Research Group
- Prof. Bruce Reitz, Principal Investigator
- Dr. Dominic C. Borie, Co-Investigator
Location
- Stanford University School of Medicine, Stanford, USA
Title
- Can Blockade of Signals in Vascular Cells Prevent Chronic Rejection of Transplants?
Inhibition
of the Janus Kinase (JAK) 3
with tyrosine kinase inhibitors is emerging as a new
modality of immunosuppression to effectively prevent
organ allograft rejection. Although participation of the JAK/signal
transduction and activator of transcription (STAT) pathway has been reported in
endothelial cells (ECs) activated by a variety of
stimuli, its role, and more precisely that of JAK3, in the context of allotransplantation and immunosuppression
has not been studied. ECs are key players in the
onset of chronic allograft vasculopathy (CAV), a
condition characterized by neointimal myoproliferation in response to EC activation, and that
plagues organ transplantation. As ECs of organ
transplant recipients treated with JAK3 inhibitors will be exposed to the
effects of those immunosuppressive molecules, we are curious to characterize
the presence and activation profile of JAK3 in ECs in
response to allo-immune stimuli represented by allo-antibodies and cytokines that participate in provoking
allograft rejection and also by hyperimmune serum. We
will subsequently study how JAK3 blockade via pharmacological inhibition,
monoclonal antibodies, and RNA interference in cultured ECs
affects those cells activation and/or proliferation upon subsequent
stimulation. Finally, we will test our hypothesis that grafts and vessels
devoid from JAK3 expression (JAK3-/-) are less prone to CAV
by performing aortic transplants using vessels harvested from donors (allo-immune injury) and by creating catheter-induced
endothelial injury (mechanical injury) in JAK3-/- animals. Altogether,
this research proposal will provide original insights on the participation of
JAK3 in allo-stimulated ECs
and will provide critical knowledge of the effects of JAK3 inhibiting strategies
on EC function and on the development of CAV.