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A combination regimen of low-dose bortezomib and rapamycin prolonged the graft survival in a murine allogeneic islet transplantation model.

Identifieur interne : 000401 ( Main/Exploration ); précédent : 000400; suivant : 000402

A combination regimen of low-dose bortezomib and rapamycin prolonged the graft survival in a murine allogeneic islet transplantation model.

Auteurs : So-Hee Hong [Corée du Sud] ; Kihyun Kim [Corée du Sud] ; Jun-Seop Shin [Corée du Sud] ; Hyunwoo Chung [Corée du Sud] ; Chung-Gyu Park [Corée du Sud]

Source :

RBID : pubmed:31593743

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English descriptors

Abstract

As the first FDA-approved proteasome inhibitor drug, bortezomib has been used for the treatment of multiple myeloma and lymphoma. However, its effects alone or in combination with other immunosuppressants on allogeneic islet transplantation have not been reported so far. In this study, we showed that the short-term combination treatment of low-dose bortezomib and rapamycin significantly prolonged the survival of islet allografts. Short-term treatment of low-dose (0.05 mg/kg or 0.1 mg/kg) bortezomib reduced the MHC class II expression in dendritic cells (DCs) of alloantigen-sensitized mice, and prolonged the islet allograft survival for up to 50 days in diabetic mice. Notably, when bortezomib was combined with rapamycin, it induced islet-specific immunological tolerance which allowed the acceptance of a second graft without additional immunosuppression. This regimen dramatically reduced the alloantigen-specific IFN-γ-producing T cells in the spleen, and increased regulatory T cells both at the graft site and in the spleen. Therefore, we propose that short-term treatment of low-dose bortezomib and rapamycin could be a new tolerance-promoting immunosuppressive regimen for allogeneic islet transplantation.

