1. Critical role for IL-4 in the development of transplant arteriosclerosis in the absence of CD40-CD154 costimulation.
- Author
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Ensminger SM, Spriewald BM, Sorensen HV, Witzke O, Flashman EG, Bushell A, Morris PJ, Rose ML, Rahemtulla A, and Wood KJ
- Subjects
- Animals, Antibodies, Monoclonal administration & dosage, Antigen-Presenting Cells immunology, Antigen-Presenting Cells metabolism, Arteriosclerosis genetics, Arteriosclerosis pathology, Arteriosclerosis prevention & control, CD4-Positive T-Lymphocytes pathology, CD40 Antigens biosynthesis, CD40 Antigens physiology, CD40 Ligand physiology, CD8-Positive T-Lymphocytes pathology, Cell Movement genetics, Cell Movement immunology, Chemokine CCL11, Cytokines biosynthesis, Cytokines genetics, Eosinophils pathology, H-2 Antigens immunology, Histocompatibility Antigen H-2D, Interferon-gamma antagonists & inhibitors, Interferon-gamma genetics, Interleukin-4 antagonists & inhibitors, Interleukin-4 genetics, Interleukin-4 immunology, Isoantibodies biosynthesis, Lymphocyte Depletion, Macrophage-1 Antigen biosynthesis, Macrophages immunology, Macrophages pathology, Mice, Mice, Inbred BALB C, Mice, Inbred C57BL, Mice, Knockout, RNA, Messenger antagonists & inhibitors, RNA, Messenger biosynthesis, Receptors, CCR3, Receptors, Chemokine biosynthesis, Receptors, Chemokine genetics, Aorta, Thoracic transplantation, Arteriosclerosis immunology, CD40 Antigens genetics, CD40 Ligand genetics, Chemokines, CC, Interleukin-4 physiology
- Abstract
Blockade of the CD40-CD154 pathway can inhibit CD4(+) T cell activation but is unable to prevent immune responses mediated by CD8(+) T cells. However, even in the absence of CD8(+) T cells, inhibition of the CD40-CD154 pathway is insufficient to prevent the development of transplant arteriosclerosis. This study investigated the mechanisms of transplant arteriosclerosis in the absence of the CD40 pathway. C57BL/6 CD40(-/-) (H2(b)) recipients were transplanted with MHC-mismatched BALB/c (H2(d)) aortas. Transplant arteriosclerosis was evident in both CD40(-/-) and CD40(+/-) mice (intimal proliferation was 59 +/- 5% for CD40(-/-) mice vs 58 +/- 4% for CD40(+/-) mice) in the presence or absence of CD8(+) T cells (intimal proliferation was 46 +/- 7% for CD40(-/-) anti-CD8-treated mice vs 50 +/- 10% for CD40(+/-) anti-CD8-treated mice), confirming that CD8(+) T cells are not essential effector cells for the development of this disease. In CD40(-/-) recipients depleted of CD8(+) T cells, the number of eosinophils infiltrating the graft was markedly increased (109 +/- 24 eosinophils/grid for CD40(-/-) anti-CD8-treated mice vs 28 +/- 7 for CD40(+/-) anti-CD8-treated mice). The increased presence of eosinophils correlated with augmented intragraft production of IL-4. To test the hypothesis that IL-4 was responsible for the intimal proliferation, CD8 T cell-depleted CD40(-/-) recipients were treated with anti-IL-4 mAb. This resulted in significantly reduced eosinophil infiltration into the graft (12 +/- 5 eosinophils/grid for CD40(-/-) anti-CD8(+), anti-IL-4-treated mice vs 109 +/- 24 for CD40(-/-) anti-CD8-treated mice), intragraft eotaxin, CCR3 mRNA production, and the level of intimal proliferation (18 +/- 5% for CD40(-/-) anti-CD8(+)-, anti-IL-4-treated mice vs 46 +/- 7% for CD40(-/-) anti-CD8-treated mice). In conclusion, elevated intragraft IL-4 production results in an eosinophil infiltrate and is an important mechanism for CD8(+) T cell-independent transplant arteriosclerosis in the absence of CD40-CD154 costimulation.
- Published
- 2001
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