| Removal of anti-porcine natural antibodies from human and nonhuman primate plasma in vitro and in vivo by a Galalpha1-3Galbeta1-4betaGlc-X immunoaffinity column. | |
MedLine Citation:
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PMID: 9458010 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Natural antibodies (NAbs) against a terminal alpha1-3 galactosyl (alphaGal) epitope have been identified as the major human anti-pig NAbs. METHODS AND RESULTS: We used two synthetic alphaGal trisaccharides--type 6 (alphaGal6) and type 2(alphaGal2)--linked to an inert matrix to remove NAbs from human plasma in vitro. Flow cytometry indicated that an average of 85% of the NAb binding activity was depleted by adsorption with alphaGal6. By measuring the binding of NAbs to pig peripheral blood mononuclear cells and bone marrow cells, we demonstrated that alphaGal6 was more effective than alphaGal2 in removing NAbs, and the combination of alphaGal6 + alphaGal2 did not further increase removal of NAbs. The specificity of the removal of NAbs (IgM and IgG) reactive with the alphaGal epitope by alphaGal6 matrix was shown by enzyme-linked immunosorbent assay. In vivo studies in nonhuman primates compared plasma perfusion through a alphaGal6 immunoaffinity column with hemoperfusion through a pig liver for changes in blood pressure, hematocrit, platelets, and NAb adsorption. CONCLUSIONS: Both methods reduced the level of anti-pig IgM and IgG xenoreactive antibodies to nearly background, but column perfusion caused less hypotension and reduction in platelets than liver perfusion. Four pig kidneys transplanted into monkeys after column perfusion did not undergo hyperacute rejection, remaining functional for 2-10 days, with a mean functional period of 7 days, demonstrating that a pig kidney can support renal function in a primate. |
Authors:
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Y Xu; T Lorf; T Sablinski; P Gianello; M Bailin; R Monroy; T Kozlowski; M Awwad; D K Cooper; D H Sachs |
Publication Detail:
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Type: In Vitro; Journal Article |
Journal Detail:
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Title: Transplantation Volume: 65 ISSN: 0041-1337 ISO Abbreviation: Transplantation Publication Date: 1998 Jan |
Date Detail:
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Created Date: 1998-02-11 Completed Date: 1998-02-11 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0132144 Medline TA: Transplantation Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 172-9 Citation Subset: IM |
Affiliation:
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BioTransplant Inc., Boston, Massachusetts, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Animals Antibodies / immunology, isolation & purification* Chromatography, Affinity Epitopes / immunology* Female Graft Rejection / immunology Humans Immunosorbents Kidney Transplantation / immunology Macaca fascicularis Male Papio Plasma / chemistry, immunology* Primates Sensitivity and Specificity Swine Transplantation, Heterologous / immunology* Trisaccharides / immunology* |
| Chemical | |
Reg. No./Substance:
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0/Antibodies; 0/Epitopes; 0/Immunosorbents; 0/Trisaccharides; 0/alpha-galactosyl epitope |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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