Abstract
Since the discovery of the immunosuppressive properties of cyclosporin A (CsA) in 19721, and its introduction into transplantation research in 19772,3, there have been numerous publications reporting the successful induction, by CsA, of ‘tolerance’ to a wide range of organ allografts in a broad spectrum of animal models. Heterotopic heart grafts between fully incompatible inbred strains of rats were the first organ allografts to be used as a model for tolerance induction with CsA2. This model has been tested and confirmed by others using different strain combinations4–6. Tolerance has also been reported to kidney7, liver8, bowel9, and composite tissue (limb) grafts10 in rats, kidney grafts in rabbits11, dogs12 and rhesus monkeys13, and heart grafts in pigs14. In contrast to organ grafts, skin graft survival is dependent on the continued presence of CsA. Significant prolongations have been achieved in mice15,16, rats17,18, rabbits19 and dogs20,21. However, skin graft rejection following withdrawal of CsA treatment is the rule.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Borel, J. F. (1982) History of cyclosporin A and its significance in immunology. In White, D. J. G. (ed.), Cyclosporin A, pp. 5–17. (Amsterdam: Elsevier)
Kostakis, A. J., White, D. J. G. and Calne, R. Y. (1977) Prolongation of rat heart allograft survival by cyclosporin A. IRCS Med. Sci., 5, 280
Calne, R. Y. and White, D. J. G. (1977) Cyclosporin A — a powerful immunosuppressant in dogs with renal allografts. IRCS Med. Sci., 5, 595
Kawahara, K., Sutherland, D. E. R., Rynasiewicz, J. R. and Najarian, J. S. (1980) Prolongation of heterotopic cardiac allografts in rats by cyclosporin A. Surgery, 88, 594–600
Bordes-Aznar, J., Kupiec-Weglinski, J- W., Duarte, A. J. S., Milford, E. L., Strom, T. B. and Tilney, N. L. (1983) Function and migration of suppressor lymphocytes from cyclosporine-treated heart graft recipients. Transplantation, 35, 185
Hall, B. M., Jelbart, M. E. and Dorsch, S. E. (1984) Suppressor T cells in rats with prolonged cardiac allograft survival after treatment with cyclosporine. Transplantation, 37, 595
Homan, W. P., Fahre, J. W., Williams, K. A., Millard, P. R. and Morris, P. J. (1980) Studies on the immunosuppressive properties of cyclosporin A in rats receiving renal allografts. Transplantation, 29, 361
Engemann, R., Ulrichs, K., Thieder A., Muller-Ruchholtz, W. and Hamelmann, H. (1983) Induction of liver graft tolerance in a primarily nontolerant rat strain combination with temporary treatment of cydosporine. Transplant Proc., 15, 2986
Kirkman, R. L., Lear, P. A., Madara, J. L. and Tilney, N. L. (1984) Small intestine transplantation in the rat - immunology and function. Surgery, 96, 280
Black, K. S., Hewitt, C. W., Fraser, L A., Howard, E. B., Martin, D. C., Achauer, B. M. and Furnas, D. W. (1985) Composite tissue (limb) allografts in rats. II. Indefinite survival using low dose cydosporine. Transplantation, 39, 365
Green, C. J. and Allison, A. C. (1978) Extensive prolongation of rabbit kidney allograft survival after short-term Cyclosporin A treatment. Lancet, 1, 1182
Collier, D. St J., Calne, R. Y., De Curtins, M., Thiru, S., White, D. J. G., Jamieson, N. V., Thick, M. and Barroso, E. (1987) Alternative-day cyclosporine A and azathioprine in experimental dog renal allografts. Transplant. Proc., 19, 1279
