Abstract
The use of improved immunosuppression is responsible for the widespread application of organ transplantation. However, systemic immunosuppression frequently results in well-known, but unavoidable, side effects. Conversely, the phenomenon of transplant rejection has been recognized as a local cellular event, with extreme variability noted in rejection even between adjacent cells.1 Effective local immunosuppression by controlled-release drug delivery systems, such as polymer or biodegradable matrices, might be able to minimize immunosuppressive problems by delivering agents directly to the affected target cells, and optimal drug activity could be achieved with less systemic side effects.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bolling SF, Putnam JB, Abrams GD et al. Hemodynamics vs. biopsy findings during cardiac transplantation rejection. Ann Thorac Surg 1991; 51: 552.
Johnston TP, Bove EL, Bolling SF et al. Controlled release of 1-hydroxyethylidene diphosphonate: in vitro assessment and effects on bioprosthetic calcification in sheep tricuspid valve replacements. Int Journal of Pharmacology 1989; 52: 139.
Sintov A, Scott W, Dick M et al. Cardiac controlled release for arrhythmia therapy: Lidocaine-Polyurethane studies. Journal of Cont Rel 1988; 8: 157.
Radovsky AS, Van Vleet JF, Stokes KB et al. Paired comparison of steroid eluting and non-steroid endocardial pacemaking leads in dogs: Electrical performance and morphologic changes. PACE 1988; 11: 1085.
Olanoff LS, Anderson JM, Jones RD. Sustained release of gentamycin from prosthetic valves. Trans American Society of Art Int Organs 1979; 25: 334.
Stepkowski SM, Duncan WR. The role of TOTH and Tc populations in organ graft rejection. I: Functional analysis of graft infiltrating T cells. Transplantation 1986; 42: 406.
Strom TB, Tilney NL, Pardysz JM et al. Cellular components of allograft rejection: Identity, specificity and cytotoxic function of cells infiltrating acutely rejecting allografts. J Immunol 1977; 118: 2020.
Sprent J, Miller J. Fate of H-2 activated T lymphocytes in syngeneic hosts: II. Residence in recirculating lymphocytes pool and capacity to migrate to allografts. Cell Immunol 1976; 21: 303.
Bunjes D, Hardt C, Rollinghoff et al. Cyclosporine A mediates immunosuppression of primary cytotoxic T cell responses by impairing the release of interleukin 1 and interleukin 2. European Journal of Immunology 1981; 11: 657.
Garanelli-Piperno A, Keane M, Steinman RM. Evidence that cyclosporine inhibits cell-mediated immunity primarily at the level of the T lymphocyte rather than the accessory cell. Transplantation 1988; 46: 53S.
Klebanoff S, Vadas MA, Harlan JM et al. Stimulation of neutrophils by tumor necrosis factor. J Immunol 1986; 136: 4220.
Ruers TJM, Burman WA, Von Boxtel CJ et al. Immunohistological observations in rat kidney allografts after local steroid administration. Journal of Exp Medicine 1987; 166: 1205.
Black K, Patel M, Patel A et al. Mechanisms of site specific immunosuppression. Handbook of the International Congress of Transplantation 1990; 54.
Bolling SF, Lin H, Ning X et al. Local release polymeric-controlled immunotherapy improves survival of cardiac transplants in rats. J Polymers Adv Tech 1992; 3 (6): 345.
Lin H, Iannettoni MD, Goldblum JR et al. Heterotopic heart transplantation without ischemia or reperfusion. Journal of Heart Transplantation 1990; 9: 720.
Bolling SF, Lin H, Boyd JA et al. Local cyclosporine immunotherapy improves survival of cardiac transplants in rats. J Hrt Lung Transplant 1991; 10: 577.
Freise CE, Clemmings S, Clemens LE et al. Demonstration of local immunosuppression with methylprednisolone in the sponge matrix allograft model. Transplantation 1991; 52 (2): 318.
Gruber SA, Hrushesky WJ, Cipolle RJ et al. Local immunosuppression with reduced systemic toxicity in a canine renal allograft model. Transplantation 1989; 48 (6): 936.
Gruber SA, Erdmann GR, Burke BA et al. Mizoribine pharmacokinetics and pharmacodynamics in a canine renal allograft model of local immunosuppression. Transplantation 1992; 53 (1): 12.
Lin H, Chensue SW, Streiter RM et al. Antitumor necrosis factor antibody prolongs heart allograft survival in the rat. J Hrt Lung Transplant 1992; 11: 330.
Bolling SF, Kunkel SL, Lin H. Anti-TNF antibody and cyclosporine combination therapy prolongs cardiac allograft survival in the rat. Transplantation 1992; 53 (2): 283.
Rights and permissions
Copyright information
© 1996 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Bolling, S.F., Labhasetwar, V., Levy, R.J. (1996). Controlled-Release Drug Matrices for Local Immunosuppression of Organ Transplants. In: Local Immunosuppression of Organ Transplants. Medical Intelligence Unit. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-22105-1_16
Download citation
DOI: https://doi.org/10.1007/978-3-662-22105-1_16
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-22107-5
Online ISBN: 978-3-662-22105-1
eBook Packages: Springer Book Archive