Control of IBMIR Induced by Fresh and Cryopreserved Hepatocytes by Low Molecular Weight Dextran Sulfate versus Heparin
Rapid destruction of hepatocytes after hepatocyte transplantation has hampered the application of this procedure clinically. The instant blood-mediated inflammatory reaction (IBMIR) is a plausible underlying cause for this cell loss. The present study was designed to evaluate the capacity of low mol...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2017-01-01
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| Series: | Cell Transplantation |
| Online Access: | https://doi.org/10.3727/096368916X692609 |
| _version_ | 1828492717878935552 |
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| author | Elisabet Gustafson Sana Asif Huda Kozarcanin Graciela Elgue Staffan Meurling Kristina N. Ekdahl Bo Nilsson |
| author_facet | Elisabet Gustafson Sana Asif Huda Kozarcanin Graciela Elgue Staffan Meurling Kristina N. Ekdahl Bo Nilsson |
| author_sort | Elisabet Gustafson |
| collection | DOAJ |
| description | Rapid destruction of hepatocytes after hepatocyte transplantation has hampered the application of this procedure clinically. The instant blood-mediated inflammatory reaction (IBMIR) is a plausible underlying cause for this cell loss. The present study was designed to evaluate the capacity of low molecular weight dextran sulfate (LMW-DS) to control these initial reactions from the innate immune system. Fresh and cryopreserved hepatocytes were tested in an in vitro whole-blood model using ABO-compatible blood. The ability to elicit IBMIR and the capacity of LMW-DS (100 μg/ml) to attenuate the degree of activation of the cascade systems were monitored. The effect was also compared to conventional anticoagulant therapy using unfractionated heparin (1 IU/ml). Both fresh and freeze–thawed hepatocytes elicited IBMIR to the same extent. LMW-DS reduced the platelet loss and maintained the cell counts at the same degree as unfractionated heparin, but controlled the coagulation and complement systems significantly more efficiently than heparin. LMW-DS also attenuated the IBMIR elicited by freeze–thawed cells. Therefore, LMW-DS inhibits the cascade systems and maintains the cell counts in blood triggered by both fresh and cryopreserved hepatocytes in direct contact with ABO-matched blood. LMW-DS at a previously used and clinically applicable concentration (100 μg/ml) inhibits IBMIR in vitro and is therefore a potential IBMIR inhibitor in hepatocyte transplantation. |
| first_indexed | 2024-12-11T11:25:33Z |
| format | Article |
| id | doaj.art-c16e6c4e5f594ec2b25accf4ba607bf3 |
| institution | Directory Open Access Journal |
| issn | 0963-6897 1555-3892 |
| language | English |
| last_indexed | 2024-12-11T11:25:33Z |
| publishDate | 2017-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Cell Transplantation |
| spelling | doaj.art-c16e6c4e5f594ec2b25accf4ba607bf32022-12-22T01:09:01ZengSAGE PublishingCell Transplantation0963-68971555-38922017-01-012610.3727/096368916X692609Control of IBMIR Induced by Fresh and Cryopreserved Hepatocytes by Low Molecular Weight Dextran Sulfate versus HeparinElisabet Gustafson0Sana Asif1Huda Kozarcanin2Graciela Elgue3Staffan Meurling4Kristina N. Ekdahl5Bo Nilsson6 Department of Women's and Children's Health, Division of Pediatric Surgery, Uppsala University Hospital, Uppsala, Sweden Department of Immunology, Genetics and Pathology (IGP), Uppsala University, Uppsala, Sweden Department of Immunology, Genetics and Pathology (IGP), Uppsala University, Uppsala, Sweden Department of Immunology, Genetics and Pathology (IGP), Uppsala University, Uppsala, Sweden Department of Women's and Children's Health, Division of Pediatric Surgery, Uppsala University Hospital, Uppsala, SwedenLinnæus Center of Biomaterials Chemistry, Linnæus University, Kalmar, Sweden Department of Immunology, Genetics and Pathology (IGP), Uppsala University, Uppsala, SwedenRapid destruction of hepatocytes after hepatocyte transplantation has hampered the application of this procedure clinically. The instant blood-mediated inflammatory reaction (IBMIR) is a plausible underlying cause for this cell loss. The present study was designed to evaluate the capacity of low molecular weight dextran sulfate (LMW-DS) to control these initial reactions from the innate immune system. Fresh and cryopreserved hepatocytes were tested in an in vitro whole-blood model using ABO-compatible blood. The ability to elicit IBMIR and the capacity of LMW-DS (100 μg/ml) to attenuate the degree of activation of the cascade systems were monitored. The effect was also compared to conventional anticoagulant therapy using unfractionated heparin (1 IU/ml). Both fresh and freeze–thawed hepatocytes elicited IBMIR to the same extent. LMW-DS reduced the platelet loss and maintained the cell counts at the same degree as unfractionated heparin, but controlled the coagulation and complement systems significantly more efficiently than heparin. LMW-DS also attenuated the IBMIR elicited by freeze–thawed cells. Therefore, LMW-DS inhibits the cascade systems and maintains the cell counts in blood triggered by both fresh and cryopreserved hepatocytes in direct contact with ABO-matched blood. LMW-DS at a previously used and clinically applicable concentration (100 μg/ml) inhibits IBMIR in vitro and is therefore a potential IBMIR inhibitor in hepatocyte transplantation.https://doi.org/10.3727/096368916X692609 |
| spellingShingle | Elisabet Gustafson Sana Asif Huda Kozarcanin Graciela Elgue Staffan Meurling Kristina N. Ekdahl Bo Nilsson Control of IBMIR Induced by Fresh and Cryopreserved Hepatocytes by Low Molecular Weight Dextran Sulfate versus Heparin Cell Transplantation |
| title | Control of IBMIR Induced by Fresh and Cryopreserved Hepatocytes by Low Molecular Weight Dextran Sulfate versus Heparin |
| title_full | Control of IBMIR Induced by Fresh and Cryopreserved Hepatocytes by Low Molecular Weight Dextran Sulfate versus Heparin |
| title_fullStr | Control of IBMIR Induced by Fresh and Cryopreserved Hepatocytes by Low Molecular Weight Dextran Sulfate versus Heparin |
| title_full_unstemmed | Control of IBMIR Induced by Fresh and Cryopreserved Hepatocytes by Low Molecular Weight Dextran Sulfate versus Heparin |
| title_short | Control of IBMIR Induced by Fresh and Cryopreserved Hepatocytes by Low Molecular Weight Dextran Sulfate versus Heparin |
| title_sort | control of ibmir induced by fresh and cryopreserved hepatocytes by low molecular weight dextran sulfate versus heparin |
| url | https://doi.org/10.3727/096368916X692609 |
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