Department of Surgery, Thomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Department of Pathology, Thomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Kidney Int. 2012 May;81(10):1015-1025. doi: 10.1038/ki.2011.458. Epub 2012 Jan 25.
Ischemia/reperfusion injury associated with kidney transplantation induces profound acute injury, influences early graft function, and affects long-term graft outcomes. To determine whether renal dendritic cells play any role during initial innate ischemia/reperfusion injury and the subsequent development of adaptive immune responses, we studied the behavior and function of renal graft and host infiltrating dendritic cells during early and late phases of renal ischemia/reperfusion injury. Wild type to green fluorescent protein (GFP) transgenic rat kidney transplantation was performed with and without 24-h cold storage. Ischemia/reperfusion injury in cold-stored grafts resulted in histopathological changes of interstitial fibrosis and tubular atrophy by 10 weeks, accompanied by upregulation of mRNAs of mediators of interstitial fibrosis and inflammation. In normal rat kidneys, we identified two populations of renal dendritic cells, predominant CD103(-)CD11b/c(+) and minor CD103(+)CD11b/c(+) cells. After transplantation without cold storage, grafts maintained CD103(-) but not CD103(+) GFP-negative renal dendritic cells for 10 weeks. In contrast, both cell subsets disappeared from cold-stored grafts, which associated with a significant GFP-expressing host CD11b/c(+) cell infiltration that included CD103(+) dendritic cells with a TNF-α-producing phenotype. These changes in graft/host dendritic cell populations were associated with progressive infiltration of host CD4(+) T cells with effector/effector-memory phenotypes and IFN-γ secretion. Thus, renal graft ischemia/reperfusion injury caused graft dendritic cell loss and was associated with progressive host dendritic cell and T-cell recruitment. Renal-resident dendritic cells might function as a protective regulatory network.
缺血/再灌注损伤与肾移植相关,可导致严重的急性损伤,影响早期移植物功能,并影响长期移植物结局。为了确定肾脏树突状细胞(dendritic cells,DC)在初始固有缺血/再灌注损伤和随后适应性免疫反应的发展过程中是否发挥作用,我们研究了肾缺血/再灌注损伤早期和晚期肾移植和宿主浸润树突状细胞的行为和功能。进行野生型到绿色荧光蛋白(green fluorescent protein,GFP)转基因大鼠肾移植,并伴有或不伴有 24 小时冷保存。冷保存移植物的缺血/再灌注损伤导致 10 周时间质纤维化和肾小管萎缩的组织病理学变化,并伴有间质纤维化和炎症介质的 mRNA 上调。在正常大鼠肾脏中,我们鉴定出两种肾 DC 群体,主要是 CD103(-)CD11b/c(+)和次要的 CD103(+)CD11b/c(+)细胞。在无冷保存的移植中,移植物在 10 周内维持 CD103(-)而非 CD103(+)GFP 阴性的肾 DC。相比之下,冷保存移植物中的这两个细胞亚群均消失,这与显著的 GFP 表达的宿主 CD11b/c(+)细胞浸润相关,其中包括具有 TNF-α产生表型的 CD103(+)DC。这些移植物/宿主树突状细胞群的变化与宿主 CD4(+)T 细胞的效应/效应记忆表型的渐进浸润和 IFN-γ分泌相关。因此,肾移植缺血/再灌注损伤导致移植物树突状细胞丢失,并与宿主树突状细胞和 T 细胞的渐进性募集相关。肾固有树突状细胞可能作为保护性调节网络发挥作用。
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