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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Zhang, Zheng J. Kheradmand, Taba Bryant, Jane Lerret, Nadine Pothoven, Kathryn L. Tasch, James J. Houlihan, Josetta L. Miller, Stephen D. Wang, Shusen Luo, Xunrong |
| Description | Country affiliation: United States Author Affiliation: Kheradmand T ( Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.) |
| Abstract | Strategic exposure to donor Ags prior to transplantation can be an effective way for inducting donor-specific tolerance in allogeneic recipients. We have recently shown that pretransplant infusion of donor splenocytes treated with the chemical cross-linker ethylenecarbodiimide (ECDI-SPs) induces indefinite islet allograft survival in a full MHC-mismatched model without the need for any immunosuppression. Mechanisms of allograft protection by this strategy remain elusive. In this study, we show that the infused donor ECDI-SPs differentially target T cells with indirect versus direct allospecificities. To target indirect allospecific T cells, ECDI-SPs induce upregulation of negative, but not positive, costimulatory molecules on recipient splenic CD11c(+) dendritic cells phagocytosing the injected ECDI-SPs. Indirect allospecific T cells activated by such CD11c(+) dendritic cells undergo robust initial proliferation followed by rapid clonal depletion. The remaining T cells are sequestered in the spleen without homing to the graft site or the graft draining lymph node. In contrast, direct allospecific T cells interacting with intact donor ECDI-SPs not yet phagocytosed undergo limited proliferation and are subsequently anergized. Furthermore, CD4(+)CD25(+)Foxp3(+) T cells are induced in lymphoid organs and at the graft site by ECDI-SPs. We conclude that donor ECDI-SP infusions target host allogeneic responses via a multitude of mechanisms, including clonal depletion, anergy, and immunoregulation, which act in a synergistic fashion to induce robust transplant tolerance. This simple form of negative vaccination has significant potential for clinical translation in human transplantation. |
| ISSN | 00221767 |
| e-ISSN | 15506606 |
| DOI | 10.4049/jimmunol.1103705 |
| Journal | The Journal of Immunology |
| Issue Number | 2 |
| Volume Number | 189 |
| Language | English |
| Publisher | The American Association of Immunologists |
| Publisher Date | 2012-07-15 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Carbodiimides Administration & Dosage Isoantigens Metabolism Signal Transduction Immunology Spleen Transplantation Transplantation Tolerance Adoptive Transfer Animals Antigen-presenting Cells Cross-linking Reagents Gene Knock-in Techniques Graft Survival Infusions, Intravenous Mice Mice, Inbred Balb C Mice, Inbred C57bl Mice, Knockout Mice, Transgenic Phagocytes Cytology Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't Discipline Immunology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Immunology and Allergy Immunology |
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