Hamidinia Maryam, Gu Yue, Ser Zheng, Brzostek Joanna, Tay Neil Q, Yap Jiawei, Chua Yen Leong, Lim Yan Ting, Wood Kathryn J, Vathsala Anantharaman, Sobota Radoslaw M, MacAry Paul A, Gascoigne Nicholas R J
Department of Microbiology and Immunology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Immunology Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Cell Mol Life Sci. 2025 Feb 26;82(1):94. doi: 10.1007/s00018-025-05614-y.
Over the last decades, organ transplantation has made rapid progress as a curative therapy for organ failure. However, the adaptive immune system-alloreactive T cells and antibodies targeting human leukocyte antigens (HLA)-is the leading cause of graft rejection. The presence of anti-donor HLA antibodies is considered a risk factor that disqualifies a particular donor-recipient pair. However, alloantibodies are found in some long-term graft survivors, suggesting a protective blocking function of some alloantibodies. Therefore, whether alloantibodies can have a positive as well as a negative effect in transplantation remains unclear. Here, HLA-A11:01-specific monoclonal antibodies were generated from a human non-immune antibody library, and the effect of these antibodies was investigated on activation of A11:01- specific T cells. We identified an A*11:01-specific monoclonal antibody with the capacity to block TCR recognition, TCR recruitment to the immune synapse, and T cell activation. The antibody reduced translocation of the transcription factor NFAT1 and phosphorylation of the MAP kinase ERK, which are both required for T cell effector function and TCR signal transduction. Cross-linking mass spectrometry was used to identify the epitope, demonstrating that this alloantibody can inhibit TCR from binding to the HLA molecule. These findings indicate that some HLA-specific alloantibodies can reduce T cell responses to the allograft. This has significant implications for interpretation of the existence of donor-specific antibodies, since some of them can protect the graft. Moreover, such antibodies may have therapeutic potential as specific treatments targeting mismatched donor HLA molecules.
在过去几十年中,器官移植作为治疗器官衰竭的一种治愈性疗法取得了迅速进展。然而,适应性免疫系统——同种异体反应性T细胞和靶向人类白细胞抗原(HLA)的抗体——是移植物排斥的主要原因。抗供体HLA抗体的存在被认为是一个风险因素,会使特定的供体-受体配对不合格。然而,在一些长期移植物存活者中发现了同种异体抗体,这表明一些同种异体抗体具有保护性阻断功能。因此,同种异体抗体在移植中是否既能产生积极影响又能产生消极影响仍不清楚。在这里,从人非免疫抗体文库中产生了HLA-A11:01特异性单克隆抗体,并研究了这些抗体对A11:01特异性T细胞激活的影响。我们鉴定出一种具有阻断TCR识别、TCR募集到免疫突触以及T细胞激活能力的A*11:01特异性单克隆抗体。该抗体减少了转录因子NFAT1的易位和MAP激酶ERK的磷酸化,这两者都是T细胞效应功能和TCR信号转导所必需的。使用交联质谱法鉴定表位,表明这种同种异体抗体可以抑制TCR与HLA分子结合。这些发现表明,一些HLA特异性同种异体抗体可以降低T细胞对同种异体移植物的反应。这对于解释供体特异性抗体的存在具有重要意义,因为其中一些抗体可以保护移植物。此外,此类抗体作为针对不匹配供体HLA分子的特异性治疗方法可能具有治疗潜力。
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