title: Long-term acceptance of primarily vascularized renal allografts in miniature swine. Systemic tolerance versus graft adaptation.
abstract: We have previously demonstrated that tolerance to two-haplotype class I-mismatched renal allografts can be induced uniformly by a short course of cyclosporine. We report here that following transplant nephrectomy, 8 such long-term acceptor animals all accepted a second renal transplant MHC matched to the original donor without additional immunosuppression. These results indicate that the mechanism of tolerance to primarily vascularized renal allografts involves modification of the host's immune system by the first transplant. To assess the possibility that "graft adaptation" is also involved in the maintenance of tolerance, we retransplanted class I-disparate kidneys from tolerant animals into naive recipients MHC matched to the original recipient. Three of 4 such transplants were rejected acutely, while one animal demonstrated a markedly prolonged survival, but also eventually rejected. These results, therefore, demonstrate that: (1) graft adaptation is not required in order to maintain tolerance; (2) graft acceptance involves induction of systemic tolerance; and (3) graft adaptation may participate in kidney graft prolongation but is not sufficient to transfer tolerance to a secondary host.
authors.affiliation: Transplantation Biology Research Center, Massachusetts General Hospital, Boston 02129, USA.
authors.forename: P R
authors.initials: PR
authors.lastname: Gianello
authors.forename: K
authors.initials: K
authors.lastname: Yamada
authors.forename: J M
authors.initials: JM
authors.lastname: Fishbein
authors.forename: T
authors.initials: T
authors.lastname: Lorf
authors.forename: V
authors.initials: V
authors.lastname: Nickeleit
authors.forename: R B
authors.initials: RB
authors.lastname: Colvin
authors.forename: J S
authors.initials: JS
authors.lastname: Arn
authors.forename: D H
authors.initials: DH
authors.lastname: Sachs
mesh_terms: D000222:Adaptation, Physiological; D000818:Animals; D006085:Graft Survival / Q000276:immunology; D015395:Histocompatibility Antigens Class I; D000949:Histocompatibility Antigens Class II; D006650:Histocompatibility Testing; D007108:Immune Tolerance; D016030:Kidney Transplantation / Q000276:immunology*; D012086:Reoperation; D013552:Swine; D013556:Swine, Miniature; D013997:Time Factors; D014184:Transplantation, Homologous
chemical_list: D015395:Histocompatibility Antigens Class I; D000949:Histocompatibility Antigens Class II