Department of Gastrointestinal Surgery, the First Affiliated Hospital, Chongqing Medical University, Chongqing, People's Republic of China.
Transpl Immunol. 2009 Dec;22(1-2):82-92. doi: 10.1016/j.trim.2009.07.004. Epub 2009 Jul 25.
The containment of direct and indirect recognition of donor alloantigens by enhancement of the number and activity of regulatory T cells (Tregs) has been one of the promising approaches to achieve transplant tolerance. Two major methods, dendritic cell (DC) and anti-CD3/CD28 antibodies (Abs) have been introduced for ex vivo expansion of Tregs prior to their adoptive transfer. Here we compared the clinical advantage of using these methods of Tregs expansion by evaluating the nature and ability of expanded Tregs to abolish recipient alloreactive T-cell responses in vitro and in vivo. The ovalbumin (OVA)-specific Tregs isolated from DO11.10 mice were exposed to either Abs or syngeneic DC loaded with OVA peptide in the presence of exogenous IL-2 for a week. Using BABL/c as recipient and C57BL/6 as donor, the suppressive activity of these cells was examined. We found that DCs were much more efficient than Abs in expanding (9-fold versus 4-fold) and maintaining the viability (90% versus 35%) of purified Tregs. Interestingly, the Abs-expanded Tregs superbly contained the alloreactive T-cell proliferation and both Tregs were more suppressive when the Tregs cognate antigen and alloantigens were separately expressed on recipient and donor DCs (HVGD) rather than on recipient DC alone (GVHD). Importantly, however, DC-expanded Tregs maintained stable expression of Foxp3, survived longer and effectively contained the differentiation of alloreactive T cells into IFN-gamma-producing effector cells both in vitro and in vivo. Our data suggests that DC-expanded Tregs provides a clinically advantageous means of preventing unwanted immune reactions to allografts.
通过增强调节性 T 细胞(Tregs)的数量和活性来抑制供体同种抗原的直接和间接识别,这一直是实现移植耐受的有前途的方法之一。已经引入了两种主要方法,树突状细胞(DC)和抗 CD3/CD28 抗体(Abs),用于在过继转移之前体外扩增 Tregs。在这里,我们通过评估扩增的 Tregs 在外周血和体内消除受体同种反应性 T 细胞反应的能力,比较了使用这些 Tregs 扩增方法的临床优势。从 DO11.10 小鼠中分离出卵清蛋白(OVA)特异性 Tregs,然后将其暴露于 Abs 或负载 OVA 肽的同种 DC 中,同时添加外源性 IL-2 培养一周。使用 BABL/c 作为受体,C57BL/6 作为供体,检测这些细胞的抑制活性。我们发现,DC 比 Abs 更有效地扩增(9 倍对 4 倍)和维持(90%对 35%)纯化的 Tregs 的活力。有趣的是,Abs 扩增的 Tregs 能够极好地抑制同种反应性 T 细胞的增殖,当 Tregs 同源抗原和同种抗原分别在受体和供体 DC 上表达(HVGD)而不是仅在受体 DC 上表达(GVHD)时,两种 Tregs 都具有更强的抑制作用。重要的是,然而,DC 扩增的 Tregs 保持 Foxp3 的稳定表达,存活时间更长,并有效地抑制同种反应性 T 细胞分化为 IFN-γ产生效应细胞,无论是在体外还是体内。我们的数据表明,DC 扩增的 Tregs 为预防同种异体移植物的不良免疫反应提供了一种有临床优势的方法。
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