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使用 imlifidase 和 EndoS 进行脱敏处理可使致敏受者小鼠诱导嵌合。

Desensitization using imlifidase and EndoS enables chimerism induction in allosensitized recipient mice.

机构信息

Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.

Alberta Diabetes and Transplant Institutes, University of Alberta, Edmonton, Alberta, Canada.

出版信息

Am J Transplant. 2020 Sep;20(9):2356-2365. doi: 10.1111/ajt.15851. Epub 2020 Apr 7.


DOI:10.1111/ajt.15851
PMID:32185855
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7496317/
Abstract

Mixed hematopoietic chimerism induction as a way to foster tolerance to donor organs in recipients who have been sensitized to donor antigens is challenging. Donor-specific antibodies (DSA) are a dominant barrier toward successful donor bone marrow engraftment. Although desensitization methods are routinely used in recipients with allosensitization for allogeneic bone marrow transplantation, engraftment is frequently unsuccessful. To overcome the barrier of prior sensitization we tested enzymatic desensitization of donor-specific IgG using imlifidase and endoglycosidase of Streptococcus pyogenes (EndoS), which both partially block the function of DSA in mice, as a novel approach to improve murine bone marrow engraftment in primed hosts. We found that EndoS was capable of inhibiting antibody-mediated killing of donor cells in vivo. Furthermore, the effect of EndoS depended on the titer of DSA and the genetic background of the recipients. In combination with imlifidase, EndoS improved the survival of donor bone marrow cells. Together with cyclophosphamide, bortezomib, T cell depletion, and nonlethal irradiation, imlifidase in combination with EndoS allowed allogeneic bone marrow engraftment in sensitized recipients. We conclude that enzymatic inactivation of DSA, using the combination of imlifidase and EndoS, can be used for inducing donor hematopoietic chimerism in allosensitized recipient mice in combination with other desensitization strategies.

摘要

混合造血嵌合体诱导作为一种促进对已对供体抗原致敏的受者对供体器官耐受的方法具有挑战性。供体特异性抗体(DSA)是成功进行供体骨髓移植的主要障碍。尽管在同种异体骨髓移植中对同种致敏的受者常规使用脱敏方法,但植入通常不成功。为了克服先前致敏的障碍,我们使用链球菌(EndoS)的 imlifidase 和内切糖苷酶对供体特异性 IgG 进行酶促脱敏,这两种方法都部分阻断了 DSA 在小鼠中的功能,作为一种提高预先致敏宿主中鼠骨髓植入的新方法。我们发现 EndoS 能够抑制体内抗体介导的供体细胞杀伤。此外,EndoS 的作用取决于 DSA 的滴度和受者的遗传背景。与 imlifidase 联合使用时,EndoS 可提高供体骨髓细胞的存活率。与环磷酰胺、硼替佐米、T 细胞耗竭和非致死性照射联合使用时,imlifidase 联合 EndoS 允许在致敏受者中进行同种异体骨髓移植。我们得出结论,使用 imlifidase 和 EndoS 的组合对 DSA 进行酶失活可以与其他脱敏策略一起用于诱导同种致敏受者中的供体造血嵌合体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aa6/7496317/bf555e2b17da/AJT-20-2356-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aa6/7496317/deab6a02525e/AJT-20-2356-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aa6/7496317/d5d525bf8a1a/AJT-20-2356-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aa6/7496317/135c4ee387e5/AJT-20-2356-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aa6/7496317/bf555e2b17da/AJT-20-2356-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aa6/7496317/deab6a02525e/AJT-20-2356-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aa6/7496317/d5d525bf8a1a/AJT-20-2356-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aa6/7496317/135c4ee387e5/AJT-20-2356-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1aa6/7496317/bf555e2b17da/AJT-20-2356-g004.jpg

相似文献

[1]
Desensitization using imlifidase and EndoS enables chimerism induction in allosensitized recipient mice.

Am J Transplant. 2020-9

[2]
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J Immunol. 1995-11-1

[3]
Induction of stable long-term mixed hematopoietic chimerism following nonmyeloablative conditioning with T cell-depleting antibodies, cyclophosphamide, and thymic irradiation leads to donor-specific in vitro and in vivo tolerance.

Biol Blood Marrow Transplant. 2001

[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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Microorganisms. 2024-1-18

[2]
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[3]
Antibody-mediated rejection in xenotransplantation: Can it be prevented or reversed?

Xenotransplantation. 2023

[4]
Extensive substrate recognition by the streptococcal antibody-degrading enzymes IdeS and EndoS.

Nat Commun. 2022-12-17

[5]
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Front Immunol. 2022

本文引用的文献

[1]
Safety, immunogenicity, pharmacokinetics, and efficacy of degradation of anti-HLA antibodies by IdeS (imlifidase) in chronic kidney disease patients.

Am J Transplant. 2018-4-17

[2]
The European Society for Blood and Marrow Transplantation (EBMT) Consensus Guidelines for the Detection and Treatment of Donor-specific Anti-HLA Antibodies (DSA) in Haploidentical Hematopoietic Cell Transplantation.

Bone Marrow Transplant. 2018-5

[3]
IgG Endopeptidase in Highly Sensitized Patients Undergoing Transplantation.

N Engl J Med. 2017-8-3

[4]
Chimerism-based tolerance in organ transplantation: preclinical and clinical studies.

Clin Exp Immunol. 2017-8

[5]
Humoral Compensation after Bortezomib Treatment of Allosensitized Recipients.

J Am Soc Nephrol. 2017-7

[6]
Desensitization: Overcoming the Immunologic Barriers to Transplantation.

J Immunol Res. 2017-1-3

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Bortezomib for the prevention and treatment of graft-versus-host disease after allogeneic hematopoietic stem cell transplantation.

Exp Hematol. 2016-9

[8]
A Monosaccharide Residue Is Sufficient to Maintain Mouse and Human IgG Subclass Activity and Directs IgG Effector Functions to Cellular Fc Receptors.

Cell Rep. 2015-12-6

[9]
The Bacterial Enzyme IdeS Cleaves the IgG-Type of B Cell Receptor (BCR), Abolishes BCR-Mediated Cell Signaling, and Inhibits Memory B Cell Activation.

J Immunol. 2015-12-15

[10]
Complete Removal of Extracellular IgG Antibodies in a Randomized Dose-Escalation Phase I Study with the Bacterial Enzyme IdeS--A Novel Therapeutic Opportunity.

PLoS One. 2015-7-15

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