Borleffs, J. C. C., Neuhaus, P. and Balner, H. (1983) Cyclosporin A as optimal immunosuppressant after kidney allografting in rhesus monkeys. Heart Transplant., 2, 111–117
Calne, R. Y., Rolles, K., Smith, D. P. and Hebertson, B. M. (1978) Prolonged survival of pig orthotopic heart grafts treated with cyclosporin A. Lancet, 1, 1183
Borel, J. F., Feurer, C., Gubler, H. U. and Stahelin, H. (1976) Biological effects of cyclosporin A: a new antilymphocyric agent. Agents Adions, 6, 468–475
Lems, S. P. M. and Koene, R. A. P. (1979) Prolongation of mouse skin allograft survival by cyclosporin A: graft rejection after withdrawal of therapy. IRCS Med. Sci., 7, 184
White, D. J. G., Rolles, K. and Ottawa, T. (1980) CyA induced long-term survival of fully incompatible skin and heart grafts in rats. Transplant Proc., 12, 261
Towpik, E., Kupiec-Weglinski, J. W., Schneider, T. M., Tyler, D., Padberg, W., Araneda, D. and Tilney, N. L. (1985) Cyclosporine and experimental skin allografts. Transplantation, 40, 714
Gratwohl, A., Forster, I. and Speck, B. (1981) Skin grafts in rabbits with cyclosporin A. Absence of induction of tolerance and untoward side effects. Transplantation, 31, 136
Borel, J. F. and Meszaros, J. (1980) Skin transplantation in mice and dogs. Effects of cyclosporin A and dihydrocyclosporln C. Transplantation, 29, 161
Deeg, H. J., Storb, R., Gerhard-Mller, L., Shulman, H. M., Weiden, P. L. and Thomas, E. D. (1980) Cyclosporin A, a powerful immunosuppressant in vivo and in vitro in the dog, fails to induce tolerance. Transplantation, 29, 230
Lim, S. M. L., White, D. J. G. and Calne, R. Y. (1987) Identifying a susceptible period following cyclosporine A-induced tolerance of heart grafts in the rat. Transplant. Proc., 19(5), 4218
Green, C. J., Allison, A. C. and Precious, S. (1979) Induction of specific tolerance in rabbits by kidney allografting and short periods of cyclosporin A treatment. Lancet 2, 123
Calne, R. Y., White, D. J. G., Thiru, S., Evans, D. B., McMaster, P., Dunn, D. C., Craddock, G. N., Pentlow, B. D. and Rolles, K. (1978) Cyclosporin A in patients receiving renal allografts from cadaver donors. Lancet, 2, 1323
Calne, R. Y., White, D. J. G., Evans, D. B. and Wright, C. (1982) Three years’ experience with cyclosporin A in clinical cadaveric kidney transplantation. In White, D. G. (ed.), A Proceedings of an International Conference on Cyclosporin A. (New York: Elsevier), pp. 347–353
Wood, R. F. M., Thompson, J. F., Allen, N. H., Ting, A. and Morris, P. J. (1983) The consequences of conversion from cyclosporine to azathioprine and prednisolone in renal allograft recipients. Transplant Proc., 15 (Suppl. 1), 2862
Stand, T. E., Hakala, T. R., Rosenthal, J. T., Iwatsuki, S. and Shaw, B. W. Jr. (1983) The Colorado-Pittsburgh cadaveric renal transplantation study with cyclosporine. Transplant. Proc., 15 (Suppl. 1), 2459
Najarian, J. S., Strand, M., Fryd, D. S., Ferguson, R. M., Simmons, R. L., Ascher, N. L. and Sutherland, D. E. R. (1983) Comparison of cyclosporine versus azathioprine antilymphocyte globulin in renal transplantation. Transplant. Proc., 15, 2463
Kahan, B. D., Buren, C. T. van, Flechner, S. M., Payne, W. D., Boileau, M and Kerman, R. H. (1983) Cyclosporine immunosuppression mitigates immunologic risk factors in renal allotransplantation. Transplant. Proc., 15, 2469
Sells, R. A. (1983) A prospective, randomized substitutive trial of Cyclosporine as a prophylactic agent in human renal transplant rejection. Transplant Proc., 15, 2495
