PMID- 16871590 OWN - NLM STAT- MEDLINE DCOM- 20060824 LR - 20211203 IS - 0270-9139 (Print) IS - 0270-9139 (Linking) VI - 44 IP - 2 DP - 2006 Aug TI - Immunosuppression using the mTOR inhibition mechanism affects replacement of rat liver with transplanted cells. PG - 410-9 AB - Successful grafting of tissues or cells from mismatched donors requires systemic immunosuppression. It is yet to be determined whether immunosuppressive manipulations perturb transplanted cell engraftment or proliferation. We used syngeneic and allogeneic cell transplantation assays based on F344 recipient rats lacking dipeptidyl peptidase IV enzyme activity to identify transplanted hepatocytes. Immunosuppressive drugs used were tacrolimus (a calcineurin inhibitor) and its synergistic partners, rapamycin (a regulator of the mammalian target of rapamycin [mTOR]) and mycophenolate mofetil (an inosine monophosphate dehydrogenase inhibitor). First, suitable drug doses capable of inducing long-term survival of allografted hepatocytes were identified. In pharmacologically effective doses, rapamycin enhanced cell engraftment by downregulating hepatic expression of selected inflammatory cytokines but profoundly impaired proliferation of transplanted cells, which was necessary for liver repopulation. In contrast, tacrolimus and/or mycophenolate mofetil perturbed neither transplanted cell engraftment nor their proliferation. Therefore, mTOR-dependent extracellular and intracellular mechanisms affected liver replacement with transplanted cells. In conclusion, insights into the biological effects of specific drugs on transplanted cells are critical in identifying suitable immunosuppressive strategies for cell therapy. FAU - Wu, Yao-Ming AU - Wu YM AD - Marion Bessin Liver Research Center, Department of Medicine, Albert Einstein College of Medicine, Bronx, New York 10461, USA. FAU - Joseph, Brigid AU - Joseph B FAU - Gupta, Sanjeev AU - Gupta S LA - eng GR - 2P01-DK52956/DK/NIDDK NIH HHS/United States GR - P30-DK41296/DK/NIDDK NIH HHS/United States GR - R01 DK46952/DK/NIDDK NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Hepatology JT - Hepatology (Baltimore, Md.) JID - 8302946 RN - 0 (Immunosuppressive Agents) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (mTOR protein, rat) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - HU9DX48N0T (Mycophenolic Acid) RN - W36ZG6FT64 (Sirolimus) RN - WM0HAQ4WNM (Tacrolimus) SB - IM MH - Animals MH - Cell Proliferation/drug effects MH - Graft Rejection/immunology/pathology/*prevention & control MH - Hepatocytes/*transplantation MH - *Immunosuppression Therapy MH - Immunosuppressive Agents/*pharmacology MH - Liver Transplantation/*methods MH - Mycophenolic Acid/analogs & derivatives/pharmacology MH - Protein Kinases/*drug effects MH - Rats MH - Rats, Inbred F344 MH - Rats, Long-Evans MH - Sirolimus/pharmacology MH - TOR Serine-Threonine Kinases MH - Tacrolimus/pharmacology EDAT- 2006/07/28 09:00 MHDA- 2006/08/25 09:00 CRDT- 2006/07/28 09:00 PHST- 2006/07/28 09:00 [pubmed] PHST- 2006/08/25 09:00 [medline] PHST- 2006/07/28 09:00 [entrez] AID - 10.1002/hep.21277 [doi] PST - ppublish SO - Hepatology. 2006 Aug;44(2):410-9. doi: 10.1002/hep.21277.