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2007 Fiscal Year Final Research Report Summary

Antigen removal in grafts and induction of accommodation for overcoming ABO incompatibility

Research Project

Project/Area Number 18591407
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

KOBAYAHSI Takaaki  Nagoya University, School of Medicine, Professor (70314010)

Co-Investigator(Kenkyū-buntansha) YAMAMOTO Koji  Nagoya University, University Hospital, Associate Professor (90362251)
TAKEDA Shin  Nagoya University, Graduate School of Medicine, Associate Professor (20314015)
ONISHI Akira  National Institute of Agrobiological Sciences, Group Director (30414890)
MARUYAMA Shoichi  Nagoya University, Hospital, Associate Professor (10362253)
OGAWA Haruko  Obihiro University of Agriculture and Veterinary Medicine, National Research Center for Protozoan Diseases, Associate Professor (10400079)
Project Period (FY) 2006 – 2007
KeywordsABO blood group / Antigen / Antibody / Antibody-mediated rejection / Accommodation / Endo-β-galactosidase / Organ transplantation
Research Abstract

We attempted to develop the comprehensive treatment to overcome ABO incompatibility which is a high risk factor for antibody-mediated rejection in organ transplantation. (1) Recombinant ABase(rABase) derived from clostridium perfringens, which effectively releases A/B antigen, was produced in E. coil BL-21. rABase removed about 90% of A antigen(Ag) and B Ag on human RBC. In vivo infusion of rABase into a blood type A baboon demonstrated a marked reduction(87-97%) of A Ag in the kidney and liver. Excised baboon kidney(Blood type B) was perfused with cold UW solution +/-purified rABase and then preserved 4h at 4℃. B Ag in glomeruli were reduced to 49% at 1h and 6% at 4h. A novel strategy was suggested using ABase would include enzymatic digestion of AB Ag during cold storage after organ retrieval and/or repeated in vivo infusion into the recipient until accommodation developed. (2) Human decay accelerating factor(hDAF) and thrombomodulin genes were introduced into porcine aortic endothelial cells. The capacity of activated protein C production, clotting time of human plasma and mRNA of Tissue Factor and Plasminogen Activator Inhibitor-1 were investigated. Inhibition of endothelial activation by complement regulatory protein and control of coagulation by thrombomodulin are considered to be essential for both prevention of rejection and induction of accommodation. (3) We established the assay to determine stimulation index(S.I) for cell cycle-related protein mRNA expression as immune function monitoring. We are planning to elucidate the significance of monitoring by measuring the blood from the recipients after transplantation.

  • Research Products

    (40 results)

All 2007 2006

All Journal Article (18 results) (of which Peer Reviewed: 9 results) Presentation (20 results) Book (2 results)

  • [Journal Article] Relation between human decay-accelerating factor(hDAF) expression in pig cells and inhibition of human serum anti-pig cytotoxicity: value of highly expressed hDAF for xenotransplantation2007

    • Author(s)
      Liu. D, Kobayashi T, Onishi A, Furusawa T, Iwamoto T, Suzuki S, Miwa Y, Nagasaka T, Maruyama S, Kadomatsu K, Uchida K, Nakao A
    • Journal Title

      Xenotransplantation 14

      Pages: 67-73

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Prophylactic treatment of antibody-mediated rejection with high-dose mizoribine and pharmacokinetic study2007

    • Author(s)
      Liu D, Kobayashi T, Nagasaka T, Miwa Y, Ma Y, Yokoyama I, Kuzuya T, Oikawa T, Morozumi K, Uchida K, Nakao A.
    • Journal Title

      Transplant International 30

      Pages: 365-370

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Alternative strategy for overcoming ABO incompatibility2007

    • Author(s)
      Kobayashi T, Liu D, Ogawa H, Miwa Y, Nagasaka T, Maruyama S, LiY-T, Onishi A, Kuzuya T, Kadomatsu K, Uchida K, Nakao A.
    • Journal Title

      Transplantation 83

      Pages: 1284-1286

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Pitavastatin attenuates the upregulation of tissue factor in restraint-stressed mice.2007

    • Author(s)
      Yamamoto K, Kojima T, Takeshita K, Matsushita T, Takamatsu J
    • Journal Title

      Thrombosis Research 120

      Pages: 143-144

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Intrarenal administration of recombinant human soluble thrombomodulin ameliorates ischaemic acute renal failure.2007

    • Author(s)
      Ozaki T, Anas C, Maruyama S, Yamamoto T, Yasuda K, Morita Y, Ito Y, Gotoh M, Yuzawa Y, Matsuo S.
    • Journal Title

