Hancock W W, Gao W, Csizmadia V, Faia K L, Shemmeri N, Luster A D
Transplantation Unit, Millennium Pharmaceuticals, Inc., Cambridge, Massachusetts 02139, USA.
J Exp Med. 2001 Apr 16;193(8):975-80. doi: 10.1084/jem.193.8.975.
An allograft is often considered an immunologically inert playing field on which host leukocytes assemble and wreak havoc. However, we demonstrate that graft-specific physiologic responses to early injury initiate and promulgate destruction of vascularized grafts. Serial analysis of allografts showed that intragraft expression of the three chemokine ligands for the CXC chemo-kine receptor CXCR3 was induced in the order of interferon (IFN)-gamma-inducible protein of 10 kD (IP-10, or CXCL10), IFN-inducible T cell alpha-chemoattractant (I-TAC; CXCL11), and then monokine induced by IFN-gamma (Mig, CXCL9). Initial IP-10 production was localized to endothelial cells, and only IP-10 was induced by isografting. Anti-IP-10 monoclonal antibodies prolonged allograft survival, but surprisingly, IP-10-deficient (IP-10(-/-)) mice acutely rejected allografts. However, though allografts from IP-10(+/+) mice were rejected by day 7, hearts from IP-10(-/-) mice survived long term. Compared with IP-10(+/+) donors, use of IP-10(-/-) donors reduced intragraft expression of cytokines, chemokines and their receptors, and associated leukocyte infiltration and graft injury. Hence, tissue-specific generation of a single chemokine in response to initial ischemia/reperfusion can initiate progressive graft infiltration and amplification of multiple effector pathways, and targeting of this proximal chemokine can prevent acute rejection. These data emphasize the pivotal role of donor-derived IP-10 in initiating alloresponses, with implications for tissue engineering to decrease immunogenicity, and demonstrate that chemokine redundancy may not be operative in vivo.
同种异体移植物通常被认为是一个免疫惰性的“战场”,宿主白细胞在此聚集并造成破坏。然而,我们证明,对早期损伤的移植物特异性生理反应会引发并促进血管化移植物的破坏。对同种异体移植物的系列分析表明,CXC趋化因子受体CXCR3的三种趋化因子配体在移植物内的表达按以下顺序诱导:10kD的干扰素(IFN)-γ诱导蛋白(IP-10,或CXCL10)、IFN诱导的T细胞α趋化因子(I-TAC;CXCL11),然后是IFN-γ诱导的单核因子(Mig,CXCL9)。最初的IP-10产生定位于内皮细胞,并且只有IP-10是由同基因移植诱导的。抗IP-10单克隆抗体延长了同种异体移植物的存活时间,但令人惊讶的是,IP-10缺陷(IP-10(-/-))小鼠急性排斥同种异体移植物。然而,尽管来自IP-10(+/+)小鼠的同种异体移植物在第7天被排斥,但来自IP-10(-/-)小鼠的心脏长期存活。与IP-10(+/+)供体相比,使用IP-10(-/-)供体可降低移植物内细胞因子、趋化因子及其受体的表达,以及相关的白细胞浸润和移植物损伤。因此,对初始缺血/再灌注的反应中组织特异性产生单一趋化因子可引发渐进性的移植物浸润和多种效应途径的放大,并且靶向这种近端趋化因子可预防急性排斥。这些数据强调了供体来源的IP-10在引发同种异体反应中的关键作用,对降低免疫原性的组织工程具有启示意义,并证明趋化因子冗余在体内可能不起作用。