Prevention of graft rejection and graft‐versus‐host reaction by a novel immunosuppressant, FTY720, in rat small bowel transplantation

M Mitsusada, S Suzuki, E Kobayashi… - Transplant …, 1997 - Wiley Online Library
M Mitsusada, S Suzuki, E Kobayashi, S Enosawa, T Kakefuda, M Miyata
Transplant international, 1997Wiley Online Library
In the present study, we examined the immunosuppressive effect of a new drug, FTY 720, on
small bowel transplantation (SBT) in rats. Grafts from (LEW X BN) Fl‐to‐LEW rats treated
with FTY720 at 0.5 mg/kg from day 0 to 14 post‐SBT survived significantly longer than
untreated grafts. In addition, the administration of FTY 720 combined with cyclosporin (CyA;
5 mg/kg per day) had a synergistic effect on allograft survival. The graft‐versus‐host reaction
(GVHR) that occurred in the LEW‐to‐F 1 rats was markedly reduced after the administration …
Abstract
In the present study, we examined the immunosuppressive effect of a new drug, FTY 720, on small bowel transplantation (SBT) in rats. Grafts from (LEW X BN) Fl‐to‐LEW rats treated with FTY720 at 0.5 mg/kg from day 0 to 14 post‐SBT survived significantly longer than untreated grafts. In addition, the administration of FTY 720 combined with cyclosporin (CyA; 5 mg/kg per day) had a synergistic effect on allograft survival. The graft‐versus‐host reaction (GVHR) that occurred in the LEW‐to‐F 1 rats was markedly reduced after the administration of FTY 720. FTY 720 combined with a low dose of CyA completely abrogated GVHR without any adverse reaction. FTY 720 treatment resulted in a significant decrease in the number of lymphocytes in the peripheral blood and the spleen, but the number of peripheral neutrophils was unchanged. Thus, FTY 720 would appear to be an ideal drug to combine with CyA in order to control the immune reaction after SBT.
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