Background, Transplantation of Fas ligand (FasL) gene-transfected tissues c
an have opposite effects. For example, cotransplantation of pancreas islets
with myoblasts transfected with Fast-expressing plasmid vector (pFasL) pre
vented graft rejection, whereas the expression of Fast directly within isle
ts using adenovirus vector led to graft destruction, It was also reported t
hat Fast expression on pancreas islets led to neutrophilic infiltration and
rapid destruction of the islets. From these results, overexpression of Fas
t in transfected tissues may lead directly to self destruction through an a
utocrine Fas-Fast pathway or graft destruction through neutrophil recruitme
nt. To date there have been no reports of successful transplantation of Fas
t gene-transfected solid organs.
Methods. Rat pFasL was transfected at a dose of 90, 180,270, or 360 mu g in
to rat liver with an inactivated hemagglutinating virus of Japan conjugated
to liposome vesicles (HVJ-liposome), and the gene-transfected livers were
transplanted to allogeneic rats.
Results. In 18 rats transfected with 180 mu g of pFasL, 14 (78%) did not de
velop fulminant hepatitis. FasL-mRNA was detected in these livers at 3, 5,
7, and 14 days after transfection. The expression of FasL protein was also
observed in the transfected liver, and the transfection rate by this method
was 11.1+/-1.9%, The livers were then transplanted to allogeneic recipient
s, resulting in significant (P<0.01) prolonged recipient survival times. Hi
stological observation showed that the pFasL-transfected liver allografts c
aused apoptotic cell death in infiltrating activated T cells. In contrast,
transfection of pFasL higher than 180 mu g resulted in lethal hepatitis in
all rats, and its low dose (90 mu g) did not induce the hepatitis or prolon
g recipient survival.
Conclusion. Our results indicate that rat Liver allografts can be protected
to host immune responses by an adequate level (approximately 10%) of FasL
expression in the livers using HVJ-liposome incorporating pFasL.