Stiller, C. (1983) The requirements for maintenance steroids in cyclosporine-treated renal transplant recipients. Transplant. Proc., 15 (Suppl. 1), 2490
Sheil, A. G. R., Hall, B. M, Tiller, D. J. et al. (1983) Australian trial of cyclosporine in cadaveric donor renal transplantation. Transplant. Proc., 25, 2485
Calne, R. Y., Williams, R., Lindop, M. J., Farman, J. V., Toiley, M E., Rolles, K., MacDougall, B., Neuberger, J., Wyke, R. K., Rafferty, A. T., Duffy, T. J., Wight, D. G. D. and White, D. J. G. (1981) Improved survival after orthotopic liver grafting. Br. Med. J., 283, 115
Starzl, T. E., Iwatsuki, S., Klintmalm, G., Schroter, G. P. J., Weil, R., Koep, L. J. and Porter, K. A. (1981) Liver transplantation 1980, with particular reference to cyclosporin A. Transplant Proc., 13, 281
Wonigeit, K., Brolsch, C., Neuhaus, P., Burdelski, M., Schmidt, E., Lang, W. and Pichlmayr, R. (1983) Special aspects of immunosuppression with cyclosporine in liver transplantation. Transplant Proc., 15, 2586
Sutherland, D. E. R. (1983) Workshop on transplantation of the pancreas. Transplant. Proc., 15, 1509
Reitz, B. A., Bieber, C. P., Rainey, A. A., Pennock, J. L., Jamieson, S. W., Oyer, P. E. and Stinson, E. B. (1981) Orthotopic heart and combined heart and lung transplantation with Cyclosporin A immunosuppression. Transplant. Proc., 13, 373
Wallwork, J., Cory-Pearce, R. and English, T. A. H. (1983) Cyclosporine for cardiac transplantation: UK trial Transplant Proc., 15, 2559
Hutchinson, I V., Shadur, C. A., Duarte, A. J. S., Strom, T. B. and Tilney, N. L. (1981) Cyclosporin A spares selectively lymphocytes with donor-specific suppressor characteristics. Transplantation, 32, 210
Wassef, R., Cohen, Z. and Langer, B. (1985) Pharmacokinetic profiles of cyclosporine in rats. Transplantation, 40, 489
Friedman, A. L., Beyer, M. M., Josephson, A. S. and Schiffman, G. (1987) Alternate-day cyclosporine. Transplantation, 43, 457
Nagao, T., White, D. J. G. and Calne, R. Y. (1982) Kinetics of unresponsiveness induced by a short course of cyclosporine A. Transplantation, 33, 31
Kupiec-Weglinski, J. W., Filho, M. A., Strom, T. B. and Tilney, N. L. (1984) Sparing of suppressor cells: a critical action of cyclosporine. Transplantation, 38, 97
Butcher, G. W. and Howard, J. C. (1977) A recombinant in the major histocompatibility complex of the rat. Nature, 266, 362
Rozing, J., Bonthuis, F., Joling, P., Vaessen, L. M B. and Lameijer, L. D. F. (1983) The influence of RT1 subregion differences on cardiac allograft survival. Transplant Proc., 15, 1647
Katz, S. M., fiebert, M., Gill, T. J., Kunz, H. W., Cramer, D. V. and Guttmann, R. D. (1983) The relative roles of MHC and non-MHC genes in heart and skin allograft survival. Transplantation, 36, 96
Stewart, R., Butcher, G., Herbert, J. and Roser, B. (1985) Graft rejection in a congenic panel of rats with defined immune response genes for MHC class I antigens. Transplantation, 40, 427
Klempnauer, J., Steiniger, B., Marquarding, E., Vogt, P., Lipecz, A., Wonigeit, K. and Gunther, E. (1987) Effects of the RT1.C region in rat allotransplantation. Transplant. Proc., 19, 713
Lance, E. M., Boyse, E. A., Cooper, S. and Carswell, E. A. (1971) Rejection of skin allografts by irradiation chimaeras: evidence for a skin-specific transplantation barrier. Transplant. Proc., 3, 864
