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Tracking of TCR-Transgenic T Cells Reveals That Multiple Mechanisms Maintain Cardiac Transplant Tolerance in Mice

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机构: [1]Section of Rheumatology, Department of Medicine, The University of Chicago, Chicago, IL [2]Section of Transplantation, Department of Surgery, The University of Chicago, Chicago, IL [3]Department of Biological Sciences, Chicago State University, Chicago, IL [4]Department of General Surgery, Division II, The First People’s Hospital of Yunnan Province, Kunming, Yunnan, China
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Solid organ transplantation tolerance can be achieved following select transient immunosuppressive regimens that result in long-lasting restraint of alloimmunity without affecting responses to other antigens. Transplantation tolerance has been observed in animal models following costimulation or coreceptor blockade therapies, and in a subset of patients through induction protocols that include donor bone marrow transplantation, or following withdrawal of immunosuppression. Previous data from our lab and others have shown that proinflammatory interventions that successfully prevent the induction of transplantation tolerance in mice often fail to break tolerance once it has been stably established. This suggests that established tolerance acquires resilience to proinflammatory insults, and prompted us to investigate the mechanisms that maintain a stable state of robust tolerance. Our results demonstrate that only a triple intervention of depleting CD25(+) regulatory T cells (Tregs), blocking programmed death ligand-1 (PD-L1) signals, and transferring low numbers of alloreactive T cells was sufficient to break established tolerance. We infer from these observations that Tregs and PD-1/PD-L1 signals cooperate to preserve a low alloreactive T cell frequency to maintain tolerance. Thus, therapeutic protocols designed to induce multiple parallel mechanisms of peripheral tolerance may be necessary to achieve robust transplantation tolerance capable of maintaining one allograft for life in the clinic.

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出版当年[2016]版:
大类 | 2 区 医学
小类 | 1 区 外科 2 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[2015]版:
Q1 TRANSPLANTATION Q1 SURGERY
最新[2023]版:
Q1 SURGERY Q1 TRANSPLANTATION

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