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Prevention of lethal graft vs Host disease following bone marrow transplantation (pretreatment of the inoculum with purine metabolic enzyme inhibitors)

Thesis/Dissertation ·
OSTI ID:6935650

A correlation between lymphocyte function and enzymes of the purine metabolic pathway has been shown. Abnormal levels of three of these enzymes - adenosine deaminase (ADA), 5'-nucleotidase (5'-NT), and purine nucleoside phosphorylase (PNP) - have been associated with defective lymphoid functions. Selective inhibition of one or more of these enzymes may result in elimination of specific lymphocyte populations from a bone marrow (BM) graft and thus prevent graft-vs-host disease (GVHD). To test this hypothesis, BM and spleen cells were pretreated with inhibitors of ADA or PNP before transplant to histoincompatible recipients. Germfree (GF) mice approximately 11 weeks of age were lethally X-irradiated with 1000 Rads. At 24 hours post irradiation the mice received 5 x 10/sup 6/ BM cells and 5 x 10/sup 6/ BM cells and 5 x 10/sup 6/ spleen cells i.v. from syngeneic donors or allogeneic donors. Prior to injection the mice were divided into 5 groups: (1) the inoculum was treated with a final concentration of 10 ..mu..M deoxycoformycin (dCF), and ADA inhibitor, and 100 ..mu..M deoxyadenosine (dAdo); (2) the inoculum was treated with a final concentration of 100 ..mu..M 8-aminoguanosine (8AGuo), an inhibitor of PNP, and 100 ..mu..M 2'-deoxyguanosine (2'dGuo); (3) allogenic controls; (4) syngeneic controls; and (5) radiation controls. In vitro experiments utilizing human peripheral blood and bone marrow demonstrated a severe immunosuppressive effect by the combination of 2'dCF and dAdo which was quick acting and not easily washed away. Treatment with 8A Guo + 2'dGuo also was immunosuppressive, but not as effective as the dCF and dAdo treatment. Both groups of drugs deserve further investigation for possible clinical application to BM transplantation.

Research Organization:
State Univ. of New York, Buffalo (USA)
OSTI ID:
6935650
Country of Publication:
United States
Language:
English