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白细胞介素-2(IL-2)治疗优先扩增过继转移的供体特异性调节性 T 细胞,从而改善皮肤同种异体移植物的存活。

IL-2 therapy preferentially expands adoptively transferred donor-specific Tregs improving skin allograft survival.

机构信息

MRC Centre for Transplantation, Peter Gorer Department of Immunobiology, Faculty of Life Sciences & Medicine, King's College London, London, UK.

Department of Inflammation Biology, MRC Centre for Transplantation, Institute of Liver Studies, Faculty of Life Sciences & Medicine, King's College London, London, UK.

出版信息

Am J Transplant. 2019 Jul;19(7):2092-2100. doi: 10.1111/ajt.15306. Epub 2019 Mar 15.

Abstract

Regulatory T cells (Tregs) have unique immunosuppressive properties and are essential to ensure effective immunoregulation. In animal models, Tregs have been shown to prevent autoimmune disorders and establish transplantation tolerance. Therefore, the prospect of harnessing Tregs, either by increasing their frequency or by conferring allospecificity, has prompted a growing interest in the development of immunotherapies. Here, employing a well-established skin transplant model with a single major histocompatibility complex mismatch, we compared the therapeutic efficacy of adoptively transfer Treg with or without donor specificity and the administration of IL-2 to promote in vivo expansion of Treg. We showed that IL-2 treatment preferentially enhances the proliferation of the allospecific Tregs adoptively transferred in an antigen-dependent manner. In addition, donor-specific Tregs significantly increased the expression of regulatory-related marker, such as CTLA4 and inducible costimulator (ICOS), in the skin allograft and draining lymph nodes compared to endogenous and polyclonal transferred Tregs. Importantly, by combining IL-2 with donor-specific Tregs, but not with polyclonal Tregs, a synergistic effect in prolonging skin allograft survival was observed. Altogether, our data suggest that this combination therapy could provide the appropriate conditions to enhance the immunoregulation of alloimmune responses in clinical transplantation.

摘要

调节性 T 细胞(Tregs)具有独特的免疫抑制特性,对于确保有效的免疫调节至关重要。在动物模型中,Tregs 已被证明可预防自身免疫性疾病并建立移植耐受。因此,利用 Tregs 的前景,无论是通过增加其频率还是赋予同种特异性,都促使人们对免疫疗法的发展产生了越来越大的兴趣。在这里,我们采用了一个具有单一主要组织相容性复合物错配的成熟皮肤移植模型,比较了过继转移具有或不具有供体特异性的 Treg 以及施用 IL-2 以促进 Treg 体内扩增的治疗效果。我们表明,IL-2 治疗以抗原依赖性方式优先增强同种特异性 Treg 的增殖。此外,与内源性和多克隆转移的 Treg 相比,供体特异性 Treg 显著增加了皮肤移植物和引流淋巴结中调节相关标记物(如 CTLA4 和诱导共刺激分子(ICOS))的表达。重要的是,通过将 IL-2 与供体特异性 Tregs 结合使用,而不是与多克隆 Tregs 结合使用,观察到延长皮肤移植物存活的协同作用。总之,我们的数据表明,这种联合治疗可以为增强临床移植中同种免疫反应的免疫调节提供适当的条件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b4a/6618286/5ce3abe79b66/AJT-19-2092-g001.jpg

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