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or IL-41




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Division of Pulmonary Sciences and Critical Care Medicine, and
Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences University, Denver, CO 80262
mAb therapy directed against a variety of cell surface accessory
molecules has been effectively utilized to prolong allograft acceptance
in various models of tissue and organ transplantation. The purpose of
this study was to determine whether transient therapy directed against
the adhesion molecule LFA-1 (CD11a) was sufficient to induce
donor-specific tolerance to pancreatic islet allografts. Anti-LFA-1
monotherapy was found to be efficacious in inducing long-term islet
allograft acceptance in multiple donor-recipient strain combinations.
Graft acceptance following anti-LFA-1 therapy was not simply due to
clonal ignorance of donor Ags in that the majority of recipients
bearing established islet allografts resisted rejection induced by
immunization with donor-type APCs. Furthermore, donor-specific
tolerance from anti-LFA-1-treated animals could be transferred to
secondary immune-deficient animals. Taken together, these results
indicated that transient anti-LFA-1 monotherapy resulted in
donor-specific tolerance. In vitro, functionally tolerant animals
retained normal anti-donor reactivity as assessed by proliferative,
cytotoxic, and cytokine release assays that demonstrated that tolerance
was not secondary to general clonal deletion or anergy of
donor-reactive T cells. Finally, anti-LFA-1 treatment was effective
in both IL-4-deficient and IFN-
-deficient recipients, indicating
that neither of these cytokines are universally required for allograft
acceptance. These results suggest that anti-adhesion-based therapy
can induce a nondeletional form of tolerance that is not overtly
dependent on the prototypic Th1 and Th2 cytokines, IFN-
and IL-4,
respectively, in contrast to results in other transplantation
models.
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