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Approaches to the clinical application of donor-specific tolerance in living donor organ transplantation.

Research Project

Project/Area Number 14207049
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field General surgery
Research InstitutionKeio University

Principal Investigator

KITAJIMA Masaki  Keio University, Department of Medicine, Professor, 医学部, 教授 (90112672)

Co-Investigator(Kenkyū-buntansha) SHIMAZU Motohide  Keio University, Department of Medicine, Assistant Professor, 医学部, 講師 (70124948)
WAKABAYASHI Go  Keio University, Department of Medicine, Assistant Professor, 医学部, 講師 (50175064)
TANABE Minoru  Keio University, Department of Medicine, Assistant Professor, 医学部, 講師 (50197513)
NIIMI Masanori  Teikyo University, Department of Medicine, Associate Professor, 医学部, 助教授 (80198415)
Project Period (FY) 2002 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥50,960,000 (Direct Cost: ¥39,200,000、Indirect Cost: ¥11,760,000)
Fiscal Year 2004: ¥16,640,000 (Direct Cost: ¥12,800,000、Indirect Cost: ¥3,840,000)
Fiscal Year 2003: ¥16,640,000 (Direct Cost: ¥12,800,000、Indirect Cost: ¥3,840,000)
Fiscal Year 2002: ¥17,680,000 (Direct Cost: ¥13,600,000、Indirect Cost: ¥4,080,000)
Keywordsregulatory cells / mucosal immunity / operational tolerance / adoptive transfer / cardiac grafts / regulatory dendritic cells / 抗原経口投与 / 抗原経気管支投与 / 生体臓器移植 / マウス心移植 / 気管内脾細胞投与 / CD4(+)CD25(+)細胞 / 臓器移植 / ドナー抗原気管内投与 / 生体肝移植 / CD4陽性CD25陽性T細胞
Research Abstract

(1)Alloantigen or allopeptide can induce hyporesponsiveness to fully mismatched cardiac allografts when delivered intratracheally or orally.
(2)Alloantigen or allopeptide can generate regulatory cells when delivered intratracheally.
(3)The population of regulatory cells contains regulatory T cells and regulatory dendritic cells.
(4)The regulatory T cells and regulatory dendritic cells can suppress rejection of allogeneic heart grafts.
(5)The suppression by regulatory T cells and regulatory dendritic cells is donor specific.
(6)Intratracheal delivery of alloantigen combined with anti-CD4 mAb or anti-CD40L mAb induces operational tolerance to fully allogeneic cardiac allografts.
(7)CD80/86 pathway, signals of THF-family and PD-1 signal are necessary for induction of regulatory cells by intratracheal delivery of alloantigen, individually.
(8)IL-10 is essential for induction of regulatory cells by intratracheal delivery of alloantigen.
(9)Mycophenolate mofetil and Rapamycin work synergistically for induction of regulatory cells, although high dose of Tacrolimus, Azathioprine and Cyclosporine prevent generating regulatory cells.
(10)Histamine 2 receptor antagonist, serotonin receptor antagonist, ursodeoxycholic acid, MCI-186 (free radical scavenger) and anti-thrombin III can generate regulatory cells.
(11)The fraction of regulatory T cells is CD4^+CD25^+CTLA4^+ in our model.
(12)The number of CD4^+CD25^+CTLA4^+ cells decreased before rejection episode in preliminary clinical study.

Report

(4 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • 2002 Annual Research Report
  • Research Products

    (32 results)

All 2005 2004 Other

All Journal Article (18 results) Book (2 results) Publications (12 results)

  • [Journal Article] First successful application of side-to-side intrahepatic cholangiojejunostomy to biliary obstruction after living-donor liver transplantation.2005

    • Author(s)
      Shimazu M, Akatsu T, et al.
    • Journal Title

      Transplantation 79

      Pages: 621-622

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] First successful application of side-to-side intrahepatic cholangiojejunostomy to biliary obstruction after living-donor liver transplantation.2005

    • Author(s)
      Shimazu M, Akatsu T, Wakabayashi G, Tanabe M, Kawachi S, Hoshino K, Kitajima M.
    • Journal Title

      Transplantation 79(5)

      Pages: 621-622

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] First successful application of side-to-side intrahepatic cholangiojejunostomy to biliary obstruction after living-donor liver transplantation.2005

