Habicht A, Najafian N, Yagita H, Sayegh M H, Clarkson M R
Transplantation Research Center, Renal Division, Brigham & Women's Hospital and Children's Hospital Boston, Harvard Medical School, Boston, MA, USA.
Am J Transplant. 2007 Aug;7(8):1917-26. doi: 10.1111/j.1600-6143.2007.01886.x.
CD28 costimulatory blockade induces tolerance in most murine transplant models but fails to do so in stringent transplant models, such as skin transplantation. The precise immunological mechanisms of CD28-independent rejection remain to be fully defined. Using two novel mouse strains in which both CD28 and either CD4 or CD8 are knocked out (CD4(-/-)CD28(-/-) or CD8(-/-)CD28(-/-) mice), we examined mechanisms of CD28-independent CD4(+) or CD8(+) T-cell-mediated allograft rejection. CD4(-/-)CD28(-/-) and CD8(-/-)CD28(-/) deficient mice rejected fully allogeneic skin allografts at a tempo comparable with that in wild-type mice. Rejection proceeded despite significant reduction in alloreactive T-cell clone sizes suggesting the presence of a subset of T cells harnessing alternate CD28-independent costimulatory pathways. Blockade of CD40-CD154 and CD134-CD134L, but not ICOS-B7h pathways in combination significantly prolonged allograft survival in CD8(-/-)CD28(-/-) recipients and to a lesser extent in CD4(-/-)CD28(-/-) recipients. Prolongation in allograft survival was associated with reduced effector-memory T-cell generation, decreased allospecific Th1 cytokine generation and diminished alloreactive T-cell proliferation in vivo. In aggregate, the data identify these two pathways as critical mediators of CD28-independent rejection by CD4(+) and to a lesser extent CD8(+) T cells, and provide novel mechanistic insights into functions of novel T-cell co-stimulatory pathways in vivo.
在大多数小鼠移植模型中,CD28共刺激阻断可诱导免疫耐受,但在如皮肤移植等严格的移植模型中却无法实现。CD28非依赖性排斥反应的确切免疫机制仍有待充分明确。我们使用两种新型小鼠品系,即CD28以及CD4或CD8均被敲除的小鼠(CD4(-/-)CD28(-/-)或CD8(-/-)CD28(-/-)小鼠),研究了CD28非依赖性CD4(+)或CD8(+) T细胞介导的同种异体移植排斥反应机制。CD4(-/-)CD28(-/-)和CD8(-/-)CD28(-/-)缺陷小鼠排斥完全异基因皮肤同种异体移植物的速度与野生型小鼠相当。尽管同种反应性T细胞克隆大小显著减少,但排斥反应仍在进行,这表明存在一部分利用替代的CD28非依赖性共刺激途径的T细胞亚群。联合阻断CD40 - CD154和CD134 - CD134L途径,但不包括ICOS - B7h途径,可显著延长CD8(-/-)CD28(-/-)受体的同种异体移植物存活时间,在CD4(-/-)CD28(-/-)受体中延长程度较小。同种异体移植物存活时间的延长与效应记忆T细胞生成减少、同种特异性Th1细胞因子生成减少以及体内同种反应性T细胞增殖减少有关。总体而言,这些数据确定这两条途径是CD4(+)以及程度较轻的CD8(+) T细胞介导的CD28非依赖性排斥反应的关键介质,并为体内新型T细胞共刺激途径的功能提供了新的机制性见解。