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Comparison of the Pharmacological Efficacies of Immunosuppressive Drugs Evaluated by the ATP Production and Mitochondrial Activity in Human Lymphocytes. 免疫抑制药物药理作用的比较——以人淋巴细胞ATP生成和线粒体活性评价。
Pub Date : 2013-12-30 DOI: 10.3727/215517913X674207
H. Sasahara, K. Sugiyama, M. Tsukaguchi, K. Isogai, A. Toyama, H. Satoh, K. Saitoh, Y. Nakagawa, Kota Takahashi, Sachiko Tanaka, K. Onda, T. Hirano
The lymphocyte immunosuppressant sensitivity test (LIST) using patient peripheral lymphocytes can predict the therapeutic efficacy of immunosuppressive drugs used in renal transplantation. We have evaluated the pharmacological efficacy of drugs by using the LIST with the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay, which measures the cellular mitochondrial activity. The LIST with the MTT assay requires a relatively large amount of blood. As such, we developed a new assay for examining drug sensitivity with a CellTiter-Glo assay, which measures the amount of cellular ATP to help increase the assay's sensitivity and reduce the amount of blood needed. Renal transplant recipients generally receive either cyclosporine or tacrolimus, in addition to mycophenolate mofetil and methylprednisolone, as an immunosuppressive therapy to prevent acute rejection. We evaluated the pharmacological efficacy of these immunosuppressive agents with both the MTT and CellTiter-Glo assays using the peripheral blood mononuclear cells of 21 healthy volunteers. Furthermore, we also examined the relationship between these immunosuppressive agents' pharmacological efficacy and the results of the MTT and CellTiter-Glo assays. The IC50 values for cyclosporine, tacrolimus, mycophenolic acid, and methylprednisolone were significantly correlated between the MTT and CellTiter-Glo assays. The amount of blood cells required for LIST with the CellTiter-Glo assay was able to be reduced to 25% of the amount required for the previously established LIST with the MTT assay procedure. We concluded from these observations that the LIST with the CellTiter-Glo assay should be used instead of the MTT assay for carrying out individualized immunosuppressive therapy in renal transplantation patients.
采用患者外周血淋巴细胞进行淋巴细胞免疫抑制剂敏感性试验(LIST),可以预测肾移植中免疫抑制剂的治疗效果。我们利用LIST和3-(4,5-二甲基噻唑-2-基)-2,5-二苯基溴化四唑(MTT)测定法评估了药物的药理功效,该测定法测量了细胞线粒体活性。带有MTT测定的LIST需要相对大量的血液。因此,我们开发了一种新的检测方法,用于使用CellTiter-Glo检测方法检测药物敏感性,该方法测量细胞ATP的量,以帮助提高检测方法的敏感性并减少所需的血液量。肾移植受者通常接受环孢素或他克莫司,除了麦考酚酸酯和甲基强的松龙,作为免疫抑制治疗,以防止急性排斥反应。我们使用21名健康志愿者的外周血单个核细胞,通过MTT和CellTiter-Glo测定来评估这些免疫抑制剂的药理学功效。此外,我们还研究了这些免疫抑制剂的药理功效与MTT和CellTiter-Glo测定结果之间的关系。环孢素、他克莫司、霉酚酸和甲基强的松龙的IC50值在MTT和CellTiter-Glo检测中显著相关。使用CellTiter-Glo检测LIST所需的血细胞数量能够减少到MTT检测程序先前建立的LIST所需数量的25%。我们从这些观察中得出结论,在肾移植患者中进行个体化免疫抑制治疗时,应使用细胞滴度- glo检测的LIST代替MTT检测。
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引用次数: 5
Induced Pluripotent Stem Cell Labeling Using Quantum Dots. 利用量子点技术标记诱导多能干细胞。
Pub Date : 2013-12-30 DOI: 10.3727/215517913X674270
H. Yukawa, Kaoru Suzuki, Yukiko Kano, Tatsuya Yamada, N. Kaji, Tetsuya Ishikawa, Y. Baba
Induced pluripotent stem (iPS) cells have received remarkable attention as the cell sources for clinical applications of regenerative medicine including stem cell therapy. Additionally, labeling technology is in high demand for tracing transplanted cells used in stem cell therapy. In this study, we used quantum dots (QDs), which have distinct fluorescence abilities in comparison with traditional probes, as the labeling materials and investigated whether iPS cells could be labeled with QDs with no cytotoxicity. iPS cells could not be labeled with QDs alone but required the use of cell-penetrating peptides such as octaarginine (R8). No significant cytotoxicity to iPS cells was confirmed by up to 8 nM QDs, and the iPS cells labeled with QDs maintained their undifferentiated state and pluripotency. These data suggest that QDs can be used for fluorescence labeling of iPS cells.