      Nephrol Dial Transplant 23

      Pages: 110-119

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Relation between human decay-accelerating factor (hDAF) expression in pig cells and inhibition of human serum anti-pig cytotoxicity : value of highly expressed hDAF for xenotransplantation2007

    • Author(s)
      Liu. D, Kobayashi, T, Onishi, A, Furusawa, T, Iwamoto, T, Suzuki, S, Miwa, Y, Nagasaka, T, Maruyama, S, Kadomatsu, K, Uchida, K, Nakao, A
    • Journal Title

      Xenotransplantation 14

      Pages: 67-73

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Prophylactic treatment of antibody-mediated rejection with high-dose mizoribine and pharmacokinetic study2007

    • Author(s)
      Liu, D, Kobayashi, T, Nagasaka, T, Miwa, Y, Ma, Y, Yokoyama, I, Kuzuya, T, Oikawa, T, Morozumi, K, Uchida, K, Nakao, A
    • Journal Title

      Transplant International 30

      Pages: 365-370

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Alternative strategy for overcoming ABO incompatibility2007

    • Author(s)
      Kobayashi, T, Liu, D, Ogawa, H, Miwa, Y, Nagasaka, T, Maruyama, S, Li, Y-T, Onishi, A, Kuzuya, T, Kadomatsu, K, Uchida, K, Nakao, A
    • Journal Title

      Transplantation 83

      Pages: 1284-1286

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Pitavastatin attenuates the upregulation of tissue factor in restraint-stressed mice.2007

    • Author(s)
      Yamamoto, K, Kojima, T, Takeshita, K, Matsushita, T, Takamatsu, J
    • Journal Title

      Thrombosis Rsearch 120

      Pages: 143-144

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Intrarenal administration of recombinant human soluble thrombomodulin ameliorates ischaemic acute renal failure2007

    • Author(s)
      Ozaki, T, Anas, C, Maruyama, S, Yamamoto, T, Yasuda, K, Morita, Y, Ito, Y, Gotoh, M, Yuzawa, Y, Matsuo, S
    • Journal Title

      Nephrol Dial Transplant 23

      Pages: 110-119

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Standardization of the assay method for anti-A/B antibody titers and its problems2006

    • Author(s)
      Kobayashi T
    • Journal Title

      International Congress Series 1292

      Pages: 3-7

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] A series of surveys on assay for anti-A/B antibody by Japanese Society for ABO incompatible transplantation2006

    • Author(s)
      Kobayashi T
    • Journal Title

      Xenotransplantation 13

      Pages: 136-140

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] MMFのPharmacodynamics解析によるモニタリングの確立-MTT assayとフローサイトメトリー(FCM)の比較-2006

    • Author(s)
      倉田洋子、葛谷孝文、小林孝彰、三輪祐子、打田 和冶、中尾 昭公、亀井浩行、松葉和久、鍋島俊隆
    • Journal Title

      移植 41

      Pages: 351-355

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] ABO血液型不適合移植攻略のための新補助療法2006

    • Author(s)
      小林孝彰
    • Journal Title

      移植 41

      Pages: 573-576

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Standardization of the assay method for anti-A/B antibody titers and its problems2006

    • Author(s)
      Kobayashi, T
    • Journal Title

      International Congress Series 1292

      Pages: 3-7

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] A series of surveys on assay for anti-A/B antibody by Japanese Society for ABO incomipatible transplantation2006

    • Author(s)
      Kobayashi, T, Saito, K
    • Journal Title

      Xenotransplantation 13

      Pages: 136-140

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Establishment of pharmacodynamic monitoring of MMF-Comparison between MTT assay and flow cytometry-2006

    • Author(s)
      Yoko, Kurata, Takafumi, Kuzuya, Takaaki, Kobayashi, Yuko, Miwa, Kazuharu, Uchida, Akimasa, Nakao, Hiroyuki, Kamei, Kazuhisa, Matsuba, Toshitaka, Nabeshima
    • Journal Title

      Transplant 41

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Novel approach to adjuvant therapy for overcoming ABO incompatible transplantation2006

    • Author(s)
      Takaaki, Kobayashi
    • Journal Title

      Transplant 41

    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Pig kidney expressing both endo-beta-galactosidase C and hDAF prevented hyperacute rejection in baboon without antibody removal2007

    • Author(s)
      T. Kobayashi, A. Onishi, D. Liu, T. Nagasaka, Y. Miwa, A. Katayama, S. Maruyama, M. Iwamoto, K. Uchida, A. Nakao
    • Organizer
      CTS一IPITA-IXA 2007 Joint Conference
    • Place of Presentation
      Minneapolis(USA)
    • Year and Date
      20070915-20
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Successful removal of blood group A/B antigen in organs by ex vivo and in vivo administration of endo-beta-galacgtosidase(ABase)2007