    • Author(s)
      Shimazu M, Akatsu T, et al.
    • Journal Title

      Transplantation 79・5

      Pages: 621-622

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Effects of cimetidine, a histamine type 2 receptor antagonist, on microcirculatory disturbance of the stomach induced by full-thickness burn injuries as a model for surgical stress in rats.2004

    • Author(s)
      Ishikawa H, Shimazu M, et al.
    • Journal Title

      Current Therapeutic Research 65

      Pages: 373-382

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Living donor liver transplantation with special reference to ABO-incompatible grafts and small-for-size grafts.2004

    • Author(s)
      Shimazu M, Kitajima M
    • Journal Title

      World J Surg 28

      Pages: 2-7

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Programmed death-1-programmed death-L1 interaction is essential for induction of regulatory cells by intratracheal delivery of alloantigen.2004

    • Author(s)
      Aramaki O, Niimi M, et al.
    • Journal Title

      Transplantation 77

      Pages: 6-12

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Effects of preinjury administration of corticosteroids on pseudointimal hyperplasia and cytokine response in a rat model of balloon aortic injury.2004

    • Author(s)
      Nagasaki K, Shimazu M, et al.
    • Journal Title

      World J Surg 28

      Pages: 910-916

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Kupffer cell function of hepatocellular adenoma : pulse sequence effects in superparamagnetic iron oxide-enhanced magnetic resonance imaging.2004

    • Author(s)
      Akatsu T, Shimazu M, et al.
    • Journal Title

      J Gastroenterol Hepatol 19

      Pages: 951-952

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Effects of cimetidine, a histamine type 2 receptor antagonist, on microcirculatory disturbance of the stomach induced by full-thickness burn injuries as a model for surgical stress in rats.2004

    • Author(s)
      Ishikawa H, Yoshida M, Wakabayashi G, Otani Y, Shimazu M, Kuhota T, Kumai K, Aikawa N, Kitajima M.
    • Journal Title

      Current Therapeutic Research 65(4)

      Pages: 373-382

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Living donor liver transplantation with special reference to ABO-incompatible grafts and small-for-size grafts.2004

    • Author(s)
      Shimazu M, Kitajima M.
    • Journal Title

      World J Surg 28(1)

      Pages: 2-7

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Programmed death-1-programmed death -L1 interaction is essential for induction of regulatory cells by intratracheal delivery of alloantigen.2004

    • Author(s)
      Aramaki O, Shirasugi N, Takayama T, Shimazu M, H, Niimi M. Kitajima M, Ikeda Y, Azuma M, Okumura K, Yagita
    • Journal Title

      Transplantation 77(1)

      Pages: 6-12

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Effects of preinjury administration of corticosteroids on pseudointimal hyperplasia and cytokine response in a rat model of balloon aortic injury.2004

    • Author(s)
      Nagasaki K, Matsumoto K, Kaneda M, Shintani T, Shibutani S, Murayama T, Wakabayashi G, Shimazu M, Mukai M, Kitajima M.
    • Journal Title

      World J Surg 28(9)

      Pages: 910-916

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Kupffer cell function of hepatocellular adenoma : pulse sequence effects in superparamagnetic iron oxide-enhanced magnetic resonance imaging.2004

    • Author(s)
      Akatsu T, Ueda M, Shimazu M, Wakabayashi G, Aiura K, Tanabe M, Kawachi S. Tanimoto A, Shinmoto H, Sakamoto M, Kitajima M.
    • Journal Title

      J Gastroenterol Hepatol 19(8)

      Pages: 951-952

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Effects of cimetidine, a histamine type 2 receptor antagonist, on microcirculatory disturbance of the stomach induced by full-thickness burn injuries as a model for surgical stress in rats.2004

    • Author(s)
      Ishikawa H, Shimazu M, et al.
    • Journal Title

      Current Therapeutic Research 65・4

      Pages: 373-382

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Living donor liver transplantation with special reference to ABO-incompatible grafts and small-for-size grafts.2004

    • Author(s)
      Shimazu M, Kitajima M
    • Journal Title

      World J Surg 28・1

      Pages: 2-7

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Programmed death-1-programmed death-L1 interaction is essential for induction of regulatory cells by intratracheal delivery of alloantigen.2004

    • Author(s)
      Aramaki O, Niimi M, et al.
    • Journal Title

      Transplantation 77・1

      Pages: 6-12

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Effects of preinjury administration of corticosteroids on pseudointimal hyperplasia and cytokine response in a rat model of balloon aortic injury.2004

