Extracorporeal Photopheresis Improves Graft Survival in a Full-Mismatch Rat Model of Kidney Transplantation

Extracorporeal photopheresis (ECP) is an immunomodulatory therapy based on the infusion of autologous cellular products exposed to ultraviolet light (UV) in the presence of a photosensitizer. The study evaluates the ECP efficacy as induction therapy in a full-mismatch kidney transplant rat model. Da...

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Autores: Piñeiro, Gastón Julio, Lazo Rodríguez, Marta, Ventura Abreu Aguiarà, Pedro, Ramírez Bajo, María José, Bañón Maneus, Elisenda, Lozano Molero, Miguel, Cid Vidal, Joan, Hierro García, Natalia, Cucchiari, David, Revuelta Vicente, Ignacio, Montagud Marrahi, Enrique, Palou Ribera, Eduard, Bayés Genís, Beatriz Enriqueta, Campistol Plana, Josep M., Diekmann, Fritz, Rovira Juárez, Jordi
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/224373
Acceso en línea:https://hdl.handle.net/2445/224373
Access Level:acceso abierto
Palabra clave:Immunologia de la trasplantació
Trasplantament renal
Transplantation immunology
Kidney transplantation
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spelling Extracorporeal Photopheresis Improves Graft Survival in a Full-Mismatch Rat Model of Kidney TransplantationPiñeiro, Gastón JulioLazo Rodríguez, MartaVentura Abreu Aguiarà, PedroRamírez Bajo, María JoséBañón Maneus, ElisendaLozano Molero, MiguelCid Vidal, JoanHierro García, NataliaCucchiari, DavidRevuelta Vicente, IgnacioMontagud Marrahi, EnriquePalou Ribera, EduardBayés Genís, Beatriz EnriquetaCampistol Plana, Josep M.Diekmann, FritzRovira Juárez, JordiImmunologia de la trasplantacióTrasplantament renalTransplantation immunologyKidney transplantationExtracorporeal photopheresis (ECP) is an immunomodulatory therapy based on the infusion of autologous cellular products exposed to ultraviolet light (UV) in the presence of a photosensitizer. The study evaluates the ECP efficacy as induction therapy in a full-mismatch kidney transplant rat model. Dark Agouti to Lewis (DA-L) kidney transplant model has been established. ECP product was obtained from Lewis rat recipients after DA kidney graft transplantation (LewDA). Leukocytes of those LewDA rats were exposed to 8-methoxy psoralen, and illuminated with UV-A. The ECP doses assessed were 10 × 106 and 100 × 106 cells/time point. Lewis recipients received seven ECP infusions. DA-L model was characterized by the appearance of donor-specific antibodies (DSA) and kidney function deterioration from day three after kidney transplant. The dysfunction progressed rapidly until graft loss (6.1 ± 0.5 days). Tacrolimus at 0.25 mg/kg prolonged rat survival until 11.4 ± 0.7 days (p = 0.0004). In this context, the application of leukocytes from LewDA sensitized rats accelerated the rejection (8.7 ± 0.45, p = 0.0012), whereas ECP product at high dose extended kidney graft survival until 26.3 ± 7.3 days, reducing class I and II DSA in surviving rats. ECP treatment increases kidney graft survival in full-mismatch rat model of acute rejection and is a suitable immunomodulatory therapy to be explored in kidney transplantation.Copyright © 2023 Piñeiro, Lazo-Rodriguez, Ventura-Aguiar, Ramirez-Bajo, Banon-Maneus, Lozano, Cid, Hierro-Garcia, Cucchiari, Revuelta, Montagud-Marrahi, Palou, Bayés-Genís, Campistol, Diekmann and Rovira.Frontiers2025202520232025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion12 p.application/pdfhttps://hdl.handle.net/2445/224373Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)Reproducció del document publicat a: https://doi.org/10.3389/ti.2023.10840Transplant International, 2023, vol. 36, 10840https://doi.org/10.3389/ti.2023.10840cc-by (c) Piñeiro, Gastón Julio et al., 2023http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2243732026-05-29T05:05:01Z
dc.title.none.fl_str_mv Extracorporeal Photopheresis Improves Graft Survival in a Full-Mismatch Rat Model of Kidney Transplantation
title Extracorporeal Photopheresis Improves Graft Survival in a Full-Mismatch Rat Model of Kidney Transplantation
spellingShingle Extracorporeal Photopheresis Improves Graft Survival in a Full-Mismatch Rat Model of Kidney Transplantation
Piñeiro, Gastón Julio
Immunologia de la trasplantació
Trasplantament renal
Transplantation immunology
Kidney transplantation
title_short Extracorporeal Photopheresis Improves Graft Survival in a Full-Mismatch Rat Model of Kidney Transplantation
title_full Extracorporeal Photopheresis Improves Graft Survival in a Full-Mismatch Rat Model of Kidney Transplantation
title_fullStr Extracorporeal Photopheresis Improves Graft Survival in a Full-Mismatch Rat Model of Kidney Transplantation
title_full_unstemmed Extracorporeal Photopheresis Improves Graft Survival in a Full-Mismatch Rat Model of Kidney Transplantation
title_sort Extracorporeal Photopheresis Improves Graft Survival in a Full-Mismatch Rat Model of Kidney Transplantation
dc.creator.none.fl_str_mv Piñeiro, Gastón Julio
Lazo Rodríguez, Marta
Ventura Abreu Aguiarà, Pedro
Ramírez Bajo, María José
Bañón Maneus, Elisenda
Lozano Molero, Miguel
Cid Vidal, Joan
Hierro García, Natalia
Cucchiari, David
Revuelta Vicente, Ignacio
Montagud Marrahi, Enrique
Palou Ribera, Eduard
Bayés Genís, Beatriz Enriqueta
Campistol Plana, Josep M.
