Abstract

Immunomodulatory agents are often combined in organ transplantation to minimize toxicity and to enhance therapeutic effect. Costimulatory blockade of T-cell activation with anti-CD40 ligand monoclonal antibody (anti-CD40L mAb) induces immune unresponsiveness and supports regeneration across nerve allografts. It would be desirable to combine anti-CD40L mAb therapy with the neuroregenerative agent FK506. However, the combination of antibody-based therapies with calcineurin inhibitors has the potential to abrogate immune unresponsiveness. It was hypothesized that nerve regeneration could be enhanced without disrupting anti-CD40L mAb-induced immune unresponsiveness through administration of sub-immunosuppressive doses of FK506.

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