诱导多能干细胞(iPS)作为包括干细胞治疗在内的再生医学临床应用的细胞来源受到了广泛的关注。此外,标记技术对干细胞治疗中移植细胞的追踪也有很高的需求。在本研究中,我们使用量子点(QDs)作为标记材料,与传统探针相比,量子点具有明显的荧光能力,并研究了是否可以用量子点标记iPS细胞而不产生细胞毒性。iPS细胞不能单独用量子点标记,而需要使用细胞穿透肽,如辛精氨酸(R8)。8 nM的量子点对诱导多能干细胞无明显的细胞毒性作用,标记的诱导多能细胞保持未分化状态和多能性。这些数据表明量子点可以用于iPS细胞的荧光标记。
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引用次数: 9
Development of Canine Models of Type 1 Diabetes With Partial Pancreatectomy and the Administration of Streptozotocin. 胰部分切除术犬1型糖尿病模型的建立及链脲佐菌素的应用。
Pub Date : 2013-12-30 DOI: 10.3727/215517913X674289
M. Seita, H. Noguchi, Yasuhiro Kubota, Hironobu Kawamoto, S. Nakaji, N. Kobayashi, T. Fujiwara
We created canine models of type 1 diabetes that were suitable for the assessment of cell therapies, such as islet transplantation and bioartificial pancreas, with low-dose streptozotocin (STZ) injection and partial pancreatectomy. In our model, a 50% pancreatectomy was performed with general anesthesia, followed by systemic injection of 35 mg/kg STZ into a vein of the foreleg. Four weeks after the administration of STZ, the fasting blood glucose level of our model dogs was found to be over 200 mg/dl twice on different days, and we could not detect any canine insulin by the intravenous glucose tolerance test (IVGTT). We therefore diagnosed the dogs to have induced diabetes. Some studies have reported high-dose STZ to be very toxic for both the kidney and liver, and therefore a lower dose is desirable to induce diabetic models without any associated kidney or liver damage. We think that the combination of a partial pancreatectomy can thus make it possible to reduce the dose of STZ, and it is therefore useful for the creation of type 1 diabetes models. We believe that our model is a safe and reliable model for type 1 diabetes in canines to assess the efficacy of pancreas-targeted cell therapies.
我们建立了适合于胰岛移植、生物人工胰腺、低剂量链脲佐菌素(STZ)注射和部分胰腺切除术等细胞疗法评估的1型糖尿病犬模型。在我们的模型中,在全身麻醉下进行50%的胰腺切除术,然后在前腿静脉中全身注射35 mg/kg STZ。STZ给药4周后,我们的模型犬空腹血糖水平在不同的天两次超过200 mg/dl,静脉葡萄糖耐量试验(IVGTT)未检测到犬胰岛素。因此,我们诊断这些狗患有糖尿病。一些研究报道,高剂量的STZ对肾脏和肝脏都有很大的毒性,因此,较低剂量的STZ可以诱导糖尿病模型,而不会造成任何相关的肾脏或肝脏损伤。我们认为,结合部分胰腺切除术可以减少STZ的剂量,因此它对1型糖尿病模型的创建是有用的。我们相信,我们的模型是一个安全可靠的模型,用于评估1型糖尿病犬胰腺靶向细胞治疗的疗效。
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引用次数: 5
STO Feeder Cells Are Useful for Propagation of Primarily Cultured Human Deciduous Dental Pulp Cells by Eliminating Contaminating Bacteria and Promoting Cellular Outgrowth. STO饲养细胞通过消除污染细菌和促进细胞生长,可用于原代培养的人乳牙髓细胞的繁殖。
Pub Date : 2013-12-30 DOI: 10.3727/215517913X674234
Tomoya Murakami, I. Saitoh, E. Inada, Mie Kurosawa, Y. Iwase, H. Noguchi, Y. Terao, Y. Yamasaki, H. Hayasaki, Masahiro Sato
STO feeder cells, a line established from mouse SIM embryonic fibroblasts, have been frequently used for establishing embryonic stem cells and maintaining them in an undifferentiated state. There are some reports demonstrating that fibroblastic cells have the ability to phagocytose Gram-positive bacterium (e.g., streptococci and staphylococci). In this study, we examined the possibility that STO cells could phagocytose Streptococcus mutans (a bacteria causing tooth decay), which always contaminates cultures of primarily isolated human deciduous dental pulp cells (HDDPCs). Simple cultivation of the primary HDDPCs in the absence of STO cells allowed S. mutans to massively propagate in the medium, thus leading to an opaque medium. In contrast, there was no bacterial contamination in the cultures containing mitomycin C (MMC)-inactivated STO cells. Furthermore, STO cells indicated bacterial phagocytic activity under fluorescent microscopy with the dye pHrodo. Besides removal of contaminating bacteria, STO feeder cells allowed the HDDPCs to spread out. These data suggest that MMC-treated STO cells can be useful for propagation of HDDPCs by eliminating contaminating bacteria and by promoting cellular outgrowth.
