Department of Pathology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Transplantation. 2010 Mar 27;89(6):667-76. doi: 10.1097/TP.0b013e3181ca9048.
Third-party-specific cytotoxic T lymphocytes (CTL), or veto CTL, are being assessed as a cellular therapeutic for the induction of T-cell tolerance during transplantation. Conceptually, veto cell-expressed antigens (Ags) may induce B-cell immune responses, and this may have deleterious consequences. Whether veto cells induce immunity, tolerance, or are ignored by B lymphocytes has, however, not been addressed.
CTL were retrovirally transduced with a model cell surface Ag to generate veto CTL. The impact of CTL-specific Ag expression on the activation and tolerization of Ag-specific B cells was assessed in vitro and, using adoptive transfer models, in vivo.
In vitro, CTL-expressed Ag induced an abortive proliferative response in specific B lymphocytes, whereby an initial proliferative burst was followed by cell death. In vivo, the administration of veto CTL also induced B-cell tolerance. Specific immunoglobulin was not detected after subsequent immunization with a veto cell-expressed Ag. Modeling of this effect with Ag-specific B-cell receptor transgenic B lymphocytes demonstrated that Ag-specific B cells were eliminated by the veto CTL; the cell division was accompanied by the exhaustion and depletion of responding cells. Veto-induced B-cell tolerance could be wholly abrogated by treatment with the toll-like receptor ligand lipopolysaccharide, implying that this tolerance resulted from the absence of adequate supplemental signals during antigenic stimulation.
Veto CTL are effective promoters of B-cell tolerance. Further assessment of their therapeutic potential in this regard is warranted.
正在评估针对移植过程中诱导 T 细胞耐受的第三方特异性细胞毒性 T 淋巴细胞(CTL)或否决 CTL 作为细胞治疗方法。从概念上讲,否决细胞表达的抗原(Ag)可能会诱导 B 细胞免疫反应,这可能会产生有害的后果。但是,否决细胞是否会引起免疫,耐受或被 B 淋巴细胞忽略尚未得到解决。
CTL 通过逆转录病毒转导带有模型细胞表面 Ag,从而产生否决 CTL。评估 CTL 特异性 Ag 表达对 Ag 特异性 B 细胞的激活和耐受的影响,既在体外,也通过过继转移模型在体内进行。
在体外,CTL 表达的 Ag 诱导特异性 B 淋巴细胞发生了流产性增殖反应,其中最初的增殖爆发后紧接着是细胞死亡。在体内,给予否决 CTL 也会诱导 B 细胞耐受。在随后用否决细胞表达的 Ag 进行免疫接种后,未检测到特异性免疫球蛋白。用 Ag 特异性 B 细胞受体转基因 B 淋巴细胞对此效应进行建模表明,Ag 特异性 B 细胞被否决 CTL 消除;细胞分裂伴随着反应细胞的耗竭和耗尽。用 Toll 样受体配体脂多糖处理可完全消除否决诱导的 B 细胞耐受,这表明这种耐受是由于在抗原刺激过程中缺乏足够的补充信号所致。
否决 CTL 是 B 细胞耐受的有效促进剂。在这方面进一步评估其治疗潜力是合理的。