    • Author(s)
      T. Kobayashi, H. Ogawa, D. Liu, T. Nagasaka, Y. Miwa, A. Katayama, S. Maruyama, Y-T. Li, A. Onishi, K. Uchida
    • Organizer
      CTS-IPITA-IXA 2007 Joint Conference
    • Place of Presentation
      Minneapolis(USA)
    • Year and Date
      20070915-20
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Significance of human DAF and thrombomodulin gene transfer for coagulation control in pig to human xenotransplantation2007

    • Author(s)
      Y. Miwa, K. Yamamoto, A. Katayama, T. Nagasaka, A. Onishi, M. Iwamoto, K. Kadomatsu, K. Uchida, A. Nakao, T. Kobayashi
    • Organizer
      CTS-IPITA-IXA 2007 Joint Conference
    • Place of Presentation
      Minneapolis(USA)
    • Year and Date
      20070915-20
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Pig kidney expressing both endo-beta-galactosidase C and hDAF prevented hyperacute rejection in baboon without antibody removal2007

    • Author(s)
      T. Kobayashi, A. Onishi, D. Liu, T. Nagasaka, Y. Miwa, A. Katayama, S. Maruyama, M. Iwamoto, K. Uchida, A. Nakao
    • Organizer
      CTS-IPITA-IXA 2007 Joint Conference
    • Place of Presentation
      Minneapolis (USA)
    • Year and Date
      20070915-20
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Successful removal of blood group A/B antigen in organs by ex vivo and in vivo administration of endo-beta-galacgtosidase (ABase)2007

    • Author(s)
      T. Kobayashi, H. Ogawa, D. Liu, T. Nagasaka, Y. Miwa, A. Katayama, S. Maruyama, Y-T. Li, A. Onishi, K. Uchida
    • Organizer
      CTS-IPITA-IXA 2007 Joint Conference
    • Place of Presentation
      Minneapolis (USA)
    • Year and Date
      20070915-20
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Significance of human DAF and thrombomodulin gene transfer for coagulation control in pig to human xenotransplantation2007

    • Author(s)
      Y. Miwa, K. Yamamoto, A. Katayama, T. Nagasaka, A. Onishi, M. Iwamoto, K. Kadomatsu, K. Uchida, A. Nakao, T. Kobayashi
    • Organizer
      CTS-IPITA-IXA2007 Joint Conference
    • Place of Presentation
      Minneapolis (USA)
    • Year and Date
      20070915-20
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Related Versus Unrelated Living Donor ABO-Incompatible Kidney Transplantation: Are Spousal Living Donors a Good Source of Kidneys for ABO-Incompatible Living Transplantation?2007

    • Author(s)
      Uchida K, Katayama A, Nagasaka T, Goto N, Morozumi K, Takeda A, Goto Y, Kobayashi T, Nakao A
    • Organizer
      American Transplant Congress 2007
    • Place of Presentation
      San Francisco(USA)
    • Year and Date
      20070522-27
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Reduction of Blood Group A/B Antigen Expression in Organ by In Vivo Infusion of endo-β-Galactosidase.2007

    • Author(s)
      Kobayashi T, DaGe Liu, Ogawa H, Miwa Y, Nagasaka T, Maruyama S, Yu-The Li, Onishi A, Kuzuya T, Kadomatsu K, Uchida K, Nkao A
    • Organizer
      American Transplant Congress 2007
    • Place of Presentation
      San Francisco(USA)
    • Year and Date
      20070522-27
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Beneficial Fffect of Human DAF and Thrombomodulin Expression in Pig Endothelial Cells on Coagulation Control.2007

    • Author(s)
      Miwa Y, Kobayashi T, Yamamoto K, Nagasaka T, DaGe Liu, Kuzuya T, Onishi A, Kadomatsu K, Uchida K, Nakao A
    • Organizer
      American Transplant Congress 2007
    • Place of Presentation
      San Francisco(USA)
    • Year and Date
      20070522-27
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Related Versus Unrelated Living Donor ABO-Incompatible Kidney Transplantation : Are Spousal Living Donors a Good Source of Kidneys for ABO-Incompatible Living Transplantation2007

    • Author(s)
      Uchida, K, Katayama, A, Nagasaka, T, Goto, N, Morozumi, K, Takeda, A, Goto, Y, Kobayashi, T, Nakao, A
    • Organizer
      American Transplant Congress 2007
    • Place of Presentation
      San Francisco (USA)
    • Year and Date
      20070522-27
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Reduction of Blood Group A/B Antigen Expression in Organ by In Vivo Infusion of endo- β-Galactosidase2007

