Department of Gastrointestinal Surgery, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China.
J Surg Res. 2011 Dec;171(2):826-32. doi: 10.1016/j.jss.2010.05.021. Epub 2010 Jun 8.
Dendritic cells (DCs) secrete exosomes bearing major histocompatibility complex I and II (MHC I /II) and co-stimulatory molecules, and play a critical role in immune regulation. Because immature DCs can induce T-cell tolerance in vitro and in vivo, we explored the possibility of using exosomes derived from immature DCs (imDex) for the induction of intestinal transplant tolerance in rats.
ImDex were purified from F344 rat bone marrow immature DCs. The tolerizing capacities of imDex were analyzed in vitro and in vivo using a F344-to-Wistar intestinal transplantation model.
In the context of a moderate level of MHC class II and a low co-stimulatory level expression, imDex significantly suppressed the alloreactive T-cell response with an increase in IL-10 in vitro. In vivo injection of the lower dose (20 μg) of donor (but not recipient) imDex can significantly prolong the survival of intestinal allografts. This effect was accompanied by a decrease in the anti-donor cellular response, with a significant increase in IL-10. The CD4+CD25+T cells percentage and FOXP3mRNA expression in splenic T-cells were also significantly increased in imDex treatment recipients at five days after transplantation.
The results suggest that imDex can prolong the intestinal allograft survival and may be a potential strategy to facilitate induction of transplant tolerance.
树突状细胞(DCs)分泌携带主要组织相容性复合体 I 和 II(MHC I / II)和共刺激分子的外泌体,并在免疫调节中发挥关键作用。由于未成熟的 DCs 可以在体外和体内诱导 T 细胞耐受,因此我们探讨了使用源自未成熟 DCs(imDex)的外泌体诱导大鼠肠道移植耐受的可能性。
从 F344 大鼠骨髓未成熟 DC 中纯化 imDex。使用 F344 到 Wistar 肠道移植模型在体外和体内分析 imDex 的耐受能力。
在中等水平的 MHC Ⅱ类和低共刺激水平表达的情况下,imDex 显著抑制同种反应性 T 细胞反应,并在体外增加 IL-10。体内注射较低剂量(20 μg)的供体(而非受者)imDex 可以显著延长肠道同种异体移植物的存活。这种效应伴随着抗供体细胞反应的减少,IL-10 显著增加。移植后五天,imDex 治疗组的脾 T 细胞中 CD4+CD25+T 细胞百分比和 FOXP3mRNA 表达也显著增加。
这些结果表明,imDex 可以延长肠道同种异体移植物的存活,并且可能是促进移植耐受的潜在策略。