Diekmann, Fritz
Rovira Juárez, Jordi
author Piñeiro, Gastón Julio
author_facet Piñeiro, Gastón Julio
Lazo Rodríguez, Marta
Ventura Abreu Aguiarà, Pedro
Ramírez Bajo, María José
Bañón Maneus, Elisenda
Lozano Molero, Miguel
Cid Vidal, Joan
Hierro García, Natalia
Cucchiari, David
Revuelta Vicente, Ignacio
Montagud Marrahi, Enrique
Palou Ribera, Eduard
Bayés Genís, Beatriz Enriqueta
Campistol Plana, Josep M.
Diekmann, Fritz
Rovira Juárez, Jordi
author_role author
author2 Lazo Rodríguez, Marta
Ventura Abreu Aguiarà, Pedro
Ramírez Bajo, María José
Bañón Maneus, Elisenda
Lozano Molero, Miguel
Cid Vidal, Joan
Hierro García, Natalia
Cucchiari, David
Revuelta Vicente, Ignacio
Montagud Marrahi, Enrique
Palou Ribera, Eduard
Bayés Genís, Beatriz Enriqueta
Campistol Plana, Josep M.
Diekmann, Fritz
Rovira Juárez, Jordi
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Immunologia de la trasplantació
Trasplantament renal
Transplantation immunology
Kidney transplantation
topic Immunologia de la trasplantació
Trasplantament renal
Transplantation immunology
Kidney transplantation
description Extracorporeal photopheresis (ECP) is an immunomodulatory therapy based on the infusion of autologous cellular products exposed to ultraviolet light (UV) in the presence of a photosensitizer. The study evaluates the ECP efficacy as induction therapy in a full-mismatch kidney transplant rat model. Dark Agouti to Lewis (DA-L) kidney transplant model has been established. ECP product was obtained from Lewis rat recipients after DA kidney graft transplantation (LewDA). Leukocytes of those LewDA rats were exposed to 8-methoxy psoralen, and illuminated with UV-A. The ECP doses assessed were 10 × 106 and 100 × 106 cells/time point. Lewis recipients received seven ECP infusions. DA-L model was characterized by the appearance of donor-specific antibodies (DSA) and kidney function deterioration from day three after kidney transplant. The dysfunction progressed rapidly until graft loss (6.1 ± 0.5 days). Tacrolimus at 0.25 mg/kg prolonged rat survival until 11.4 ± 0.7 days (p = 0.0004). In this context, the application of leukocytes from LewDA sensitized rats accelerated the rejection (8.7 ± 0.45, p = 0.0012), whereas ECP product at high dose extended kidney graft survival until 26.3 ± 7.3 days, reducing class I and II DSA in surviving rats. ECP treatment increases kidney graft survival in full-mismatch rat model of acute rejection and is a suitable immunomodulatory therapy to be explored in kidney transplantation.Copyright © 2023 Piñeiro, Lazo-Rodriguez, Ventura-Aguiar, Ramirez-Bajo, Banon-Maneus, Lozano, Cid, Hierro-Garcia, Cucchiari, Revuelta, Montagud-Marrahi, Palou, Bayés-Genís, Campistol, Diekmann and Rovira.
publishDate 2023
dc.date.none.fl_str_mv 2023
2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/224373
url https://hdl.handle.net/2445/224373
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3389/ti.2023.10840
Transplant International, 2023, vol. 36, 10840
https://doi.org/10.3389/ti.2023.10840
dc.rights.none.fl_str_mv cc-by (c) Piñeiro, Gastón Julio et al., 2023
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Piñeiro, Gastón Julio et al., 2023
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 12 p.
application/pdf
dc.publisher.none.fl_str_mv Frontiers
publisher.none.fl_str_mv Frontiers
dc.source.none.fl_str_mv Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
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repository.mail.fl_str_mv
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