Warren, R. P., Lofgreen, J. S. and Steinmuller, D. (1973) Differential survival of heart and skin allografts in inbred rats. Transplant. Proc., 5, 717
Murray, J. E., Sheil, A. G. R., Moseley, R., Knight, P., McGavic, J. D. and Dammin, G. J. (1964) Analysis of mechanism of immunosuppressive drugs in renal homotransplantation. Ann. Surg., 160, 449
White, E., Hildemann, W. H. and Mullen, Y. (1969) Chronic kidney allograft reactions in rats. Transplantation, 8, 602–617
Barker, C. F. and Billingham, R. E. (1970) Comparison of the fates of Ag-B locus compatible homografts of skin and hearts in inbred rats. Nature, 225, 851
Bildsoe, P., Ford, W. L., Pettirossi O. and Simonsen, M. (1971) GVH analysis of organ-grafted rats which defy the normal rules of rejection. Transplantation, 12, 189
Salaman, J. R., Elves, M. W. and Festenstein, H. (1971) Factors contributing to survival of rats transplanted with kidneys mismatched at major locus. Transplant. Proc., 3, 577
Sorensen, S. F., Bildsoe, P. and Simonsen, M. (1972) Mixed lymphocyte culture and graft-versus-host analyses of organ-grafted rats that defy normal rules for rejection. Transplant Proc., 4(2), 181
Lim, S. M. L. and White, D. J. G. (1988) Long-term residence of a graft is an insufficient stimulus for the induction of tolerance. J. Exp. M ed., 168, 807
Tilney, N. L, and Strom, T. B. (1986) Chemical suppression of the immune responses. In Morris, P. J. and Tilney, N. L. (eds), Progress in Transplantation, vol. 3 (Edinburgh: Churchill Livingstone), pp. 1–31
Guttmann, R. D. (1976) A genetic survey of rat cardiac allograft rejection in presensitized recipients. Transplantation, 22, 583
Bell, P. R. F., Briggs, j. D., Caiman, K. C., Paton, A. M., Wood, R. F. M., Macpherson, S. G. and Kyle, K. (1971) Reversal of acute clinical and experimental organ rejection using large doses of intravenous prednisolone. Lancet, 1, 876
Turcotte, J. G., Feduska, N. J., Carpenter, E. W., Mcdonald, F. D. and Bacon, G. E. (1972) Rejection crises in human renal transplant recipients. Arch. Surg., 105, 230
Woods, J. E., Anderson, C. F., De Weerd, J. H. et al. (1973) High-dosage intravenously administered methylprednisolone in renal transplantation. J. Am. Med. Assoc., 223, 896
Davies, D. A. L. and Allans, B. J. (1974) What abrogates heart transplant rejection in immunological enhancement? Nature, 247, 294
White, D. J. G., Timmerman, W., Davies, H. ff. S., Nagao, T., Kasahara, K. and Plumb, A. (1981) Properties of cyclosporin-A-induced graft acceptance. Transplant Proc., 13(1), 379
Ford, W. L. (1975) Lymphocyte migration and immune responses. Progr. Allergy, 19, 1
Starzi T. E., Weil, R. III, Iwatzuki, S. et al. (1960) The use of cyclosporin A and steroid therapy in 66 cadaver kidney transplants. Surg. Gynaecol. Obstet., 151, 17
Stiller, C. R., Keown, P. A., Sinclair, M. R. and Ulan, R. A. (1982) Immune responses and pharmacokinetics in the human renal allograft recipient treated with Cyclosporin A. In White, D. J. G. (ed.), Cyclosporin A (Amsterdam: Elsevier), pp. 379–86
Tilney, N. L., Milford, E. L., Aranajo, J-L., Strom, T. B., Carpenter, C. B. and Kirkland, R. L. (1984) Experience with cyclospoiine and steroids in clinical renal transplantation. Ann. Surg., 200, 604
Johnson, R. W. G., Wise, M. H., Bakran, A., Short, C., Dyer, P., Mallick, N. P. and Gokal, R. (1985) A four-year prospective study of Cyclosporine In cadaver renal transplantation. Transplant. Today, 8, 1197