STO饲养细胞是由小鼠SIM胚胎成纤维细胞建立的细胞系,经常用于建立胚胎干细胞并使其保持未分化状态。有一些报道表明,成纤维细胞具有吞噬革兰氏阳性细菌(如链球菌和葡萄球菌)的能力。在这项研究中,我们研究了STO细胞吞噬变形链球菌(一种引起蛀牙的细菌)的可能性,这种细菌总是污染主要分离的人乳牙髓细胞(HDDPCs)的培养物。在没有STO细胞的情况下对原代HDDPCs进行简单培养,使变形链球菌在培养基中大量繁殖,从而导致培养基不透明。相比之下,含有丝裂霉素C (MMC)灭活的STO细胞的培养物中没有细菌污染。在pHrodo染色的荧光显微镜下,STO细胞显示出细菌吞噬活性。除了去除污染细菌外,STO饲养细胞还允许hddpc扩散。这些数据表明,mmc处理的STO细胞可以通过消除污染细菌和促进细胞生长来促进HDDPCs的繁殖。
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引用次数: 6
Quality of Air-Transported Human Islets for Single Islet Cell Preparations. 用于制备单个胰岛细胞的空气输送人胰岛的质量。
Pub Date : 2013-12-30 DOI: 10.3727/215517913X674243
Shingo Yamashita, K. Ohashi, R. Utoh, T. Kin, A. M. J. Shapiro, Masakazu Yamamoto, M. Gotoh, T. Okano
In new generation medical therapies for type 1 diabetes mellitus (DM), cell-based approaches using pancreatic islets have attracted significant attention worldwide. In particular, dispersed islet cells obtained from isolated pancreatic islets have been a valuable source in the cell biology and tissue engineering fields. Our experimental approach to the development of new islet-based DM therapies consisted of creating a monolithic islet cell sheet format using dispersed islet cells. In this experiment, we explored the potential of internationally transporting human islets from Alberta, Canada to Tokyo, Japan and obtaining viable dispersed islet cells. A total of 34 batches of isolated and purified human islets were transported using a commercial air courier service. Prior to shipping, the human islets had been in culture for 0-108 h at the University of Alberta. The transportation period from Alberta to Tokyo was 2-5 days. The transported human islet cells were enzymatically dispersed as single cells in Tokyo. The number of single islet cells decreased as the number of transportation days increased. In contrast, cell viability was maintained regardless of the number of transportation days. The preshipment culture time had no effect on the number or viability of single cells dispersed in Tokyo. When dispersed single islet cells were plated on laminin-5-coated temperature-responsive polymer-grafted culture dishes, the cells showed favorable attachment followed by extension as a monolithic format. The present study demonstrated that long-distance transported human islets are a viable cell source for experiments utilizing dispersed human islet cells.