    • Author(s)
      Kobayashi, T, DaGe, Liu, Ogawa, H, Miwa, Y, Nagasaka, T, Maruyama, S, Yu-The, Li, Onishi, A, Kuzuya, T, Kadomatsu, K, Uchida, K, Nkao, A
    • Organizer
      American Transplant Congress 2007
    • Place of Presentation
      San Francisco (USA)
    • Year and Date
      20070522-27
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Beneficial Fffect of Human DAF and Thrombomodulin Expression in Pig Endothelial Cells on Coagulation Control2007

    • Author(s)
      Miwa, Y, Kobayashi, T, Yamamoto, K, Nagasaka, T, DaGe, Liu, Kuzuya, T, Onishi, A, Kadomatsu, K, Uchida, K, Nakao, A
    • Organizer
      American Transplant Congress 2007
    • Place of Presentation
      San Francisco (USA)
    • Year and Date
      20070522-27
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Alternative strategy for overcoming ABO incompatibility2006

    • Author(s)
      Kobayashi T, Liu D, Miwa Y, Ogawa H, Kadomatsu K, Li Y-T, Nagasaka T, Maruyama S, Kuzuya T, Onishi A, Uchida K, Nakao A
    • Organizer
      World Transplant Congress 2006
    • Place of Presentation
      Boston(USA)
    • Year and Date
      20060722-27
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Relation between hDAF expression level in pig cells and inhibition of human serum anti-pig cytotoxicity2006

    • Author(s)
      Liu D, Kobayashi T, Onishi A, Furusawa T, Iwamoto M, Suzuki S, Miwa Y, Nagasaka T, Maruyama S, Uchida K, Nakao A.
    • Organizer
      World Transplant Congress 2006
    • Place of Presentation
      Boston(USA)
    • Year and Date
      20060722-27
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Excellent outcome in ABO-incompatible living donor kidney transplantation with the modified immunosuppression: the use of basiliximab/cyclop hosphamide instead of antilymphocyte globulin/cyclophosphamide.2006

    • Author(s)
      Uchida K, Katayama A, Nagasaka T, Goto N, Takeda A, Morozumi K, Kobayashi T, Nakao A.
    • Organizer
      World Transplant Congress 2006
    • Place of Presentation
      Boston(USA)
    • Year and Date
      20060722-27
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Alternative strategy for overcoming ABO incompatibility2006

    • Author(s)
      Kobayashi, T, Liu, D, Miwa, Y, Ogawa, H, Kadomatsu, K, Li, Y-T, Nagasaka, T, Maruyama, S, Kuzuya, T, Onishi, A, Uchida, K, Nakao, A
    • Organizer
      World Transplant Congress 2006
    • Place of Presentation
      Boston (USA)
    • Year and Date
      20060722-27
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Relation between hDAF expression level in pig cells and inhibition of human serum anti-Dig cytotoxirity2006

    • Author(s)
      Liu, D, Kobayashi, T, Onishi, A, Furusawa, T, Iwamoto, M, Suzuki, S, Miwa, Y, Nagasaka, T, Maruyama, S, Uchida, K, Nakao, A
    • Organizer
      World Transplant Congress 2006
    • Place of Presentation
      Boston (USA)
    • Year and Date
      20060722-27
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Excellent outcome in ABO-incompatible living donor kidney transplantation with the modified immunosuppression : the useof basiliximab/cyclophosphamide instead of antilymphocyte globulin/cyclophosnhamide2006

    • Author(s)
      Uchida, K, Katayama, A, Nagasaka, T, Goto, N, Takeda, A, Morozumi, K, Kobayashi, T, Nakao, A
    • Organizer
      World Transplant Congress 2006
    • Place of Presentation
      Boston (USA)
    • Year and Date
      20060722-27
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] New strategy for ABO incompatible transplantation-20062006

    • Author(s)
      Takaaki, Kobayahsi, Kazuhide, Saito
    • Organizer
      Nihon Igakukan
    • Year and Date
      20060000
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] New strategy for ABO incompatible transplantation-20072006

    • Author(s)
      Takaaki, Kobayahsi, Kazuhide, Saito
    • Organizer
      Nihon Igakukan
    • Year and Date
      20060000
    • Description
      「研究成果報告書概要(欧文)」より
  • [Book] ABO血液型不適合移植の新戦略-2007-2007

    • Author(s)
      小林孝彰、齋藤和英
    • Total Pages
      86
    • Publisher
      日本医学館
    • Description
      「研究成果報告書概要(和文)」より
  • [Book] ABO血液型不適合移植の新戦略-2006-2006

    • Author(s)
      小林孝彰、齋藤和英
    • Total Pages
      76
    • Publisher
      日本医学館
    • Description
      「研究成果報告書概要(和文)」より

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Published: 2010-02-04  

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