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The analysis of immunological status against ABO blood type antigens after ABO incompatible liver transplantation

Research Project

Project/Area Number 24591879
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field General surgery
Research InstitutionKyoto University

Principal Investigator

YOSHIZAWA Atsushi  京都大学, 医学(系)研究科(研究院), 助教 (60457984)

Research Collaborator UEDA Daisuke  京都大学, 大学院医学研究科
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2014: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2012: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Keywords移植免疫 / 肝移植 / 抗体 / 血液型不適合 / 抗体関連型拒絶反応 / 抗体関連型拒絶 / ABO血液型 / 液性免疫
Outline of Final Research Achievements

The aim of this project is to prove that immunological response against blood groups antigens has decreased after ABO-incompatible (ABO-i) liver transplantation. We analyzed this phenomenon in the aspect of clinical findings and in-vitro examination.
Throgh the clinical findings, we have found that antibody titers against ABO antigens significantly decreased after ABO-i liver transplantation. We analyzed the re-transplantation across ABO-i cases and found that the decrease of antibody titier was not the result of absorption of antibodies in allograft liver but the result of immunological unresponsiveness against ABO blood group antigens.To prove the immunological unresponsiveness, the response of PBMC, peripheral blood mononuclear cells from the ABO-i liver transplant recipients was examined. The response was examined through immune-deficient mice. The result shows that PBMC from ABO-i liver transplant recipients have lost the responsibility against ABO blood type antigens.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (7 results)

All 2014 2013 2012

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (6 results)

  • [Journal Article] Significance of semiquantitative assessment of preformed donor-specific antibody using luminex single bead assay in living related liver transplantation2013

    • Author(s)
      Yoshizawa A, Egawa H, Yurugi K, Hishida R, Tsuji H, Ashihara E, Miyagawa-Hayashino A, Teramukai S, Maekawa T, Haga H, Uemoto S
    • Journal Title

      Clin Dev Immunol

      Volume: 2013 Pages: 972705-972705

    • DOI

      10.1155/2013/972705

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] Unknown Autoantibodies in the Idiopathic Posttransplant Hepatitis2014

    • Author(s)
      平田 義弘
    • Organizer
      World Transplant Congress
    • Place of Presentation
      San Francisco , US
    • Year and Date
      2014-07-26 – 2014-07-31
    • Related Report
      2014 Annual Research Report
  • [Presentation] Isohemagglutinins titer of ABO-incompatible liver re-transplantation in perioperative period2014

    • Author(s)
      上田 大輔
    • Organizer
      World Transplant Congress
    • Place of Presentation
      San Francisco , US
    • Year and Date
      2014-07-26 – 2014-07-31
    • Related Report
      2014 Annual Research Report
  • [Presentation] ABO不適合再肝移植症例の検討2014

    • Author(s)
      上田 大輔
    • Organizer
      第114回日本外科学会
    • Place of Presentation
      京都
    • Year and Date
      2014-04-03 – 2014-04-05
    • Related Report
      2014 Annual Research Report
  • [Presentation] Six cases of ABO-incompatible liver re-transplantation from donors with the same ABO-incompatible antigens as the first donor2013

    • Author(s)
      上田 大輔
    • Organizer
      13回 アジア移植学会
    • Place of Presentation
      (国際会議場(京都)
    • Related Report
      2013 Research-status Report
  • [Presentation] 血液型不適合肝移植におけるB細胞免疫寛容成立の検討2013

    • Author(s)
      上田 大輔
    • Organizer
      日本移植学会
    • Place of Presentation
      (国際会議場(京都)
    • Related Report
      2013 Research-status Report
  • [Presentation] The Impact of Donor Specific Antibodies on the Long-Term Liver Allograft after Pediatric Living Donor Liver Transplantation2012

    • Author(s)
      A.Yoshizawa
    • Organizer
      国際移植学会
    • Place of Presentation
      International Congress Centre、ベルリン、ドイツ
    • Related Report
      2012 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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