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- W1997538950 abstract "720 We have previously shown that CTLA4Ig prevents the development of chronic allograft rejection in the Lew to F344 rat heterotopic cardiac transplant model (JCI, 1996; 97: 833). CTLA4Ig blocks both B7-1 and B7-2: two costimulatory molecules which are known to exhibit differing temporal expression and functional characteristics in vitro and in vivo. To dissect the individual role of B7-1 in the pathogenesis of chronic allograft rejection we used a mutant form of CTLA4Ig, Y100F, which blocks B7-1 but not B7-2. Early administration of Y100F, either as a single dose (0.5mg i.p.) (group A, n=5) or multiple doses (0.5mg i.p. 2x/wk) (group B, n=4) starting day 2 post transplantation failed to prolong graft survival as compared to untreated control (Group C, n=6; all animals rejected their grafts within 3 weeks). This is in sharp contrast to the effects of CTLA4Ig given at this time point which results in prolonged graft survival (> 100 days) in more than 60% of animals. We then studied the effects of late blockade of B7-1. Animals received 30 days of low dose CsA (1 mg1day s.c.) to prevent acute rejection followed by either Y100F (group D; n=8), or control fusion protein (group E, n=19) at 0.5mg 2x/wk for 4 wks starting 1 month post transplantation, or continuous CsA (1 mg1day s.c.) (group F, n=5). Both selective late blockade of B7-1 by Y100F (D) and continuous CsA treatment (F) significantly prolonged allograft survival but only Y100F treatment interupted development of graft arteriosclerosis, the sine qua non of chronic allograft rejection. Mean arteriosclerotic score in grafts surviving >100days was 0.91±0.5* in the Y100F group (D), compared to 1.76±1.53 in the continuous CsA treated group (F) and 1.72±0.53 in the control fusion protein group (E). Furthermore, histological analysis of graft specimens revealed significantly less graft fibrosis in the Y100F treated groups (D) compared to control (E) and continuous CsA (F) groups. Consistent with these findings, semi-quantitative PCR revealed significantly reduced tissue expression of TGF-β mRNA in grafts from the Y100F treated group. These data show that blocking B7-1 late but not early posttransplantation is effective at interrupting progression of chronic rejection. These findings are consistent with the later temporal expression of B7-1 during the alloimmune response. *p<0.05 compared to control group (D).Figure" @default.
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- W1997538950 date "1998-05-01" @default.
- W1997538950 modified "2023-09-26" @default.
- W1997538950 title "LATE BLOCKADE OF B7-1 COSTIMULATION INTERRUPTS THE DEVELOPMENT OF CHRONIC REJECTION IN A RAT MODEL OF CARDIAC TRANSPLANTATION." @default.
- W1997538950 doi "https://doi.org/10.1097/00007890-199805131-00716" @default.
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