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Controlled-Release Drug Matrices for Local Immunosuppression of Organ Transplants

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Local Immunosuppression of Organ Transplants

Part of the book series: Medical Intelligence Unit ((MIU.LANDES))

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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.

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References

  1. Bolling SF, Putnam JB, Abrams GD et al. Hemodynamics vs. biopsy findings during cardiac transplantation rejection. Ann Thorac Surg 1991; 51: 552.

    Article  Google Scholar 

  2. 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.

    Article  CAS  Google Scholar 

  3. Sintov A, Scott W, Dick M et al. Cardiac controlled release for arrhythmia therapy: Lidocaine-Polyurethane studies. Journal of Cont Rel 1988; 8: 157.

    Article  CAS  Google Scholar 

  4. 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.

    Article  PubMed  CAS  Google Scholar 

  5. Olanoff LS, Anderson JM, Jones RD. Sustained release of gentamycin from prosthetic valves. Trans American Society of Art Int Organs 1979; 25: 334.

    Article  CAS  Google Scholar 

  6. 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.

    Article  PubMed  CAS  Google Scholar 

  7. 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.

    Google Scholar 

  8. 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.

    CAS  Google Scholar 

  9. 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.

    Article  PubMed  CAS  Google Scholar 

  10. 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.

    Google Scholar 

  11. Klebanoff S, Vadas MA, Harlan JM et al. Stimulation of neutrophils by tumor necrosis factor. J Immunol 1986; 136: 4220.

    PubMed  CAS  Google Scholar 

  12. 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.

    Article  CAS  Google Scholar 

  13. Black K, Patel M, Patel A et al. Mechanisms of site specific immunosuppression. Handbook of the International Congress of Transplantation 1990; 54.

    Google Scholar 

  14. 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.

    Article  CAS  Google Scholar 

  15. Lin H, Iannettoni MD, Goldblum JR et al. Heterotopic heart transplantation without ischemia or reperfusion. Journal of Heart Transplantation 1990; 9: 720.

    PubMed  CAS  Google Scholar 

  16. 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.

    CAS  Google Scholar 

  17. 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.

    Article  PubMed  CAS  Google Scholar 

  18. 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.

    Article  PubMed  CAS  Google Scholar 

  19. 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.

    Article  PubMed  CAS  Google Scholar 

  20. 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.

    CAS  Google Scholar 

  21. 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.

    Article  PubMed  CAS  Google Scholar 

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© 1996 Springer-Verlag Berlin Heidelberg

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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

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  • 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

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