title: Tolerance to solid organ transplants through transfer of MHC class II genes.
abstract: Donor/recipient MHC class II matching permits survival of experimental allografts without permanent immunosuppression, but is not clinically applicable due to the extensive polymorphism of this locus. As an alternative, we have tested a gene therapy approach in a preclinical animal model to determine whether expression of allogeneic class II transgenes (Tg's) in recipient bone marrow cells would allow survival of subsequent Tg-matched renal allografts. Somatic matching between donor kidney class II and the recipient Tg's, in combination with a short treatment of cyclosporine A, prolonged graft survival with DR and promoted tolerance with DQ. Class II Tg expression in the lymphoid lineage and the graft itself were sequentially implicated in this tolerance induction. These results demonstrate the potential of MHC class II gene transfer to permit tolerance to solid organ allografts.
authors.affiliation: Transplantation Biology Research Center, Massachusetts General Hospital/Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: K C
authors.initials: KC
authors.lastname: Sonntag
authors.forename: D W
authors.initials: DW
authors.lastname: Emery
authors.forename: A
authors.initials: A
authors.lastname: Yasumoto
authors.forename: G
authors.initials: G
authors.lastname: Haller
authors.forename: S
authors.initials: S
authors.lastname: Germana
authors.forename: T
authors.initials: T
authors.lastname: Sablinski
authors.forename: A
authors.initials: A
authors.lastname: Shimizu
authors.forename: K
authors.initials: K
authors.lastname: Yamada
authors.forename: H
authors.initials: H
authors.lastname: Shimada
authors.forename: S
authors.initials: S
authors.lastname: Arn
authors.forename: D H
authors.initials: DH
authors.lastname: Sachs
authors.forename: C
authors.initials: C
authors.lastname: LeGuern
mesh_terms: D000818:Animals; D030801:Animals, Genetically Modified; D001483:Base Sequence; D016026:Bone Marrow Transplantation; D002678:Chimera; D017931:DNA Primers / Q000235:genetics; D018014:Gene Transfer Techniques; D005802:Genes, MHC Class II; D005818:Genetic Engineering; D015316:Genetic Therapy; D006085:Graft Survival; D016030:Kidney Transplantation / Q000276:immunology / Q000473:pathology; D013552:Swine; D013556:Swine, Miniature; D023001:Transplantation Tolerance / Q000235:genetics*; D014182:Transplantation, Autologous; D014184:Transplantation, Homologous
chemical_list: D017931:DNA Primers