在新一代1型糖尿病(DM)的医学治疗中,利用胰岛细胞为基础的方法引起了全世界的广泛关注。特别是,从分离的胰岛中获得的分散的胰岛细胞已成为细胞生物学和组织工程领域的宝贵来源。我们开发新的基于胰岛的糖尿病治疗的实验方法包括使用分散的胰岛细胞创建一个整体的胰岛细胞片格式。在本实验中,我们探索了从加拿大阿尔伯塔到日本东京的国际运输人类胰岛的潜力,并获得了可存活的分散胰岛细胞。利用商业航空快递服务共运送了34批分离和纯化的人胰岛。在运输之前,人类胰岛已经在阿尔伯塔大学培养了0-108小时。从阿尔伯塔到东京的运输周期为2-5天。转运的胰岛细胞在东京被酶分散成单细胞。单个胰岛细胞数量随着运输天数的增加而减少。相比之下,无论运输天数多少,细胞活力都保持不变。装运前培养时间对分散在东京的单细胞数量和活力没有影响。当分散的单个胰岛细胞被镀在层粘连蛋白-5包被的温度响应聚合物接枝培养皿上时,细胞表现出良好的附着,随后扩展为整体格式。本研究表明,长距离运输的人胰岛是利用分散的人胰岛细胞进行实验的可行细胞来源。
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引用次数: 5
ER Stress and β-Cell Pathogenesis of Type 1 and Type 2 Diabetes and Islet Transplantation. 胰岛移植与1型和2型糖尿病内质网应激和β细胞的发病机制
Pub Date : 2013-11-10 DOI: 10.3727/215517913X666512
H. Kataoka, H. Noguchi
Endoplasmic reticulum (ER) stress affects the pathogenesis of diabetes. ER stress plays important roles, both in type 1 and type 2 diabetes, because pancreatic β-cells possess highly developed ER for insulin secretion. This review summarizes the relationship between ER stress and the pathogenesis of type 1 and type 2 diabetes. In addition, the association between islet transplantation and ER stress is discussed.
内质网应激影响糖尿病的发病机制。内质网应激在1型和2型糖尿病中都起着重要作用,因为胰腺β细胞具有高度发达的内质网来分泌胰岛素。本文就内质网应激与1型和2型糖尿病发病机制的关系作一综述。此外,还讨论了胰岛移植与内质网应激之间的关系。
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引用次数: 12
Inhibition of Hepatic Ischemic Reperfusion Injury Using Saline Exposed to Electron Discharge in a Rat Model. 电子放电对大鼠肝缺血再灌注损伤的抑制作用。
Pub Date : 2013-11-10 DOI: 10.3727/215517913X666486
M. Dozen, S. Enosawa, Yuki Tada, K. Hirasawa
The pathogenesis of ischemia/reperfusion (I/R) injury in surgical trauma, organ transplantations, and brain and myocardial infarctions is attributable to excessive oxidative stress caused by reactive oxygen species and their metabolites. We prepared a physiological saline solution treated with simple exposure to a microampere current with electron discharge onto the surface; this treatment increased reduction potential and caused proton reduction. We examined the reductive potency of the electron-treated solution (ETS) on hepatocellular I/R injury in a rat model. When the ETS was administered in four doses at 0, 3, 10, and 20 min after reperfusion, severe hepatocellular injury was suppressed, as revealed by a decrease in serum alanine aminotransferase levels and histopathological improvement of liver damage. Since a preparation of hydrogen gas-dissolved saline solution (HDS) was shown to be capable of suppressing I/R injury, the possible involvement of dissolved hydrogen gas in the effectiveness of ETS was examined. When HDS was treated by degasification, the aforementioned effectiveness was decreased. In contrast, the same treatment did not alter the effectiveness of ETS. These results suggest that the antioxidative efficacy of ETS is not attributable to dissolved hydrogen gas but presumably to the molecule(s) produced from the stepwise reduction of protons in the solution.
