Alloantibodies prevent the induction of transplantation tolerance by enhancing alloreactive T cell priming

AM Burns, AS Chong - The Journal of Immunology, 2011 - journals.aai.org
AM Burns, AS Chong
The Journal of Immunology, 2011journals.aai.org
Circulating alloantibodies in transplant recipients are often associated with increased Ab-
mediated as well as cellular rejection. We tested the hypothesis that alloantibodies facilitate
cellular rejection by functioning as opsonins to enhance T cell activation using a BALB/c to
C57BL/6 heart or skin transplant model. Long-term heart and skin survival induced with anti-
CD154 alone or in combination with donor-specific transfusion (DST), respectively, was
abrogated by the presence of anti-K d mAbs, and alloreactive T cell activation as well as …
Abstract
Circulating alloantibodies in transplant recipients are often associated with increased Ab-mediated as well as cellular rejection. We tested the hypothesis that alloantibodies facilitate cellular rejection by functioning as opsonins to enhance T cell activation using a BALB/c to C57BL/6 heart or skin transplant model. Long-term heart and skin survival induced with anti-CD154 alone or in combination with donor-specific transfusion (DST), respectively, was abrogated by the presence of anti-K d mAbs, and alloreactive T cell activation as well as acute rejection was observed. The prevention of graft acceptance in the skin model was dependent on anti-K d binding to and converting DST from tolerigenic to immunogenic. Adoptive transfer of CFSE-labeled TCR-transgenic T cells into B6 recipients treated with anti-CD154/DST revealed the ability of anti-K d to enhance the proliferation of anti–K d-specific T cells via the indirect pathway as well as of non–K d-reactive, recipient MHC-restricted CD4+ and CD8+ T cells. Thus, alloantibodies with restricted specificity are able to facilitate the indirect presentation as well as the cross-presentation of a larger repertoire of “linked” donor-derived Ags. These observations highlight the ability of alloantibodies to function not only in classical humoral rejection but also as opsonins that facilitate the CD40-CD154–independent activation of alloreactive T cells.
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