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间接T细胞同种异体识别和同种抗体介导的MHC I类不匹配心脏移植物排斥反应。

Indirect T cell allorecognition and alloantibody-mediated rejection of MHC class I-disparate heart grafts.

作者信息

Pettigrew G J, Lovegrove E, Bradley J A, Maclean J, Bolton E M

机构信息

Department of Surgery, University of Glasgow, Scotland, United Kingdom.

出版信息

J Immunol. 1998 Aug 1;161(3):1292-8.

PMID:9686590
Abstract

Recent studies in the rat have identified a role for T cell-dependent alloantibody in rejection of MHC class I-disparate allografts. RT1Aa-disparate PVG.R8 heart grafts are rejected acutely in naive, and hyperacutely in sensitized, PVG.RTIu recipients by CD4 T cell-dependent alloantibody. Here, we examined the T cell Ag recognition pathways responsible and show that direct injection into skeletal muscle of plasmid DNA, encoding a water-soluble form of the RT1Aa MHC class I heavy chain (pcmu-tAa), stimulates IgG2b cytotoxic alloantibody and markedly accelerates rejection of PVG.R8 heart grafts (median survival time 2 days). pcmu-tAa injection did not induce CTL to Aa, arguing against direct allorecognition of soluble Aa. Treatment with mAbs confirmed that the alloimmune response to pcmu-tAa injection depended on CD4, not CD8, T cells. Priming T cells for indirect allorecognition by injection of 15-mer peptides spanning the alpha1 and alpha2 domains of Aa failed to stimulate anti-Aa Ab but caused an accelerated Ab response to a PVG.R8 heart and a modest acceleration in graft rejection (median survival time 4 days). These results suggest that both soluble MHC class I and allopeptides prime CD4 T cells by the indirect pathway, but that soluble class I is a more effective immunogen for humoral alloimmunity because its tertiary protein structure provides B cell epitopes. We propose that priming humoral alloimmunity, like CTL priming, requires recognition of intact MHC on donor cells, but essential T cell help can be provided by CD4 T cells recognizing allogeneic class I exclusively by the indirect pathway.

摘要

最近在大鼠身上进行的研究已确定,T细胞依赖性同种异体抗体在MHC I类不同的同种异体移植物排斥反应中发挥作用。在未致敏的PVG.RTIu受体中,RT1Aa不同的PVG.R8心脏移植物会被急性排斥,而在致敏受体中则会被超急性排斥,这是由CD4 T细胞依赖性同种异体抗体介导的。在此,我们研究了负责的T细胞抗原识别途径,并表明将编码水溶性形式的RT1Aa MHC I类重链(pcmu-tAa)的质粒DNA直接注射到骨骼肌中,可刺激IgG2b细胞毒性同种异体抗体,并显著加速PVG.R8心脏移植物的排斥反应(中位存活时间为2天)。注射pcmu-tAa并未诱导针对Aa的CTL,这表明可溶性Aa不存在直接的同种异体识别。用单克隆抗体进行的处理证实,对pcmu-tAa注射的同种免疫反应依赖于CD4而非CD8 T细胞。通过注射跨越Aa的α1和α2结构域的15聚体肽来启动T细胞进行间接同种异体识别,未能刺激产生抗Aa抗体,但导致对PVG.R8心脏的抗体反应加速,以及移植物排斥反应适度加速(中位存活时间为4天)。这些结果表明,可溶性MHC I类和同种异体肽均通过间接途径启动CD4 T细胞,但可溶性I类对于体液同种免疫而言是一种更有效的免疫原,因为其三级蛋白质结构提供了B细胞表位。我们提出,启动体液同种免疫,如同启动CTL一样,需要识别供体细胞上完整的MHC,但识别同种I类的CD4 T细胞仅通过间接途径提供的必需T细胞辅助也可发挥作用。

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