1. Blood Group Antigen-Targeting Peptide Suppresses Anti-Blood Group Antibody Binding to Antigen in Renal Glomerular Capillaries After ABO-Incompatible Blood Reperfusion
- Author
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Teppei Okamoto, Takuya Koie, Michiko N. Fukuda, Shigemasa Kudo, Noriko Tokui, Yasuhiro Hashimoto, Chikara Ohyama, Hayato Yamamoto, Naoki Sugiyama, Noritaka Kamimura, Yuki Tobisawa, Shingo Hatakeyama, Tohru Yoneyama, Kengo Imanishi, Yuichiro Suzuki, and Takahiro Yoneyama
- Subjects
Graft Rejection ,Hemagglutination ,Kidney Glomerulus ,Antigen ,ABO blood group system ,medicine ,Humans ,Transplantation ,Kidney ,Hemagglutination assay ,biology ,business.industry ,Graft Survival ,Kidney Transplantation ,Antibodies, Anti-Idiotypic ,Capillaries ,medicine.anatomical_structure ,Immunoglobulin M ,Blood Group Incompatibility ,Immunoglobulin G ,Reperfusion ,Immunology ,Blood Group Antigens ,biology.protein ,Antibody ,Peptides ,business ,Ex vivo - Abstract
Background Antibody-mediated rejection after ABO-incompatible kidney transplantation (ABO-I KTx) is a major barrier to transplantation success. The advent of immunosuppressive therapy has markedly improved graft survival in ABO-I KTx. However, compared with normal KTx, clinical conditions during ABO-I KTx are difficult to control because of overimmunosuppression. To reduce the need for immunosuppression, we aimed to develop a novel blood group antigen-neutralizing therapy. Methods We screened for an ABO blood group antigen-targeting peptide (BATP) by screening of T7 phage-displayed peptide library. After screening, hemagglutination inhibition assays, enzyme-linked immunosorbent assay, and cytotoxicity assay were used to analyze the blood group antigen-blocking effect and toxicity of BATP. We also tested the inhibitory effects on anti-blood group antibody binding in normal human kidney tissues blocked with BATP and excised kidneys perfused ex vivo with BATP. Results We identified six peptide sequences that efficiently suppressed hemagglutination of red blood cells by anti-ABO blood group antibodies and binding of these antibodies to ABO histo-blood group antigens in kidney tissues. Surprisingly, ex vivo perfusion of BATP in kidneys excised from renal cell carcinoma patients caused significant suppression of anti-blood group antibody binding to antigen and IgG and IgM deposition in renal glomerular capillaries after ABO-I blood reperfusion. Conclusions These data indicate that A/B blood group antigens on red blood cells and in kidney tissues may be neutralized by BATP. This approach may enable the development of a novel blood group antigen-neutralizing therapy to overcome the challenges of ABO-I KTx.
- Published
- 2013
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