1. Lung transplant acceptance is facilitated by early events in the graft and is associated with lymphoid neogenesis.
- Author
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Li W, Bribriesco AC, Nava RG, Brescia AA, Ibricevic A, Spahn JH, Brody SL, Ritter JH, Gelman AE, Krupnick AS, Miller MJ, and Kreisel D
- Subjects
- Animals, Antibodies, Monoclonal administration & dosage, CD11c Antigen metabolism, Dendritic Cells drug effects, Forkhead Transcription Factors metabolism, Graft Survival drug effects, Humans, Immune Tolerance drug effects, Interleukin-2 Receptor alpha Subunit immunology, Lymphocyte Depletion, Lymphoid Tissue drug effects, Lymphoid Tissue growth & development, Mice, Mice, Inbred BALB C, Mice, Inbred C57BL, Mice, Inbred CBA, Models, Animal, Reoperation, T-Lymphocytes drug effects, T-Lymphocytes, Regulatory drug effects, Dendritic Cells immunology, Lung Transplantation immunology, Lymphoid Tissue immunology, T-Lymphocytes immunology, T-Lymphocytes, Regulatory immunology
- Abstract
Early immune responses are important in shaping long-term outcomes of human lung transplants. To examine the role of early immune responses in lung rejection and acceptance, we developed a method to retransplant mouse lungs. Retransplantation into T-cell-deficient hosts showed that for lungs and hearts alloimmune responses occurring within 72 h of transplantation are reversible. In contrast to hearts, a 72-h period of immunosuppression with costimulation blockade in primary allogeneic recipients suffices to prevent rejection of lungs upon retransplantation into untreated allogeneic hosts. Long-term lung acceptance is associated with induction of bronchus-associated lymphoid tissue, where Foxp3(+) cells accumulate and recipient T cells interact with CD11c(+) dendritic cells. Acceptance of retransplanted lung allografts is abrogated by treatment of immunosuppressed primary recipients with anti-CD25 antibodies. Thus, events contributing to lung transplant acceptance are established early in the graft and induction of bronchus-associated lymphoid tissue can be associated with an immune quiescent state.
- Published
- 2012
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