Investigation of Transplant Rejection and Regulation

  • Research type

    Research Study

  • Full title

    Investigation of human transplant rejection and regulation

  • IRAS ID

    257800

  • Contact name

    Fadi Issa

  • Contact email

    fadi.issa@nds.ox.ac.uk

  • Sponsor organisation

    University of Oxford

  • Clinicaltrials.gov Identifier

    211122/Z/18/Z, Wellcome Trust Ref Number; MR/N027930/1, Medical Research Council Ref Number

  • Duration of Study in the UK

    0 years, 9 months, 1 days

  • Research summary

    This project is designed to develop novel treatment strategies to prevent rejection after organ transplantation.

    A very important form of chronic rejection of organ transplants is transplant arteriosclerosis. Transplant arteriosclerosis, that comprises narrowing of the blood vessels supplying and within the transplant that restricts and eventually blocks the blood supply to the transplant, is one of the major factors limiting the long-term survival of a transplant. Novel treatments are needed to prevent this condition and improve transplant survival.

    Skin transplants are also well known in the field to be very difficult to protect against rejection. The study of skin transplantation will allow us to assess the impact of newly developed therapies to robustly prevent graft rejection. These findings will be broadly applicable to the protection of many other forms of organ transplantation.

    We will focus on developing treatment modalities for preventing transplant arteriosclerosis and skin rejection, as well as understanding the molecular mechanisms responsible. Patients will be recruited from the Plastic Surgery and Cardiothoracic Surgery departments within the Oxford University Hospitals and Stoke Mandeville Hospital. Tissue surplus to healthcare procedures that these patients undergo as part of their treatment, will be used to support the research, with the patients’ full and informed consent.

    The human tissue samples and blood will be subject to laboratory tests and analyses to evaluate the effect of transplant rejection and potential therapeutics. Some of the tissues will be subject to gene expression and DNA analysis. In separate research permitted by existing Home Office Licences, human blood, skin, vessels and thymus will also be used in animal models.
    This project is funded by the Wellcome Trust, the Medical Research Council and European Union Horizon 2020 Programme.

  • REC name

    West of Scotland REC 4

  • REC reference

    22/WS/0060

  • Date of REC Opinion

    1 Jun 2022

  • REC opinion

    Further Information Favourable Opinion