1. Intravenous Immunoglobulins Promote Skin Allograft Acceptance by Triggering Functional Activation of CD4(+)Foxp3(+) T cells
- Author
-
Jaap Kwekkeboom, Andrew Bushell, Herold J. Metselaar, Kathryn J. Wood, Thanyalak Tha-In, and Gastroenterology & Hepatology
- Subjects
CD4-Positive T-Lymphocytes ,T-Lymphocytes ,chemical and pharmacologic phenomena ,Immunoglobulin E ,Models, Biological ,Immune tolerance ,Mice ,SDG 3 - Good Health and Well-being ,hemic and lymphatic diseases ,Splenocyte ,Animals ,Humans ,Medicine ,IL-2 receptor ,Mice, Knockout ,Transplantation ,biology ,business.industry ,Graft Survival ,Interleukin-2 Receptor alpha Subunit ,Immunoglobulins, Intravenous ,FOXP3 ,Forkhead Transcription Factors ,hemic and immune systems ,Skin Transplantation ,T lymphocyte ,Flow Cytometry ,Mice, Inbred C57BL ,Immunology ,Mice, Inbred CBA ,biology.protein ,Antibody ,business - Abstract
Background. Intravenous immunoglobulins (IVIg) therapy is effective as a treatment for T-cell-mediated immune diseases, but whether and how IVIg suppress allogeneic T-cell responses is largely unknown. Methods. In vitro, human CD4 + , CD4 + CD25 - , or CD4 + CD25 + T cells were stimulated with allogeneic antigen-presenting cells (APCs), and mouse CBA/Ca (H2 k ) CD4 + or CD4 + CD25 - T cells were stimulated with C57BL/10 (H2 b ) splenocytes, in the presence or absence of IVIg. Proliferation, binding of IVIg, expression of activation markers, and ZAP70-phosphorylation were determined. In vivo, 1 × 10 5 CD4 + or CD4 + CD25 - T cells of CBA/Ca mice were adoptively transferred into CBA/RAG 1 -/- mice, which were 1 day later transplanted with skin grafts of C57BL/1 mice. IVIg was administered intravenously and skin graft survival was determined. Results. IVIg bound to the surface of human and mouse CD4 + Foxp3 + regulatory T cells (Tregs). IVIg binding resulted in functional activation of Tregs, as detected by increased expression of surface activation markers, enhanced ZAP70-phosphorylation, and increased capacity to suppress allogeneic T-cell proliferation. IVIg inhibited allogeneic T-cell proliferation in the presence of Tregs, but this effect was abrogated on selective depletion of CD25 + cells from responder T cells. IVIg prevented T-cell-mediated rejection of fully mismatched skin grafts in CBA/RAG1 -/- mice reconstituted with CD4 + T cells, but this effect was lost on selective depletion of CD4 + CD25 + cells from transferred T cells, indicating that IVIg induced dominant allograft protection mediated by Tregs. Conclusions. Our data show that IVIg suppress allogeneic T-cell responses by direct activation of Tregs. IVIg treatment, which has been proven safe, may have therapeutic potential in tolerance-inducing strategies in transplant medicine.
- Published
- 2010
- Full Text
- View/download PDF