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地塞米松治疗后经脂多糖激活的树突状细胞诱导供体特异性同种异体移植物低反应性。

Dendritic cells activated by lipopolysaccharide after dexamethasone treatment induce donor-specific allograft hyporesponsiveness.

作者信息

Emmer Peter M, van der Vlag Johan, Adema Gosse J, Hilbrands Luuk B

机构信息

Department of Nephrology, Nijmegen Centre for Molecular Life Sciences, Radboud University Nijmegen Medical Centre, the Netherlands.

出版信息

Transplantation. 2006 May 27;81(10):1451-9. doi: 10.1097/01.tp.0000208801.51222.bd.

DOI:10.1097/01.tp.0000208801.51222.bd
PMID:16732184
Abstract

BACKGROUND

Immature dendritic cells (imDC) can prolong allograft survival in murine transplantation models. Recent data indicate that semi-mature or alternatively activated DC (aaDC) may be even more tolerogenic.

METHODS

We compared the phenotype and regulatory capacity of: a) imDC, cultured in the presence of dexamethasone (DEX), b) mature DC (matDC), activated with LPS, and c) aaDC, activated with LPS after pretreatment with DEX.

RESULTS

As compared to imDC, aaDCs displayed a slight upregulation of CD40 while expression levels of MHC-II and CD86 remained low. The production of proinflammatory cytokines, in particular IL-12, by aaDC was much lower than by matDC while both produced similar amounts of the regulatory cytokine IL-10 leading to an increased IL-10/IL-12 ratio for aaDC. After infusion of donor type aaDCs, responder cells isolated from the recipient mice showed donor-specific hyporesponsiveness to restimulation by matDC. Infusion of matDC was immunogenic, while imDC induced partial hyporesponsiveness. Importantly, pretreatment with donor type aaDC (but not imDC) resulted in prolonged survival of a completely MHC-mismatched heart allograft.

CONCLUSIONS

Alternatively activated DC are more efficacious than the classical imDC in the regulation of the alloimmune response, which may be related to a distinct cytokine profile characterized by an increased IL-10/IL12 ratio.

摘要

背景

在小鼠移植模型中,未成熟树突状细胞(imDC)可延长同种异体移植物的存活时间。近期数据表明,半成熟或替代性活化树突状细胞(aaDC)可能具有更强的耐受性。

方法

我们比较了以下细胞的表型和调节能力:a)在存在地塞米松(DEX)的情况下培养的imDC,b)用脂多糖(LPS)激活的成熟树突状细胞(matDC),以及c)在用DEX预处理后用LPS激活的aaDC。

结果

与imDC相比,aaDC的CD40表达略有上调,而MHC-II和CD86的表达水平仍然较低。aaDC产生的促炎细胞因子,特别是IL-12,远低于matDC,而两者产生的调节性细胞因子IL-10量相似,导致aaDC的IL-10/IL-12比值增加。输注供体型aaDC后,从受体小鼠分离的应答细胞对matDC的再刺激表现出供体特异性低反应性。输注matDC具有免疫原性,而imDC诱导部分低反应性。重要的是,用供体型aaDC(而非imDC)预处理可延长完全MHC不匹配心脏同种异体移植物的存活时间。

结论

替代性活化树突状细胞在调节同种异体免疫反应方面比经典的imDC更有效,这可能与以增加的IL-10/IL12比值为特征的独特细胞因子谱有关。

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