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同种反应性记忆 CD4 T 细胞通过与 DC 相互作用诱导固有炎症和 CD8 T 细胞的初始激活来促进移植排斥。

Alloreactive memory CD4 T cells promote transplant rejection by engaging DCs to induce innate inflammation and CD8 T cell priming.

机构信息

Division of Immunobiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229.

Center for Inflammation and Tolerance, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229.

出版信息

Proc Natl Acad Sci U S A. 2024 Aug 20;121(34):e2401658121. doi: 10.1073/pnas.2401658121. Epub 2024 Aug 13.

Abstract

Alloreactive memory T cells have been implicated as central drivers of transplant rejection. Perplexingly, innate cytokines, such as IL-6, IL-1β, and IL-12, are also associated with rejection of organ transplants. However, the pathways of innate immune activation in allogeneic transplantation are unclear. While the role of microbial and cell death products has been previously described, we identified alloreactive memory CD4 T cells as the primary triggers of innate inflammation. Memory CD4 T cells engaged MHC II-mismatched dendritic cells (DCs), leading to the production of innate inflammatory cytokines. This innate inflammation was independent of several pattern recognition receptors and was primarily driven by TNF superfamily ligands expressed by alloreactive memory CD4 T cells. Blocking of CD40L and TNFα resulted in dampened inflammation, and mice genetically deficient in these molecules exhibited prolonged survival of cardiac allografts. Furthermore, myeloid cell and CD8 T cell infiltration into cardiac transplants was compromised in both CD40L- and TNFα-deficient recipients. Strikingly, we found that priming of naive alloreactive CD8 T cells was dependent on licensing of DCs by memory CD4 T cells. This study unravels the key mechanisms by which alloreactive memory CD4 T cells contribute to destructive pathology and transplant rejection.

摘要

同种异体反应性记忆 T 细胞被认为是移植排斥的主要驱动因素。令人费解的是,先天细胞因子,如 IL-6、IL-1β 和 IL-12,也与器官移植排斥有关。然而,同种异体移植中先天免疫激活的途径尚不清楚。虽然以前已经描述了微生物和细胞死亡产物的作用,但我们确定同种异体反应性记忆 CD4 T 细胞是先天炎症的主要触发因素。记忆 CD4 T 细胞与 MHC II 错配的树突状细胞 (DC) 相互作用,导致先天炎症细胞因子的产生。这种先天炎症与几种模式识别受体无关,主要由同种异体反应性记忆 CD4 T 细胞表达的 TNF 超家族配体驱动。阻断 CD40L 和 TNFα 导致炎症减弱,这些分子基因缺陷的小鼠表现出心脏移植物存活时间延长。此外,在 CD40L 和 TNFα 缺陷受体中,髓样细胞和 CD8 T 细胞浸润到心脏移植物受损。引人注目的是,我们发现,幼稚同种异体反应性 CD8 T 细胞的启动依赖于记忆 CD4 T 细胞对 DC 的许可。这项研究揭示了同种异体反应性记忆 CD4 T 细胞导致破坏性病理和移植排斥的关键机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0857/11348247/1b7017e86f77/pnas.2401658121fig01.jpg

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