The invention provides compositions and methods for inhibiting T-cell
mediated rejection of a xenotransplanted organ by blocking the delivery
of co-stimulatory signal 2 (the B7/CD28 interaction) in order to prevent
the activation of xenoreactive T-cells in the recipient. In a first
aspect, co-stimulation is prevented by administration to the organ
recipient of a soluble form of CTLA-4 from the xenogeneic donor organism.
This preferentially binds B7 on the xenograft and blocks the interaction
between B7 on the xenogeneic donor cells and CD28 on recipient T-cells.
In a second aspect, co-stimulation is antagonised by expressing a ligand
for CTLA-4 on the xenogeneic donor cells. This ligand binds to CTLA-4 on
activated T-cells of the recipient and antagonizes signal 2. In a third
aspect, co-stimulation is prevented by expressing recipient organism MHC
class II on the surface of the cells of the xenogeneic donor organ. The
donor cells are thus able to present xenoantigens to a recipient T-cell
in the context of self-MHC class II. If the donor cells do not express
B7, or if B7 is blocked, the xenoreactive recipient T-cell becomes
anergic.