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2016 Fiscal Year Final Research Report

Diversity analysis of antibody function and development of strategy to overcome antibody-mediate rejection: Establishment of pig model for ABO/HLA-incompatibility

Research Project

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Project/Area Number 15K15472
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field General surgery
Research InstitutionAichi Medical University

Principal Investigator

KOBAYASHI Takaaki  愛知医科大学, 医学部, 教授 (70314010)

Research Collaborator FUCHIMOTO Daiichiro  
SUZUKI Shunichi  
YAMAMOTO Takayuki  
OKADA Manabu  
TAKEDA Asami  
HIRAMITSU Takahisa  
KITAGAWA Hitoshi  
IMAEDA Noriaki  
HANEDA Masataka  
HORIMI Kosei  
MATSUOKA Yutaka  
MAENAKA Akihiro  
Project Period (FY) 2015-04-01 – 2017-03-31
Keywords移植・再生医療 / ABO血液型不適合 / HLA抗体 / 抗体陽性腎移植 / モデルブタ / 遺伝子
Outline of Final Research Achievements

Control of antibody-mediated rejection caused by blood group ABO or HLA-incompatibility is essential for long-term graft survival after organ transplantation. Blood group A or B transferase and fucosyltransferase (FUT1) were transfected into two types of Duroc fibroblasts (non-A). We attempted to produce cloned pig expressing blood group A or B.
Subclass IgG4 and RNA interference were effective for reducing antibody-mediated, complement dependent cytotoxicity. Acute antibody-mediated rejection after ABO-incompatible renal transplantation was associated with pre-transplant IgG1,IgG2, IgG3 and C1q binding capacity. Microarray analysis using graft biopsy revealed that ABO-incompatibility could increase BACH1 gene and decrease reactive oxygen species. Anti-A/B antibody binding to endothelial cells induced the resistance to antibody-mediated, complement-dependent cytotoxicity due to downregulation of HLA-DR expression and upregulation of complement regulatory proteins (CD55 and CD59).

Free Research Field

移植免疫、移植外科

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Published: 2018-03-22  

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