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Erosion of Transplantation Tolerance After Infection

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机构: [1]Section of Transplantation, Department of Surgery, The University of Chicago, Chicago, IL [2]Department of Biological Sciences, Chicago State University, Chicago, IL [3]Section of Rheumatology, Department of Medicine, The University of Chicago, Chicago, IL [4]Current Address: Department of General Surgery, Division II, The First People’s Hospital of Yunnan Province, Kunming, China
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关键词: basic (laboratory) research science immunosuppression immune modulation animal models: murine infection and infectious agents bacterial tolerance: costimulation blockade tolerance: experimental

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Recent clinical studies suggest that operational allograft tolerance can be persistent, but long-term surviving allografts can be rejected in a subset of patients, sometimes after episodes of infection. In this study, we examined the impact of Listeria monocytogenes (Lm) infection on the quality of tolerance in a mouse model of heart allograft transplantation. Lm infection induced full rejection in 40% of tolerant recipients, with the remaining experiencing a rejection crisis or no palpable change in their allografts. In the surviving allografts on day 8 postinfection, graft-infiltrating cell numbers increased and exhibited a loss in the tolerance gene signature. By day 30 postinfection, the tolerance signature was broadly restored, but with a discernible reduction in the expression of a subset of 234 genes that marked tolerance and was down-regulated at day 8 post-Lm infection. We further demonstrated that the tolerant state after Lm infection was functionally eroded, as rejection of the long-term surviving graft was induced with anti-PD-L1 whereas the same treatment had no effect in noninfected tolerant mice. Collectively, these observations demonstrate that tolerance, even if initially robust, exists as a continuum that can be eroded following bystander immune responses that accompany certain infections. Young etal report that tolerance to allografts in a mouse model exists within a mechanistic continuum that, even if initially robust, can be eroded following bystander immune responses that accompany certain infections.

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出版当年[2017]版:
大类 | 2 区 医学
小类 | 1 区 外科 1 区 移植
最新[2023]版:
大类 | 2 区 医学
小类 | 1 区 移植 2 区 外科
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出版当年[2016]版:
Q1 SURGERY Q1 TRANSPLANTATION
最新[2023]版:
Q1 SURGERY Q1 TRANSPLANTATION

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [1]Section of Transplantation, Department of Surgery, The University of Chicago, Chicago, IL
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