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Organogenetic tolerance.

Marc R Hammerman1

  • 1Renal Division, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA. mhammerm@dom.wustl.edu

Organogenesis
|January 12, 2011
PubMed
Summary
This summary is machine-generated.

Xenotransplantation using early embryonic pig pancreas can induce tolerance, potentially eliminating the need for immunosuppression in islet cell transplantation for diabetes. This organogenetic tolerance could revolutionize organ transplantation.

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Area of Science:

  • Transplantation immunology
  • Xenotransplantation research
  • Diabetes mellitus therapeutics

Background:

  • Organ transplantation faces donor organ shortages and immunosuppression toxicity.
  • Xenotransplantation offers a potential solution to organ supply limitations.
  • Early embryonic tissues may possess reduced immunogenicity for transplantation.

Purpose of the Study:

  • To investigate the potential of early embryonic pig pancreas transplantation to induce tolerance to porcine islets.
  • To explore xenotransplantation as a strategy to overcome donor organ scarcity and immunosuppression issues in diabetes treatment.

Main Methods:

  • Transplantation of embryonic day 28 (E28) pig pancreatic primordia into diabetic rats and rhesus macaques.
  • Subsequent transplantation of adult porcine islets into rats previously receiving embryonic pig pancreas grafts.
  • Assessment of graft survival and host immune response without immunosuppression.

Main Results:

  • Long-term engraftment of insulin-producing cells from embryonic pig pancreas was achieved in non-immunosuppressed diabetic rats and rhesus macaques.
  • Rats previously transplanted with E28 pig pancreatic primordia showed successful engraftment of adult porcine islets.
  • These findings suggest the induction of "organogenetic tolerance" to porcine islet cells.

Conclusions:

  • Transplantation of early embryonic pig pancreas can induce a state of tolerance to subsequent adult porcine islet grafts.
  • This "organogenetic tolerance" may eliminate the need for host immune suppression in xenotransplantation of porcine islets for diabetes.
  • The methodology could be adapted for other embryonic organs, potentially revolutionizing transplantation therapy.