外科创伤、器官移植、脑梗死和心肌梗死中缺血/再灌注(I/R)损伤的发病机制可归因于活性氧及其代谢物引起的过度氧化应激。我们制备了一种生理盐水溶液,简单暴露在微安培电流下,表面有电子放电;这种处理增加了还原电位并引起质子还原。我们在大鼠模型中检测了电子处理溶液(ETS)对肝细胞I/R损伤的还原效力。在再灌注后0、3、10和20分钟分四次给药时,严重的肝细胞损伤得到抑制,结果显示血清丙氨酸转氨酶水平降低,肝损伤的组织病理学改善。由于氢气溶解盐水溶液(HDS)的制备被证明能够抑制I/R损伤,因此我们研究了溶解氢气在ETS有效性中的可能参与。当对HDS进行脱气处理时,上述效果降低。相反,同样的治疗并没有改变ETS的有效性。这些结果表明,ETS的抗氧化效果不是由于溶解的氢气,而可能是由于溶液中质子的逐步还原所产生的分子。
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引用次数: 2
Adipose Tissue-Derived Stem Cell Imaging Using Cadmium-Free Quantum Dots. 使用无镉量子点的脂肪组织来源干细胞成像。
Pub Date : 2013-10-29 DOI: 10.3727/215517913X674261
Yoshiyuki Miyazaki, H. Yukawa, Hiroyasu Nishi, Y. Okamoto, N. Kaji, T. Torimoto, Y. Baba
Quantum dots (QDs) have received much attention for biomolecule and cell imaging applications because of their superior optical properties such as high quantum efficiency, size-tunable emission, and resistance to photobleaching process. However, QDs that are commercially available contain cadmium (Cd), a highly toxic element. Thus, the development of Cd-free and less toxic QDs is strongly desired. In this study, we developed Cd-free QDs (ZnS-coated ZnS-AgInS2 solid solution nanoparticles with a sulfo group: ZnS-ZAIS-SO3H) and investigated the ability of this material to label stem cells. ZnS-ZAIS-SO3H could be transduced into mouse adipose tissue-derived stem cells (mASCs) using octaarginine peptides (R8), known as cell-penetrating peptides. The optimal ratio of ZnS-ZAIS-SO3H:R8 was found to be 1:100 for labeling mASCs. More than 80% of mASCs labeled with 500 nM ZnS-ZAIS-SO3H were found to be alive, and the proliferation rates of labeled mASCs were maintained at the same rate as that of nonlabeled mASCs. In addition, no abnormalities in the morphology of mASCs labeled with ZnS-ZAIS-SO3H could be observed. These data suggest that ZnS-ZAIS-SO3H may be effective for the labeling of mASCs.
量子点(QDs)由于具有量子效率高、发射尺寸可调、耐光漂白等优异的光学特性,在生物分子和细胞成像领域受到了广泛的关注。然而,市售的量子点含有镉(Cd),这是一种剧毒元素。因此,开发无cd和毒性较小的量子点是迫切需要的。在这项研究中,我们开发了无cd量子点(ZnS-coated ZnS-AgInS2固溶体纳米粒子,其中含有一个亚砜基团:ZnS-ZAIS-SO3H),并研究了这种材料标记干细胞的能力。ZnS-ZAIS-SO3H可以通过八精氨酸肽(R8),被称为细胞穿透肽,转导到小鼠脂肪组织源性干细胞(mASCs)中。ZnS-ZAIS-SO3H:R8的最佳标记比例为1:100。500 nM ZnS-ZAIS-SO3H标记的mASCs存活率超过80%,标记后的mASCs与未标记的mASCs保持相同的增殖率。此外,未观察到ZnS-ZAIS-SO3H标记的mASCs形态异常。这些数据表明,ZnS-ZAIS-SO3H可能是有效的标记质粒。
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引用次数: 10
Electron Therapy Attenuated Elevated Alanine Aminotransferase and Oxidative Stress Values in Type 2 Diabetes-Induced Nonalcoholic Steatohepatitis of Rats. 电子治疗降低2型糖尿病诱导的非酒精性脂肪性肝炎大鼠丙氨酸转氨酶升高和氧化应激值
Pub Date : 2013-10-23 DOI: 10.3727/215517913X674225
S. Enosawa, M. Dozen, Yuki Tada, K. Hirasawa
Chronic oxidative stress plays a key role in the progression of nonalcoholic steatohepatitis (NASH). We examined the efficacy of antioxidative electron treatment on type 2 diabetes-induced NASH in a rat model. We established NASH model rats, induced by neonatal administration of streptozotocin and a high-fat diet, which exhibited pathologically high values of alanine aminotransferase (ALT), glucose, and malondialdehyde (MDA). The rats were exposed to electron discharge at very low energy for 4 weeks; this dose results in the reduction of Fe(3+) and glutathione disulfide in vitro. Serum ALT values were increased from baseline (8 weeks) to 125.0 ± 13 U/L at 10 weeks in the control group. In contrast, the values in the treated group did not show any increase at 10 weeks [87 ± 10 U/L (p = 0.0391)]. Hepatic MDA levels were also significantly decreased at 12 weeks (p < 0.05), but 8-hydroxy-2'-deoxyguanosine values were not statistically significant (p = 0.076). A gradual but steadily decreasing trend from initially high glucose levels was observed, though the values were not significant in 12-week-old animals (p = 0.074). However, the serum values of MDA, ALT, and glucose were well correlated. The progression of fibrosis as measured by increased serum levels of hyaluronic acid and histological examinations were not affected by the treatment in this model. Antioxidative electron treatment at very low energy attenuated the pathogenically elevated liver inflammation and oxidative stress, together with presumably impaired glucose metabolism in NASH rat model.