Johnson, R. W. G., Mallick, N. P., Bakran, A., Pearson, R. C., Scott, P. D., Dyer, P., Donaghue, D. and Gokal, R. (1988) Cadaver renal transplantation without maintenance steroids. Transplant. Proc. (In press)
Griffin, P. J. A., Ross, W. B., Williams, J. D. and Salaman, J. R. (1987)Xow-dose cyclosporine monotherapy in renal transplantation. Transplant Proc., 19(5), 3685
Goodwin, W. E., Kaufman, J. J., Mims, M. M., Turner, R. D., Glassock, R., Goldman, R. and Maxwell, M. M. (1963) Human renal transplantation — I: Clinical experiences with six cases of renal homotransplantatlon. J. Urol., 89, 13
Clarke, A. G. and Salaman, J. R. (1974) Methylprednisolone in the treatment of renal transplant rejection. Clin. Nephrol., 2, 230
Gray, D., Shepherd, H., Daar, A., Oliver, D. O. and Morris, P. J. (1978) Oral versus intravenous high-dose steroid treatment of renal allograft rejection. The big shot or not? Lancet, 1, 117
Bell, P. R. F., Briggs, J. D., Caiman, K. C., Quin, R. O., Wood, R. F. M., Paton, A. and Macpherson, S. G. (1973) The immunosuppressive effect of large doses of intravenous prednisolone in experimental heterotopic rat heart and human renal transplantation. Surgery, 73, 147
Salaman, J. R. (1983) Influence of steroid dosage on the survival of cardiac allografts in the rat. Transplantation, 35, 510
Kasahara, K., White, D. J. G. and Calne, R. Y. (1982) Antigen dependence of cyclosporin A-induced allograft acceptance. Transplantation, 34, 216
Hall, B. M., Gurley, K. and Dorsch, S. E. (1987) Specific unresponsiveness in rats with prolonged allograft survival is dependent upon the graft and suppressor T cells. Transplant. Proc., 19(1), 95
Hutchinson, I. V. (1986) Suppressor T cells in allogeneic models. Transplantation, 41, 547
Kupiec-Weglinski, J. W., Bordes-Aznar, J., Lear, P. A., Strom, T. B. and Tibey, N. L. (1982) Cyclosporin A allows expression of specific T suppressor lymphocytes in vivo. Surg. Forum., 33, 336
Hall, B. M., Jelbart, M. E. and Dorsch, S. E. (1985) Function of W3/25 + Th cells in rats with prolonged cardiac allograft survival after treatment with cyclosporine, Transplant. Proc., 17(1), 1372
Godden, U., Herbert, J., Stewart, R. D. and Roser, B. (1985) A novel cell type carrying both Th and Tc/s markers in the blood of cyclosporine-treated, allografted rats. Transplantation, 39, 624
Wood, M. L. and Monaco, A. P. (1980) Suppressor cells in specific unresponsiveness to skin allografts in ALS-treated, marrow-injected mice. Transplantation, 29, 196
Hutchinson, I. V. (1986) Suppressor T cells in allogeneic models. Transplantation, 41, 547
Sprenf, J. and Miller, J. F. A. P. (1974) Effect of recent antigen priming on adoptive immune responses. J. Exp. Med., 139, 1
Cranston, D., Wood, K. J. and Morris, P. J. (1988) Splenectomy and renal allograft survival in the rat. Br. J. Surg., 75, 18
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Kluwer Academic Publishers
About this chapter
Cite this chapter
Lim, S.M.L., White, D.J.G. (1989). Cyclosporin A and tolerance induction in experimental animals. In: Thomson, A.W. (eds) Cyclosporin. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0859-8_5
Download citation
DOI: https://doi.org/10.1007/978-94-009-0859-8_5
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-6874-1
Online ISBN: 978-94-009-0859-8
eBook Packages: Springer Book Archive