Maeda Akira, Kawamura Takuji, Ueno Takehisa, Usui Noriaki, Miyagawa Shuji
Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Xenotransplantation. 2014 Jan-Feb;21(1):46-56. doi: 10.1111/xen.12067. Epub 2013 Dec 24.
Myeloid-derived suppressor cells (MDSC) were initially found to contribute to the immunosuppression in tumor patients and have recently been recognized as a subset of innate immune cells that are capable of regulating adaptive immunity. A variety of innate immune stimuli such as Lipopolysaccharide (LPS), which act as a double-edged sword, induce both the maturation of dendritic cells (DC) and the expansion of MDSCs.
In this study, we isolated MDSCs from peripheral blood mononuclear cells and examined the suppressive effect of MDSCs against cytotoxic T lymphocyte (CTL)-mediated xenocytotoxicity.
Peripheral blood monocytes cultured in the presence of GM-CSF and IL-4 were stimulated with polyiosinic-polycytidylic acid [poly (I:C)] or LPS. Flow cytometric analyses revealed that LPS and poly I:C stimulation allows the CD33(+) CD14(+) HLA-DR(-) subset to be significantly increased. To assess the suppressive capacity of MDSCs in xenotoxicity, CTL assay was performed. Poly (I:C)-activated MDSCs dramatically suppressed the CTL xenocytotoxicity. Phagocytosis assays revealed that activated MDSCs aggressively phagocytose the xenogenic CTLs. Characterization of MDSCs by real-time PCR revealed that poly (I:C) and LPS-stimulated MDSCs expressed significant amounts of mRNA for indolamine 2,3-dioxygenase (IDO) compared to untreated MDSCs. Furthermore, when MDSCs were incubated with the IDO inhibitor, the MDSC-induced suppression of xenocytotoxicity was abolished. Taken together, the possibility that activated MDSCs could induce apoptosis in xenogenic CTLs via an IDO-dependent manner and aggressively phagocytose apoptotic CTLs cannot be excluded.
These findings indicate that MDSCs have a great deal of potential as a therapeutic strategy for dealing with xenograft rejection. Further investigations of the underlying mechanisms will facilitate the development of this therapeutic strategy.
髓系来源的抑制性细胞(MDSC)最初被发现与肿瘤患者的免疫抑制有关,最近被认为是能够调节适应性免疫的先天性免疫细胞亚群。多种先天性免疫刺激物,如脂多糖(LPS),其作用犹如双刃剑,既能诱导树突状细胞(DC)成熟,也能促使MDSC扩增。
在本研究中,我们从外周血单个核细胞中分离出MDSC,并检测了MDSC对细胞毒性T淋巴细胞(CTL)介导的异种细胞毒性的抑制作用。
在GM-CSF和IL-4存在的情况下培养的外周血单核细胞,用聚肌苷酸-聚胞苷酸[聚(I:C)]或LPS刺激。流式细胞术分析显示,LPS和聚I:C刺激可使CD33(+)CD14(+)HLA-DR(-)亚群显著增加。为评估MDSC在异种毒性中的抑制能力,进行了CTL检测。聚(I:C)激活的MDSC显著抑制了CTL异种细胞毒性。吞噬试验表明,激活的MDSC能积极吞噬异种CTL。通过实时PCR对MDSC进行表征显示,与未处理的MDSC相比,聚(I:C)和LPS刺激的MDSC表达了大量的吲哚胺2,3-双加氧酶(IDO)mRNA。此外,当MDSC与IDO抑制剂孵育时,MDSC诱导的异种细胞毒性抑制作用被消除。综上所述,不能排除激活的MDSC可能通过IDO依赖性方式诱导异种CTL凋亡并积极吞噬凋亡CTL的可能性。
这些发现表明,MDSC作为一种应对异种移植排斥的治疗策略具有很大潜力。对潜在机制的进一步研究将有助于这种治疗策略的发展。