慢性氧化应激在非酒精性脂肪性肝炎(NASH)的进展中起关键作用。我们在大鼠模型中检测了抗氧化电子治疗对2型糖尿病诱导的NASH的疗效。我们建立了NASH模型大鼠,由新生儿给药链脲佐菌素和高脂肪饮食诱导,显示出病理高值的丙氨酸转氨酶(ALT)、葡萄糖和丙二醛(MDA)。大鼠接受极低能量电子放电4周;该剂量导致体外铁(3+)和谷胱甘肽二硫的减少。对照组血清ALT值从基线(8周)增加到10周时的125.0±13 U/L。治疗组在第10周无升高[87±10 U/L (p = 0.0391)]。12周时肝脏MDA水平也显著降低(p < 0.05),但8-羟基-2′-脱氧鸟苷值无统计学意义(p = 0.076)。从最初的高血糖水平观察到逐渐但稳定的下降趋势,尽管12周龄动物的数值不显著(p = 0.074)。血清中丙二醛、谷丙转氨酶和葡萄糖呈良好的相关性。通过增加血清透明质酸水平和组织学检查来测量纤维化的进展,在该模型中治疗不受影响。极低能量的抗氧化电子治疗可减轻NASH大鼠模型中致病性升高的肝脏炎症和氧化应激,并可能导致糖代谢受损。
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引用次数: 3
Peripheral Lymphocyte Response to Mycophenolic Acid In Vitro and Incidence of Cytomegalovirus Infection in Renal Transplantation. 外周淋巴细胞对霉酚酸的反应及肾移植中巨细胞病毒感染的发生率。
Pub Date : 2013-10-23 DOI: 10.3727/215517913X674216
K. Sugiyama, H. Sasahara, M. Tsukaguchi, K. Isogai, A. Toyama, H. Satoh, K. Saitoh, Y. Nakagawa, Kota Takahashi, Sachiko Tanaka, K. Onda, T. Hirano
The lymphocyte immunosuppressant sensitivity test (LIST) with 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay procedure has been used to predict the pharmacological efficacy of immunosuppressive agents to prevent acute rejection episodes for renal transplant recipients. In this study, mycophenolic acid (MPA) pharmacological efficacies were evaluated by LIST at both prior to and just after renal transplantation. We compared the efficacies to the clinical outcome of these recipients. MPA's pharmacological efficacy was evaluated by LIST not only before the operation but also at 2, 4, and 6 weeks after transplantation in 16 renal transplant recipients. These recipients were divided into high- and low-sensitivity groups according to peripheral blood mononuclear cell (PBMC) sensitivity to MPA in vitro. The MPA sensitivities were compared to cytomegalovirus (CMV) infection and acute rejection episodes in these recipients under MPA immunosuppressive therapy. The rate of CMV infection episodes in the low-MPA pharmacological efficacy group categorized at 2 weeks after renal transplantation was 5/6 (83.3%), which was significantly higher than the rate of 1/10 (10.0%) (p < 0.01) in the high-MPA sensitivity group. However, the MPA pharmacological efficacy evaluated both before and after transplantation had no relationship with the incidence of rejection episodes. These findings suggest that the MPA pharmacological efficacy evaluated by LIST at 2 weeks after operation is a useful biomarker for predicting the following occurrence of CMV infection episodes in renal transplant recipients.
淋巴细胞免疫抑制剂敏感性试验(LIST)与3-(4,5-二甲基噻唑-2-基)-2,5-二苯基溴化四唑(MTT)测定程序已被用于预测免疫抑制剂预防肾移植受者急性排斥反应的药理学效果。本研究采用LIST法对霉酚酸(MPA)在肾移植前后的药理效果进行了评价。我们比较了这些接受者的疗效和临床结果。采用LIST法对16例肾移植受者进行术前、术后2、4、6周MPA的药理疗效评价。根据体外外周血单核细胞(PBMC)对MPA的敏感性分为高敏感组和低敏感组。比较MPA对巨细胞病毒(CMV)感染和急性排斥反应的敏感性。低mpa药效组肾移植术后2周CMV感染发生率为5/6(83.3%),显著高于高mpa敏感组的1/10 (10.0%)(p < 0.01)。然而,移植前后评估的MPA药理学疗效与排斥事件发生率无关。这些结果表明,术后2周用LIST评估MPA药理学疗效是预测肾移植受者后续CMV感染事件发生的有用生物标志物。
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引用次数: 2
期刊
Cell medicine
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