Adjuvant treatment with ursodeoxycholic acid prevents acute rejection in rats receiving heart allografts

  • Conference paper
Transplant International Official Journal of the European Society for Organ Transplantation

Abstract

Adjuvant treatment with ursodeoxycholic acid (UDCA) for liver-transplant recipients has been reported to reduce the frequency of acute rejection episodes. To explore this effect further, UDCA was given to rats in an experimental heart transplantation model, with or without concomitant immunosuppressive treatment with antihymocyte globulin (ATG). UDCA was administered orally 7 days before and 14 days after transplantation. Rats treated with UDCA alone or in combination with ATG were compared with untreated controls and ATG-treated recipients. Adjuvant treatment with UDCA was found to induce prolonged graft survival and increase the amount of transplant tolerance in rats. Serum levels of bilirubin and aminotransferases were not altered irrespective of the UDCA dose given. The results indicate that UDCA has an immunomodulatory capacity that might not be restricted to the liver, but also might apply to other transplanted organs as well.

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References

  1. O’Brien C, Senior JR, Batta AK (1989) Ursodeoxycholic acid treatment produces marked clinical and biochemical amelolioration of primary sclerosing cholangitis. Gastroenterology 96: A640

    Google Scholar 

  2. Calmus Y, Gane P, Rouger P, Poupon R (1990) Hepatic expression of class I and class II major histocompatibility complex molecules in primary biliary cirrhosis: effect of ursodeoxycholic acid. Hepatqlogy 11:12–15

    Article  CAS  Google Scholar 

  3. Colton T (1974) Statistics in medicine, 1st edn, Little Brown and Company, Boston, Massachusettes

    Google Scholar 

  4. Galle PR, Theilmann L, Raedsch R, Otto G, Stiehl A (1990) Ursodeoxycholate reduces hepatotoxicity of bile salts in primary human hepatocytes. Hepatology 12:486–491

    Article  PubMed  CAS  Google Scholar 

  5. Ghezzi C, Zuin M, Battezzati PM, Podda M (1987) Effects of ursodeoxycholate, taurine and ursodeoxycholate plus taurine on serum enzym levels in patients with chronic hepatitis. Hepatology 7:1110

    Google Scholar 

  6. Heumann DM, Komito SF, Pandak WM, Hylemon PB, Vlahcevic ZR (1989) Tauroursodeoxycholic acid protects against cholestatic and hepatocytolytic toxicity of more hydrophobic bile salts. Gastroenterology 96: A607

    Google Scholar 

  7. Hoffman AF (1990) Bile acid hepatotoxicity and the rationale of UDCA therapy in chronic cholestatic liver disease: some hypotheses. In: Paumgartner G, Stiehl A, Barbara L, Roda E (eds) Kluwer Academic, Dordrecht, The Netherlands, pp 13–33

    Google Scholar 

  8. Leuschner U, Dieues HP, Güldütunana S, Birkenfeld G, Leuschner M (1990) Ursodeoxycholic acid (UDCA) influences immune parameters in patients with primary biliary cirrhosis (PBC). Hepatology 12:957

    Google Scholar 

  9. Mjörnstedt L, Olausson M, Lindholm L, Brynger H (1984) Induction of longterm heart allograft survival in the rat by rabbit ATG. Int Arch Allergy Appl Immunol 74:193–199

    Article  PubMed  Google Scholar 

  10. Olausson M, Mjörnstedt L, Lindholm L, Brynger H (1984) Non-suture organ grafting to the neck vessels in rats. Acta Chir Scand 150:463–467

    PubMed  CAS  Google Scholar 

  11. Olausson M, Mjörnstedt L, Lindholm L, Brynger H (1984) Suppressor cells in the antihymocyte globulin induced transplantation tolerance in the adult rat. Int Arch Allergy Appl Immunol 75:184

    Article  PubMed  CAS  Google Scholar 

  12. Olausson M, Mjörnstedt L, Wramner L, Lindholm L, Söderström T, Brynger H (1988) Characteristics of the induction phase of antithymocyte-globulin induced heart allograft tolerance in the rat. Int Arch Allergy Appl Immunol 86:131

    Article  PubMed  CAS  Google Scholar 

  13. Persson H, Friman S, Scherste’n T, Svanvik J, Karlberg I (1990) Ursodeoxycholic acid for prevention of acute rejection in liver transplant recipients. Lancet 336:52–53

    Article  PubMed  CAS  Google Scholar 

  14. Poupon R, Chretien Y, Poupon RE, Baiter F, Calmus Y, Darnis F (1987) Is ursodeoxycholic acid an effective treatment for primary biliary cirrhosis? Lancet 1:834–836

    Article  PubMed  CAS  Google Scholar 

  15. Poupon RE, Balkau B, Eschwége E, Poupon R, UDCA-Study group (1991) A multicenter, controlled trial of ursodial for the treatment of primary biliary cirrhosis. The N Engl J Med 324: 1548–1554

    Article  CAS  Google Scholar 

  16. Ullrich D, Rating D, Schröter W, Hanefeld F, Bircher J (1987) Treatment with ursodeoxycholic acid renders children with biliary atresia suitable for liver transplantation. Lancet 2: 1324

    Article  PubMed  CAS  Google Scholar 

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© 1992 Springer-Verlag Berlin Heidelberg

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Olausson, M., Mjörnstedt, L., Wramner, L., Persson, H., Karlberg, I., Friman, S. (1992). Adjuvant treatment with ursodeoxycholic acid prevents acute rejection in rats receiving heart allografts. In: Kootstra, G., Opelz, G., Buurman, W.A., van Hooff, J.P., MacMaster, P., Wallwork, J. (eds) Transplant International Official Journal of the European Society for Organ Transplantation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77423-2_158

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  • DOI: https://doi.org/10.1007/978-3-642-77423-2_158

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-55342-7

  • Online ISBN: 978-3-642-77423-2

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