    • Author(s)
      Nagasaki K, Shimazu M, et al.
    • Journal Title

      World J Surg 28・9

      Pages: 910-916

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Kupffer cell function of hepatocellular adenoma : pulse sequence effects in superparamagnetic iron oxide-enhanced magnetic resonance imaging.2004

    • Author(s)
      Akatsu T, Shimazu M, et al.
    • Journal Title

      J Gastroenterol Hepatol 19・8

      Pages: 951-952

    • Related Report
      2004 Annual Research Report
  • [Book] 消化器疾患 最新の治療(戸田剛太郎ほか編):生体肝移植 術後管理2005

    • Author(s)
      島津 元秀
    • Total Pages
      476
    • Publisher
      南光堂
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Book] 消化器疾患 最新の治療:生体肝移植 術後管理(戸田剛太郎ほか編)2005

    • Author(s)
      島津 元秀
    • Total Pages
      476
    • Publisher
      南光堂
    • Related Report
      2004 Annual Research Report
  • [Publications] Harada H, Wakabayashi G, Takayanagi A, Shimazu M, Matsumoto K, Obara H, Shimizu N, Kitajima M: "Transfer of the Interleukin-1 receptor antagonist gene into rat liver abrogates hepatic ischerma-reperfusion injury"Transplantation. 74. 1434-1441 (2002)

    • Related Report
      2003 Annual Research Report
  • [Publications] Akiyama Y, Shirasugi N, Aramaki O, Matsumoto K, Shimazu M, Kitajima M, Ikeda Y, Niimi M: "Intratracheal delivery of a single major histocompatibility complex class I peptide induced prolonged survival of fully allogeneic cardiac grafts and generated regulatory cells"Hum Immunol. 63. 888-892 (2002)

    • Related Report
      2003 Annual Research Report
  • [Publications] Morisue A, Wakabayashi G, Shimazu M, Tanabe M, Mukai M, Matsumoto K, Kawachi S, Yoshida M, Yamamoto S, Kitajima M: "The role of Nitric Oxide after a short period of liver ischemia-reperfusion"J Surg Res. 109. 101-109 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Uchida N, Shirasugi N, Akiyama Y, Matsumoto K, Shimazu M, Kitajima M, Hamano K, Aramaki O, Ikeda Y, Niimi M: "Induction of indefinite survival of fully allogeneic cardiac grafts and generation of regulatory cells by intratracheal delivery of alloantigens under blockade of the CD4O pathway"Transplantation. 75. 878-884 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Shirasugi N, Akiyama Y, Aramaki O, Shibutani S, Matsumoto K, Bashuda H, Yagita H, Okumura K, Ikeda Y, Niimi M: "Role of the CTLA4 pathway in hyporesponsiveness induced by intratracheal delivery of alloantigen"Transplantation. 75. 1636-1639 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Aramaki O, Shirasugi N, Takayama T, Shimazu M, Kitajima M, Ikeda Y, Azuma M, Okumura K, Yagita H, Niimi M: "Programmed death-1-programmed death-L1 interaction is essential for induction of regulatory cells by intratracheal delivery of alloantigen"Transplantation. 77. 6-12 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Akiyama Y, Shirasugi N, Aramaki O, et al.: "Intratracheal delivery of a single major histocompatibility complex class I peptide induced prolonged survival of fully allogeneic cardiac grafts and generated"Hum Immunol. 63. 888-892 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Kawachi S, Shimazu M, Wakabayashi G, et al.: "Biliary complications in adult living donor liver transplantation with duct-to-duct hepaticocholedochostomy or Roux-en-Y hepaticojejunostomy biliary reconstruction"Surgery. 132. 48-56 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Tanabe M, Shimazu M, Wakabayashi G, et al.: "Intraportal infusion therapy as a novel approach to adult ABO-incompatible liver transplantation"Transplantation. 73. 1959-1961 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Akiyama Y, Shirasugi N, Uchida N, et al.: "B7/CTLA4 pathway is essential for generating regulatory cells after intratracheal delivery of alloantigen in mice"Transplantation. 74. 732-738 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Harada H, Wakabayashi G, Takayanagi A, et al.: "Transfer of the Interleukin-1 receptor antagonist gene into rat liver abrogates hepatic ischemia-reperfusion injury"Transplantation. 74. 1434-1441 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Aramaki O, Takayama T, Yokoyama T, et al.: "High dose of antithrombin III induces indefinite survival of fully allogeneic cardiac grafts and generates regulatory cells"Transplantation. 75. 217-220 (2003)

    • Related Report
      2002 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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