Role of T cell TGFbeta signaling and IL-17 in allograft acceptance and fibrosis associated with chronic rejection.

Role of T cell TGFbeta signaling and IL-17 in allograft acceptance and fibrosis associated with chronic rejection.
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T 细胞 TGFbeta 信号传导和 IL-17 在同种异体移植接受和慢性排斥相关纤维化中的作用。

DOI:
10.4049/jimmunol.0902446
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发表时间:
2009-12-01
影响因子:
4.4
通讯作者:
Bishop, D. Keith
Bishop, D. Keith
中科院分区:
医学2区
文献类型:
--
作者:
Faust, Susan M.;Lu, Guanyi;Marini, Bernard L.;Zou, Weiping;Gordon, David;Iwakura, Yoichiro;Laouar, Yasmina;Bishop, D. Keith

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慢性同种异体移植排斥反应(CR)是影响移植物长期存活的主要障碍。CR是一种进行性疾病,定义为间质纤维化、血管新生内膜发展和移植物功能障碍。导致CR的潜在机制仍不清楚。转化生长因子β(TGFβ)与促进纤维化疾病(包括CR)有关,但由于其免疫抑制活性,在移植环境中是有益的。为了评估T细胞TGFβ信号传导在同种异体移植物接受和CR进展中的需要,我们使用具有废除的T细胞TGFβ信号传导的小鼠作为同种异体移植物接受者。我们比较了CD 4+细胞瞬时耗竭(发生CR并表达移植物内TGFβ)的受体的反应与接受抗CD 40 L mAb治疗(不发生CR且不表达移植物内TGFβ)的小鼠的反应。在用抗CD 40 L mAb处理的小鼠中,同种异体移植物接受和移植物反应性T和B细胞的抑制不依赖于T细胞TGFβ信号传导。在CD 4 + T细胞短暂耗竭的受体中,T细胞TGFβ信号传导是与CR相关的纤维化、长期移植物接受以及移植物反应性T和B细胞应答抑制的发展所必需的。此外,IL-17被鉴定为TGFβ驱动的同种异体移植物纤维化中的关键因素。因此,IL-17可以提供用于预防移植物纤维化的治疗靶标,这是CR的量度,同时保留TGFβ的免疫抑制活性。
Chronic allograft rejection (CR) is the main barrier to long-term transplant survival. CR is a progressive disease defined by interstitial fibrosis, vascular neointimal development, and graft dysfunction. The underlying mechanisms responsible for CR remain poorly defined. Transforming growth factor β (TGFβ) has been implicated in promoting fibrotic diseases including CR, but is beneficial in the transplant setting due to its immunosuppressive activities. To assess the requirement for T cell TGFβ signaling in allograft acceptance and the progression of CR, we used mice with abrogated T cell TGFβ signaling as allograft recipients. We compared responses from recipients that were transiently depleted of CD4+ cells (that develop CR and express intragraft TGFβ) to responses from mice that received anti-CD40L mAb therapy (that do not develop CR and do not express intragraft TGFβ). Allograft acceptance and suppression of graft-reactive T and B cells were independent of T cell TGFβ signaling in mice treated with anti-CD40L mAb. In recipients transiently depleted of CD4+ T cells, T cell TGFβ signaling was required for the development of fibrosis associated with CR, long-term graft acceptance, and suppression of graft-reactive T and B cell responses. Further, IL-17 was identified as a critical element in TGFβ driven allograft fibrosis. Thus, IL-17 may provide a therapeutic target for preventing graft fibrosis, a measure of CR, while sparing the immunosuppressive activities of TGFβ.
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