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10.1111/ajt.12934

http://scihub22266oqcxt.onion/10.1111/ajt.12934
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C4236286!4236286 !25359003
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suck abstract from ncbi


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pmid25359003
      Am+J+Transplant 2014 ; 14 (12 ): 2691-703
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  • Superiority of rapamycin over tacrolimus in preserving nonhuman primate Treg half-life and phenotype after adoptive transfer #MMPMID25359003
  • Singh K ; Stempora L ; Harvey RD ; Kirk AD ; Larsen CP ; Blazar BR ; Kean LS
  • Am J Transplant 2014[Dec]; 14 (12 ): 2691-703 PMID25359003 show ga
  • Many critical issues remain concerning how best to deploy adoptive regulatory T cell (Treg) immunotherapy to the clinic. These include a determination of their pharmacokinetic characteristics, their optimal dose, their phenotypic stability and the best therapies with which to pair Tregs. By performing a CFSE-labeled autologous Treg pulse experiment, we determined that the accessible peripheral blood Treg pool in rhesus macaques is quite large (75?±?11?×?10(6)?Tregs/kg). Pharmacokinetic analysis revealed that Tregs have two phases of elimination: an ? phase, with a T1/2 in the peripheral blood of 32.4?±?11.3?h and a ? phase with a T1/2 of 120.4?±?19.7?h. In addition to their short initial half-life, Tregs underwent rapid phenotypic shifts after infusion, with significant loss of both CD25 and FoxP3 by day +6. While tacrolimus stabilized CD25 expression, it did not improve T1/2 , nor mitigate the loss of FoxP3. In contrast, rapamycin significantly stabilized both CD25 and FoxP3, and supported an increased half-life, with an ? phase of 67.7?±?6.9?h and a ? phase of 252.1?±?54.9?h. These results suggest that rapamycin may be a necessary addition to Treg immunotherapy, and that tacrolimus may be deleterious to Treg integrity posttransfer.
  • |*Adoptive Transfer [MESH]
  • |Animals [MESH]
  • |CD4-Positive T-Lymphocytes/*immunology [MESH]
  • |Cell Proliferation [MESH]
  • |Cells, Cultured [MESH]
  • |Flow Cytometry [MESH]
  • |Fluoresceins [MESH]
  • |Fluorescent Dyes [MESH]
  • |Forkhead Transcription Factors/metabolism [MESH]
  • |Half-Life [MESH]
  • |Immunosuppressive Agents/pharmacokinetics/*pharmacology [MESH]
  • |Interleukin-2 Receptor alpha Subunit/metabolism [MESH]
  • |Macaca mulatta [MESH]
  • |Phenotype [MESH]
  • |Sirolimus/pharmacokinetics/*pharmacology [MESH]
  • |Succinimides [MESH]
  • |T-Lymphocytes, Regulatory/drug effects/*immunology/transplantation [MESH]
  • |Tacrolimus/pharmacokinetics/*pharmacology [MESH]
  • |Tissue Distribution [MESH]


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