Redundancy of the cytokine network in the development of rejection after clinical heart transplantation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1998-06

AUTHORS

C. C. Baan, C. H. J. Holweg, T. van Gelder, C. J. Knoop, H. G. M. Niesters, P. Zondervan, B. Mochtar, A. H. M. M. Balk, W. Weimar

ABSTRACT

We used reverse transcriptase–polymerase chain reaction analysis to study the effects of anti-rejection prophylaxis with an anti-interleukin (IL)-2 receptor (IL-2R) monoclonal antibody (BT563) on the allogeneic process by analyzing intragraft IL-2, IL-4, and IL-15 mRNA expression. Analysis showed an association between rejection and intragraft IL-2 mRNA and IL-4 mRNA transcription, whereas IL-15 was consitutively expressed: IL-2 62 % (8/13) during rejection versus 23 % (8/35) during immunological quiescence (P < 0.01); IL-4 69 % versus 23 % (P < 0.01). BT563 therapy influenced the intragraft mRNA expression of IL-2 and IL-4 but not of IL-15. In endomyocardial biopsies (EMB) showing rejection, mRNA expression of IL-2 was detectable in 40 % (2/5) during BT563 treatment versus 75 % (6/8) in the absence of BT563; for IL-4, 23 % versus 88 %, respectively. In contrast, IL-15 mRNA transcription was not affected. Quantitative analysis in rejection EMB showed comparable IL-15 mRNA levels during and after BT563 treatment. This study demonstrates that therapeutic intervention within the IL-2-dependent T-cell activation cascade does not completely prevent rejection. Other cytokines, such as IL-15, may participate in IL-2-independent rejections. More... »

PAGES

s512-s514

Journal

TITLE

Transplant International

ISSUE

Suppl 1

VOLUME

11

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s001470050530

DOI

http://dx.doi.org/10.1007/s001470050530

DIMENSIONS

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