Sembeil Rachel, Sanhadji Kamel, Vivier Geneviève, Chargui Jamel, Touraine Jean-Louis
Department of Transplantation and Clinical Immunology, Claude Bernard University and Hôpitaux de Lyon, France.
Transpl Immunol. 2004 Jun-Jul;13(1):1-8. doi: 10.1016/j.trim.2003.12.004.
Interleukin-10 (IL-10) is a cytokine with a moleculary weight of 18 kDa, that was first identified as being produced by Th2 cells. It appears to have anti-inflammatory action by diminishing the production of pro-inflammatory cytokines produced by Th1 cells. IL-10 also regulates the differentiation and proliferation of several immune cells such as T cells, B cells, natural killer cells, antigen-presenting cells, mast cells and granulocytes. Recent data suggest, however, that IL-10 also has immunostimulatory properties with important consequences on the prognosis of disease. In this study, we demonstrate the importance of injection of hematopoietic fetal liver cells transduced with the human IL-10 (hIL-10) gene into an allogenic recipient subsequently transplanted with allogenic skin grafts. The immaturity of stem cells and precursor cells from fetal liver and their transient survival in the host, due to the production of hIL-10, may afford 'prope' tolerance. It also explains the lack of graft-vs.-host reaction (GvHR) and the delay in rejection of the specific donor skin grafts after virtual disappearance of donor hematopoietic cells.
Transduction of CBA hematopoietic fetal cells with the human IL-10 gene was used with the aim of inducing tolerance to donor antigen in recipient BALB/c mice. The observed effects were prolonged IL-10 production, donor cell chimerism in the host and delayed rejection of skin grafts from the specific donor strain.
To prevent or delay rejection of highly incompatible skin allografts, we used IL-10 gene transfer to establish chimerism with donor hematopoietic cells. Fetal liver cells from CBA mice were transduced with the human IL-10 gene and injected into BALB/c mice.
Human IL-10, which is active in mice but does not cross-react with murine IL-10 in ELISA, was produced in vivo for 3 weeks. Donor cells were identified in the recipients during the same time period, on the basis of presence of the H-2 k gene and human IL-10 intracellular protein. Skin allografts from CBA or C57BL/6 mice survived for a mean of 9.5 days in recipient mice injected with non-transduced cells. In contrast, survival of CBA allograft was extended to 18.9+/-1.8 days in recipients injected with hIL-10-transduced fetal liver cells from CBA mice. Human IL-10 alone, without donor hematopoietic cell engraftment, did not prolong graft survival (9.6+/-1.2 days).
IL-10 transduction of donor hematopoietic stem cells resulted in production of IL-10, cell engraftment and chimerism. Although full tolerance was not obtained at this level of donor cell development in the host, a specific and highly significant (P<0.001) prolongation of the survival of donor skin allografts was observed.
白细胞介素-10(IL-10)是一种分子量为18 kDa的细胞因子,最初被鉴定为由Th2细胞产生。它似乎通过减少Th1细胞产生的促炎细胞因子发挥抗炎作用。IL-10还调节多种免疫细胞的分化和增殖,如T细胞、B细胞、自然杀伤细胞、抗原呈递细胞、肥大细胞和粒细胞。然而,最近的数据表明,IL-10也具有免疫刺激特性,对疾病预后有重要影响。在本研究中,我们证明了将转导人IL-10(hIL-10)基因的造血胎儿肝细胞注射到随后接受同种异体皮肤移植的同种异体受体中的重要性。由于hIL-10的产生,来自胎儿肝脏的干细胞和前体细胞的不成熟及其在宿主中的短暂存活可能提供“前体”耐受性。这也解释了在供体造血细胞几乎消失后缺乏移植物抗宿主反应(GvHR)以及特异性供体皮肤移植物排斥延迟的现象。
用人类IL-10基因转导CBA造血胎儿细胞,目的是诱导受体BALB/c小鼠对供体抗原产生耐受性。观察到的效应是IL-10产生延长、宿主中供体细胞嵌合以及来自特定供体品系的皮肤移植物排斥延迟。
为了预防或延迟高度不相容的皮肤同种异体移植的排斥,我们使用IL-10基因转移与供体造血细胞建立嵌合。用人类IL-10基因转导CBA小鼠的胎儿肝细胞,并注射到BALB/c小鼠中。
在小鼠体内具有活性但在ELISA中不与小鼠IL-10发生交叉反应的人IL-10在体内产生了3周。在同一时期,根据H-2 k基因和人IL-10细胞内蛋白的存在,在受体中鉴定出供体细胞。在注射未转导细胞的受体小鼠中,来自CBA或C57BL/6小鼠的皮肤同种异体移植平均存活9.5天。相比之下,在注射来自CBA小鼠的hIL-10转导胎儿肝细胞的受体中,CBA同种异体移植的存活期延长至18.9±1.8天。单独的人IL-10,没有供体造血细胞植入,并没有延长移植物存活时间(9.6±1.2天)。
供体造血干细胞的IL-10转导导致IL-10的产生、细胞植入和嵌合。尽管在宿主中这种供体细胞发育水平下未获得完全耐受性,但观察到供体皮肤同种异体移植存活时间有特异性且高度显著(P<0.001)的延长。