CD4-specific monoclonal antibody can prolong cardiac allograft survival without T-cell depletion

C R Darby1, P J Morris, K J Wood

  • 1Nuffield Department of Surgery, John Radcliffe Hospital, Headington, Oxford, United Kingdom.

Current immunosuppressive regimens for clinical transplantation are immunologically non-specific, are associated with acute and chronic toxic side-effects and are unable to prevent chronic graft loss in a significant proportion of patients. Additionally, new and increasingly powerful drugs are being introduced to induce non-specific immunosuppression, and therefore this is likely to be followed by an increase in related complications such as the induction of cancers. Hence, there is a need for an alternative approach. It has been shown that long-term survival of murine cardiac grafts can be induced by the monoclonal antibody YIS 191 that depletes CD4+ T cells in vivo. In this study, we have investigated the ability of a non-depleting antibody to produce better graft survival.

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