CD154 blockade abrogates allospecific responses and enhances CD4(+) regulatory T-cells in mouse orthotopic lung transplant.

CD154 blockade abrogates allospecific responses and enhances CD4(+) regulatory T-cells in mouse orthotopic lung transplant.
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DOI:
10.1111/j.1600-6143.2011.03623.x
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发表时间:
2011-09
期刊:
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
影响因子:
--
通讯作者:
McDyer JF
McDyer JF
中科院分区:
其他
文献类型:
--
作者:
Dodd-o JM;Lendermon EA;Miller HL;Zhong Q;John ER;Jungraithmayr WM;D'Alessio FR;McDyer JF

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急性细胞排斥反应(acute cellular rejection,ACR)是肺移植术后常见而重要的临床并发症.虽然临床上需要开发新的疗法来预防ACR,但对该过程中同种特异性效应T细胞的调节仍不完全清楚。使用MHC不匹配的小鼠原位肺移植模型,我们研究了抗CD 154单克隆抗体单独治疗对同种异体移植病理学和同种免疫T细胞效应反应的短期作用。与同系移植物对照组相比,未治疗的BALB/c左肺同种异体移植物的C57 BL/6受体具有高度排斥和降低的CD 4+:CD 8+移植物比率,其特征在于在第10天主要是CD 8 +> CD 4 + IFN-γ+同种异体特异性效应物应答。抗CD 154单克隆抗体治疗显著消除了CD 8+和CD 4+同种异体效应反应,并显著增加了肺同种异体移植物CD 4+:CD 8+比值。移植物CD 4 + T细胞的检查显示,抗CD 154处理的小鼠的肺同种异体移植物中CD 4 + CD 25 + Foxp 3+调节性T细胞的频率显著增加,并且与未处理的对照相比,与ACR的显著减弱相关。总之,这些数据表明,单独的CD 154/CD 40共刺激阻断足以消除同种异体特异性效应T细胞应答,并使肺同种异体移植物向与ACR衰减相关的CD 4 + T调节细胞占主导地位的环境显著转移。
Acute cellular rejection (ACR) is a common and important clinical complication following lung transplantation. While there is a clinical need for the development of novel therapies to prevent ACR, the regulation of allospecific effector T cells in this process remains incompletely understood. Using the MHC-mismatched mouse orthotopic lung transplant model, we investigated the short-term role of anti-CD154 mAb therapy alone on allograft pathology and alloimmune T cell effector responses. Untreated C57BL/6 recipients of BALB/c left lung allografts had high-grade rejection and diminished CD4+:CD8+ graft ratios, marked by predominantly CD8+>CD4+ IFN-γ+ allospecific effector responses at day 10, compared to isograft controls. Anti-CD154 mAb therapy strikingly abrogated both CD8+ and CD4+ alloeffector responses and significantly increased lung allograft CD4+:CD8+ ratios. Examination of graft CD4+ T cells revealed significantly increased frequencies of CD4+CD25+Foxp3+ regulatory T cells in the lung allografts of anti-CD154-treated mice and was associated with significant attenuation of ACR compared to untreated controls. Together, these data show that CD154/CD40 costimulation blockade alone is sufficient to abrogate allospecific effector T cell responses and significantly shifts the lung allograft toward an environment predominated by CD4+ T regulatory cells in association with an attenuation of ACR.
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