Return to search

The effect of donor-specific transfusion 24 hours pre-transplant and cyclosporin on allograft survival : a clinically relevant induction protocol for cadaveric small bowel transplantation

The combination of pretransplant donor specific transfusion (DST) and cyclosporin (Cys) has proven to be an effective mode of immunomodulation in numerous allograft models. Our experiments were designed to study the effect of clinically applicable protocols using DST and low-dose cyclosporin in an heterotopic, fully allogenic model of small bowel transplantation in the rat. / A 1 ml systemic DST 24 hours pretransplant with Cys (10 mg/kg day $-$1, 5 mg/kg POD 0 to 7, 2.5 mg/kg POD 8 to 14) was shown to be more effective than DST or Cys alone in prolonging graft survival (p $<$ 0.05). Adding successive post-transplant DST (POD 7,14,21) had no effect on graft survival. Portal transfusion and Cys was the most effective mode of antigen presentation (p = 0.01 vs systemic DST), with 33% of the animals having prolonged survival. Adding successive post-transplant DST was deleterious to the portal DST effect. The adjunct of anti-lymphocyte serum to the DST-Cys combination was ineffective.

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.56981
Date January 1992
CreatorsFecteau, Annie
ContributorsGuttman, Frank M. (advisor)
PublisherMcGill University
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
LanguageEnglish
Detected LanguageEnglish
TypeElectronic Thesis or Dissertation
Formatapplication/pdf
CoverageMaster of Science (Division of Surgical Research.)
RightsAll items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated.
Relationalephsysno: 001319313, proquestno: AAIMM87722, Theses scanned by UMI/ProQuest.

Page generated in 0.0017 seconds