1. Peritransplant VLA-4 blockade inhibits endogenous memory CD8 T cell infiltration into high-risk cardiac allografts and CTLA-4Ig resistant rejection
- Author
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Shoichi Iida, Toyofumi Abe, Kazunari Tanabe, William M. Baldwin, Robert L. Fairchild, Nina Dvorina, Satoshi Miyairi, Charles A. Su, and Ryo Abe
- Subjects
Graft Rejection ,0301 basic medicine ,Heterologous ,Priming (immunology) ,chemical and pharmacologic phenomena ,Inflammation ,Endogeny ,CD8-Positive T-Lymphocytes ,Integrin alpha4beta1 ,030230 surgery ,Article ,Mice ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Animals ,Transplantation, Homologous ,Immunology and Allergy ,Cytotoxic T cell ,CTLA-4 Antigen ,Pharmacology (medical) ,Transplantation ,business.industry ,Alloimmunity ,medicine.disease ,Blockade ,Mice, Inbred C57BL ,surgical procedures, operative ,030104 developmental biology ,Immunology ,Heart Transplantation ,medicine.symptom ,business ,Immunologic Memory ,Infiltration (medical) - Abstract
Recipient endogenous memory CD8 T cells expressing reactivity to donor class I MHC infiltrate MHC-mismatched cardiac allografts within 24 hours after reperfusion and express effector functions mediating graft injury. The current study tested the efficacy of Very Late Antigen-4 (VLA-4) blockade to inhibit endogenous memory CD8 T cell infiltration into cardiac allografts and attenuate early posttransplant inflammation. Peritransplant anti-VLA-4 mAb given to C57BL6 (H-2b ) recipients of AJ (H-2a ) heart allografts completely inhibited endogenous memory CD4 and CD8 T cell infiltration with significant decrease in macrophage, but not neutrophil, infiltration into allografts subjected to either minimal or prolonged cold ischemic storage (CIS) prior to transplant, reduced intra-allograft IFN-γ-induced gene expression and prolonged survival of allografts subjected to prolonged CIS in CTLA-4Ig treated recipients. Anti-VLA-4 mAb also inhibited priming of donor-specific T cells producing IFN-γ until at least day 7 posttransplant. Peritransplant anti-VLA plus anti-CD154 mAb treatment similarly prolonged survival of allografts subjected to minimal or increased CIS prior to transplant. Overall, these data indicate that peritransplant anti-VLA-4 mAb inhibits early infiltration memory CD8 T cell infiltration into allografts with a marked reduction in early graft inflammation suggesting an effective strategy to attenuate negative effects of heterologous alloimmunity in recipients of higher risk grafts.
- Published
- 2019
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