[HTML][HTML] Stable mixed chimerism and tolerance using a nonmyeloablative preparative regimen in a large-animal model

CA Huang, Y Fuchimoto… - The Journal of …, 2000 - Am Soc Clin Investig
CA Huang, Y Fuchimoto, R Scheier-Dolberg, MC Murphy, DM Neville, DH Sachs
The Journal of clinical investigation, 2000Am Soc Clin Investig
Bone marrow transplantation (BMT) has considerable potential for the treatment of
malignancies, hemoglobinopathies, and autoimmune diseases, as well as the induction of
transplantation allograft tolerance. Toxicities associated with standard preparative regimens
for bone marrow transplantation, however, make this approach unacceptable for all but the
most severe of these clinical situations. Here, we demonstrate that stable mixed
hematopoietic cell chimerism and donor-specific tolerance can be established in miniature …
Bone marrow transplantation (BMT) has considerable potential for the treatment of malignancies, hemoglobinopathies, and autoimmune diseases, as well as the induction of transplantation allograft tolerance. Toxicities associated with standard preparative regimens for bone marrow transplantation, however, make this approach unacceptable for all but the most severe of these clinical situations. Here, we demonstrate that stable mixed hematopoietic cell chimerism and donor-specific tolerance can be established in miniature swine, using a relatively mild, non-myeloablative preparative regimen. We conditioned recipient swine with whole-body and thymic irradiation, and we depleted their T-cells by CD3 immunotoxin-treatment. Infusion of either bone marrow cells or cytokine-mobilized peripheral blood stem cells from leukocyte antigen-matched animals resulted in stable mixed chimerism, as detected by flow cytometry in the peripheral blood, thymus, and bone marrow, without any clinical evidence of graft-versus-host disease (GvHD). Long-term acceptance of donor skin and consistent rejection of third-party skin indicated that the recipients had developed donor-specific tolerance.
The Journal of Clinical Investigation