Table 1.
Table 1a Immunosuppressive protocols | |||
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Immunosuppressants | Immunosuppressive protocols |
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Multiagent | Light | ||
Thymoglobulin (intravenous) | 2.5 mg/kg (day −2), 1.5–2.5 mg/kg (days 0–7), targeting lymph count <0.5 × 109 | 25 mg/kg, once (day –1) | |
Tacrolimus (per os) | Dose | 4–5 mg/kg twice daily (from day 0) | 3–4 mg/kg twice daily (from day 0) |
Trough level | 20–30 ng/ml | 10–15 ng/ml | |
Methylprednisolone (intravenous) | 1.0 mg/kg (days 0–2), tapered by 0.05 mg/kg/d to 0.2 mg/kg | 1.0 g, once (day –1) | |
MMF(per os) | 25–30 mg/kg twice daily (from day 8) | None | |
Cobra venom factor (intravenous) | 0.05 mg/kg (day –2), 0.02 mg/kg every 36 h (days 1–14) | None |
Table 1b Immunosuppressive protocol, antibody levels, survival, cause of death and terminal graft histology for individual animals | ||||||||
Preformed antibodies to non-Gal antigensa |
Induced antibodies to non-Gal antigensa |
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Animal ID | Protocol | IgG | IgM | IgG | IgM | Survival (d) | Cause of death | Graft histology |
20-02 | Light | 2.9 | 1.1 | 19.5 | 1.6 | 8 | Renal failure | AHXR III |
64-03 | Light | 3.4 | 1.0 | 88.1 | 2.5 | 11 | Renal failure | AHXR III |
67-03 | Lightb | 2.9 | 1.1 | 8.6 | 1.1 | 10 | Sepsis | AHXR I |
19-02 | Multiagent | 5.1 | 1.0 | 30 | 1.5 | 16 | Renal failure | AHXR III |
66-03 | Multiagentc | 2.7 | 1.1 | 7.2 | 3.0 | 13 | Renal failure | AHXR III |
65-03 | Multiagentd | 3.4 | 1.3 | 6.8 | 1.2 | 9 | Gastrointestinal bleeding | ACXR I, AHXR I |
Antibody data presented are the ratio of relative mean fluorescence (RMF); underline indicates high values of induced antibodies to non-Gal antigens.
This recipient received 50 mg/kg ATG for induction therapy.
This recipient received 21 d of desensitization pretreatment (plasmapheresis and intravenous immunoglobulin five times, two doses of Rituxan and daily tacrolimus and MMF).
This recipient received cyclophosphamide instead of ATG as induction therapy with splenectomy and Rituxan. MMF, mycophenolate mofetil; ACXR, acute cellular xenograft rejection.