Brigham and Women's Hospital and Children's Hospital Boston, Harvard Medical School, Boston, MA, USA.
Clin Immunol. 2010 Aug;136(2):174-87. doi: 10.1016/j.clim.2010.04.012. Epub 2010 May 8.
Induction of transplantation tolerance has the potential to allow for allograft acceptance without the need for life-long immunosuppression. Here we describe a novel approach that uses delivery of alloantigen by mature T cells to induce tolerance to fully allogeneic cardiac grafts. Adoptive transfer of mature alloantigen-expressing T cells into myeloablatively conditioned mice results in long-term acceptance of fully allogeneic heart transplants without evidence of chronic rejection. Since myeloablative conditioning is clinically undesirable we further demonstrated that adoptive transfer of mature alloantigen-expressing T cells alone into mice receiving non-myeloablative conditioning resulted in long-term acceptance of fully allogeneic heart allografts with minimal evidence of chronic rejection. Mechanistically, tolerance induction involved both deletion of donor-reactive host T cells and the development of regulatory T cells. Thus, delivery of alloantigen by mature T cells induces tolerance to fully allogeneic organ allografts in non-myeloablatively conditioned recipients, representing a novel approach for tolerance induction in transplantation.
诱导移植耐受有可能实现无需终身免疫抑制的同种异体移植物接受。在这里,我们描述了一种新的方法,即利用成熟 T 细胞递呈同种异体抗原来诱导对完全同种异体心脏移植物的耐受。将成熟表达同种异体抗原的 T 细胞过继转移到骨髓清除条件下的小鼠中,导致完全同种异体心脏移植物的长期接受,没有慢性排斥的证据。由于骨髓清除条件在临床上不理想,我们进一步证明,将成熟表达同种异体抗原的 T 细胞过继转移到接受非骨髓清除条件的小鼠中,可导致完全同种异体心脏移植物的长期接受,慢性排斥的证据很少。从机制上讲,耐受诱导涉及供体反应性宿主 T 细胞的删除和调节性 T 细胞的发育。因此,成熟 T 细胞递呈同种异体抗原可诱导非骨髓清除条件下的受者对完全同种异体器官移植物的耐受,这代表了移植中诱导耐受的一种新方法。