight into the use of novel and specific therapeutic intervention(s) during periods of acute lung allograft rejection.
authors.affiliation: Department of Surgery, University of Michigan Medical School, Ann Arbor 48109-0360.
authors.forename: S R
authors.initials: SR
authors.lastname: DeMeester
authors.forename: M W
authors.initials: MW
authors.lastname: Rolfe
authors.forename: S L
authors.initials: SL
authors.lastname: Kunkel
authors.forename: D L
authors.initials: DL
authors.lastname: Swiderski
authors.forename: P M
authors.initials: PM
authors.lastname: Lincoln
authors.forename: G M
authors.initials: GM
authors.lastname: Deeb
authors.forename: R M
authors.initials: RM
authors.lastname: Strieter
mesh_terms: D000818:Animals; D001483:Base Sequence; D006084:Graft Rejection / Q000000981:diagnostic imaging / Q000378:metabolism* / Q000473:pathology; D007106:Immune Sera / Q000008:administration & dosage; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D016040:Lung Transplantation / Q000009:adverse effects; D008969:Molecular Sequence Data; D012333:RNA, Messenger / Q000032:analysis; D011859:Radiography; D051381:Rats; D011914:Rats, Inbred BN; D011917:Rats, Inbred Lew; D014184:Transplantation, Homologous; D014409:Tumor Necrosis Factor-alpha / Q000096:biosynthesis* / Q000235:genetics / Q000276:immunology
chemical_list: D007106:Immune Sera; D012333:RNA, Messenger; D014409:Tumor Necrosis Factor-alpha