DOI: 10.1016/j.imlet.2019.10.005
PubMed: 31593743


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<term>Allografts (drug effects)</term>
<term>Allografts (immunology)</term>
<term>Animals (MeSH)</term>
<term>Bortezomib (administration & dosage)</term>
<term>Dendritic Cells (drug effects)</term>
<term>Dendritic Cells (immunology)</term>
<term>Dendritic Cells (metabolism)</term>
<term>Diabetes Mellitus, Experimental (chemically induced)</term>
<term>Diabetes Mellitus, Experimental (therapy)</term>
<term>Dose-Response Relationship, Drug (MeSH)</term>
<term>Drug Therapy, Combination (methods)</term>
<term>Female (MeSH)</term>
<term>Forkhead Transcription Factors (immunology)</term>
<term>Forkhead Transcription Factors (metabolism)</term>
<term>Graft Survival (drug effects)</term>
<term>Graft Survival (immunology)</term>
<term>Histocompatibility Antigens Class II (immunology)</term>
<term>Histocompatibility Antigens Class II (metabolism)</term>
<term>Humans (MeSH)</term>
<term>Immune Tolerance (drug effects)</term>
<term>Immunosuppressive Agents (administration & dosage)</term>
<term>Interferon-gamma (immunology)</term>
<term>Interferon-gamma (metabolism)</term>
<term>Islets of Langerhans Transplantation (adverse effects)</term>
<term>Mice (MeSH)</term>
<term>Proteasome Inhibitors (administration & dosage)</term>
<term>Sirolimus (administration & dosage)</term>
<term>Spleen (cytology)</term>
<term>Spleen (drug effects)</term>
<term>Spleen (immunology)</term>
<term>Streptozocin (toxicity)</term>
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<term>T-Lymphocytes, Regulatory (immunology)</term>
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<term>Antigènes d'histocompatibilité de classe II (immunologie)</term>
<term>Antigènes d'histocompatibilité de classe II (métabolisme)</term>
<term>Association de médicaments (méthodes)</term>
<term>Bortézomib (administration et posologie)</term>
<term>Cellules dendritiques (effets des médicaments et des substances chimiques)</term>
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<term>Diabète expérimental (thérapie)</term>
<term>Facteurs de transcription Forkhead (immunologie)</term>
<term>Facteurs de transcription Forkhead (métabolisme)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Immunosuppresseurs (administration et posologie)</term>
<term>Inhibiteurs du protéasome (administration et posologie)</term>
<term>Interféron gamma (immunologie)</term>
<term>Interféron gamma (métabolisme)</term>
<term>Lymphocytes T régulateurs (effets des médicaments et des substances chimiques)</term>
<term>Lymphocytes T régulateurs (immunologie)</term>
<term>Lymphocytes T régulateurs (métabolisme)</term>
<term>Rate (cytologie)</term>
<term>Rate (effets des médicaments et des substances chimiques)</term>
<term>Rate (immunologie)</term>
<term>Relation dose-effet des médicaments (MeSH)</term>
<term>Sirolimus (administration et posologie)</term>
<term>Souris (MeSH)</term>
<term>Streptozocine (toxicité)</term>
<term>Survie du greffon (effets des médicaments et des substances chimiques)</term>
<term>Survie du greffon (immunologie)</term>
<term>Tolérance immunitaire (effets des médicaments et des substances chimiques)</term>
<term>Transplantation d'ilots de Langerhans (effets indésirables)</term>
<term>Transplantation homologue (effets indésirables)</term>
<term>Transplantation homologue (méthodes)</term>
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<term>Bortezomib</term>
<term>Immunosuppressive Agents</term>
<term>Proteasome Inhibitors</term>
<term>Sirolimus</term>
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<term>Immunosuppresseurs</term>
<term>Inhibiteurs du protéasome</term>
<term>Sirolimus</term>
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<term>Islets of Langerhans Transplantation</term>
<term>Transplantation, Homologous</term>
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<term>Diabetes Mellitus, Experimental</term>
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<keywords scheme="MESH" qualifier="cytology" xml:lang="en">
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<term>Allografts</term>
<term>Dendritic Cells</term>
<term>Graft Survival</term>
<term>Immune Tolerance</term>
<term>Spleen</term>
<term>T-Lymphocytes, Regulatory</term>
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<term>Allogreffes</term>
<term>Cellules dendritiques</term>
<term>Lymphocytes T régulateurs</term>
<term>Rate</term>
<term>Survie du greffon</term>
<term>Tolérance immunitaire</term>
</keywords>
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<term>Transplantation homologue</term>
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<term>Antigènes d'histocompatibilité de classe II</term>
<term>Cellules dendritiques</term>
<term>Facteurs de transcription Forkhead</term>
<term>Interféron gamma</term>
<term>Lymphocytes T régulateurs</term>
<term>Rate</term>
<term>Survie du greffon</term>
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<term>Allografts</term>
<term>Dendritic Cells</term>
<term>Forkhead Transcription Factors</term>
<term>Graft Survival</term>
<term>Histocompatibility Antigens Class II</term>
<term>Interferon-gamma</term>
<term>Spleen</term>
<term>T-Lymphocytes, Regulatory</term>
</keywords>
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<term>Diabète expérimental</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Dendritic Cells</term>
<term>Forkhead Transcription Factors</term>
<term>Histocompatibility Antigens Class II</term>
<term>Interferon-gamma</term>
<term>T-Lymphocytes, Regulatory</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Drug Therapy, Combination</term>
<term>Transplantation, Homologous</term>
</keywords>
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<term>Cellules dendritiques</term>
<term>Facteurs de transcription Forkhead</term>
<term>Interféron gamma</term>
<term>Lymphocytes T régulateurs</term>
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<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr">
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<term>Transplantation homologue</term>
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<term>Diabetes Mellitus, Experimental</term>
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<term>Dose-Response Relationship, Drug</term>
<term>Female</term>
<term>Humans</term>
<term>Mice</term>
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<term>Animaux</term>
<term>Femelle</term>
<term>Humains</term>
<term>Relation dose-effet des médicaments</term>
<term>Souris</term>
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<front>
<div type="abstract" xml:lang="en">As the first FDA-approved proteasome inhibitor drug, bortezomib has been used for the treatment of multiple myeloma and lymphoma. However, its effects alone or in combination with other immunosuppressants on allogeneic islet transplantation have not been reported so far. In this study, we showed that the short-term combination treatment of low-dose bortezomib and rapamycin significantly prolonged the survival of islet allografts. Short-term treatment of low-dose (0.05 mg/kg or 0.1 mg/kg) bortezomib reduced the MHC class II expression in dendritic cells (DCs) of alloantigen-sensitized mice, and prolonged the islet allograft survival for up to 50 days in diabetic mice. Notably, when bortezomib was combined with rapamycin, it induced islet-specific immunological tolerance which allowed the acceptance of a second graft without additional immunosuppression. This regimen dramatically reduced the alloantigen-specific IFN-γ-producing T cells in the spleen, and increased regulatory T cells both at the graft site and in the spleen. Therefore, we propose that short-term treatment of low-dose bortezomib and rapamycin could be a new tolerance-promoting immunosuppressive regimen for allogeneic islet transplantation.</div>
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<Title>Immunology letters</Title>
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<ArticleTitle>A combination regimen of low-dose bortezomib and rapamycin prolonged the graft survival in a murine allogeneic islet transplantation model.</ArticleTitle>
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<AbstractText>As the first FDA-approved proteasome inhibitor drug, bortezomib has been used for the treatment of multiple myeloma and lymphoma. However, its effects alone or in combination with other immunosuppressants on allogeneic islet transplantation have not been reported so far. In this study, we showed that the short-term combination treatment of low-dose bortezomib and rapamycin significantly prolonged the survival of islet allografts. Short-term treatment of low-dose (0.05 mg/kg or 0.1 mg/kg) bortezomib reduced the MHC class II expression in dendritic cells (DCs) of alloantigen-sensitized mice, and prolonged the islet allograft survival for up to 50 days in diabetic mice. Notably, when bortezomib was combined with rapamycin, it induced islet-specific immunological tolerance which allowed the acceptance of a second graft without additional immunosuppression. This regimen dramatically reduced the alloantigen-specific IFN-γ-producing T cells in the spleen, and increased regulatory T cells both at the graft site and in the spleen. Therefore, we propose that short-term treatment of low-dose bortezomib and rapamycin could be a new tolerance-promoting immunosuppressive regimen for allogeneic islet transplantation.</AbstractText>
<CopyrightInformation>Copyright © 2019. Published by Elsevier B.V.</CopyrightInformation>
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<ForeName>So-Hee</ForeName>
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<Affiliation>Xenotransplantation Research Center, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea; Institute of Endemic Diseases, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea; Cancer Research Institute, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea; Department of Biomedical Sciences, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea; Department of Microbiology and Immunology, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.</Affiliation>
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<Affiliation>Xenotransplantation Research Center, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea; Department of Biomedical Sciences, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea; Department of Microbiology and Immunology, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.</Affiliation>
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