PMID- 14511242 OWN - NLM STAT- MEDLINE DCOM- 20031024 LR - 20190513 IS - 0019-2805 (Print) IS - 1365-2567 (Electronic) IS - 0019-2805 (Linking) VI - 110 IP - 2 DP - 2003 Oct TI - Simultaneous administration of a low-dose mixture of donor bone marrow cells and splenocytes plus adenovirus containing the CTLA4Ig gene result in stable mixed chimerism and long-term survival of cardiac allograft in rats. PG - 275-86 AB - T-cell costimulatory blockade combined with donor bone marrow transfusion may induce mixed chimerism, rendering robust tolerance in transplanted organs and cells. However, most protocols entail high doses of donor bone marrow cells (BMCs) or repeated administration of costly agents that block costimulatory pathways, thus delaying clinical development. To circumvent these shortcomings, we developed a strategy in which the dosage of donor BMCs was reduced but compensated by donor splenocytes (SPLCs). Furthermore, repeated administration of costly agents was replaced with a single injection of adenovirus expressing a gene of interest. In rat cardiac transplantation models, cardiac allografts from DA (RT-1a) rats were transplanted heterotopically into the abdomen of LEW (RT-11) recipient rats. Immediately after cardiac transplantation, an adenovirus vector (AdCTLA4Ig; 5 x 10(9) plaque-forming units) containing the gene for CTLA4Ig was administered to recipients (n = 6) simultaneously with a low dose of donor BMCs (1 x 10(8)/rat) and SPLCs (5 x 10(7)/rat) via the portal vein. The treated LEW recipient rats developed long-lasting mixed chimerism (>10% at >100 days) and exhibited long-term cardiac allografts (mean survival time of > 200 days) compared with control recipients. Moreover, recipients displaying long-lasting mixed chimerism accepted subsequent donor skin allografts while promptly rejecting third-party skin allografts. These results suggest that blockade of the CD28-B7 pathway, using adenovirus-mediated CTLA4Ig gene transfer, in concert with a low dosage of donor BMCs and SPLCs, may represent a feasible strategy to induce stable mixed chimerism and permit long-term survival of cardiac allografts. FAU - Jin, Yongzhu AU - Jin Y AD - Department of Immunology, Peking University Health Science Center, Beijing, China. FAU - Zhang, Qingyin AU - Zhang Q FAU - Hao, Jie AU - Hao J FAU - Gao, Xiang AU - Gao X FAU - Guo, Yinglu AU - Guo Y FAU - Xie, Shusheng AU - Xie S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Immunology JT - Immunology JID - 0374672 RN - 0 (Immunoconjugates) RN - 7D0YB67S97 (Abatacept) SB - IM MH - Abatacept MH - Adenoviridae/genetics MH - Adoptive Transfer MH - Animals MH - Bone Marrow Transplantation/*immunology MH - Genetic Therapy/methods MH - Genetic Vectors MH - Graft Survival/immunology MH - Graft vs Host Disease/prevention & control MH - Heart Transplantation/*immunology MH - Immunoconjugates/blood/*genetics MH - Lymphocyte Culture Test, Mixed MH - Male MH - Myocardium/pathology MH - Rats MH - Rats, Inbred Lew MH - Rats, Inbred Strains MH - Rats, Inbred WF MH - Skin Transplantation/immunology MH - Spleen/*transplantation MH - Transplantation Chimera/immunology MH - Transplantation Tolerance/*immunology PMC - PMC1783046 EDAT- 2003/09/27 05:00 MHDA- 2003/10/25 05:00 PMCR- 2004/10/01 CRDT- 2003/09/27 05:00 PHST- 2003/09/27 05:00 [pubmed] PHST- 2003/10/25 05:00 [medline] PHST- 2003/09/27 05:00 [entrez] PHST- 2004/10/01 00:00 [pmc-release] AID - 1729 [pii] AID - 10.1046/j.1365-2567.2003.01729.x [doi] PST - ppublish SO - Immunology. 2003 Oct;110(2):275-86. doi: 10.1046/j.1365-2567.2003.01729.x.