CD1d blockade suppresses the capacity of immature dendritic cells to prime allogeneic T cell response.

BACKGROUND: Dendritic cells (DCs) are the principal antigen-presenting cells involved in primary immune response and immunoregulation. The function of DCs is believed to depend on their degree of maturation. Mature DCs activate immune responses, whereas immature DCs (imDCs) tend to induce immune tolerance. CD1 is involved in regulating the development of imDCs, which have important roles in initiating or suppressing the immune response after transplantation. MATERIALS AND METHODS: We used male BALB/c mice and C57BL/6 mice (aged 8-10 wk, 18-22 g). We isolated and purified T lymphocytes from mouse spleen. Immature DCs modified by viral delivery of interleukin-10 (IL-10) were stimulated with granulocyte macrophage colony-stimulating factor and lipopolysaccharide (LPS) and treated with anti-CD1d in vitro. We used mixed lymphocyte cultures to evaluate the heterogeneity of T lymphocyte response. We also examined the proliferation of T lymphocytes and the expression of cytokines. RESULTS: CD1d blockade did not impair granulocyte macrophage colony-stimulating factor and LPS-stimulated DC maturation. We observed a dramatic increase in allogeneic T lymphocyte proliferation (stimulation index) at all tested responder-stimulator ratios in response to imDCs cultured in the presence of LPS (P < 0.05). CD1d has an important role in imDC-primed T cell response (P < 0.05). CD1d blockade reduced the capacity of imDCs to prime allogeneic T cells. T cells pre-sensitized by LPS-stimulated imDCs showed remarkably elevated proliferation in response to T cells from either BALB/c or C57BL/6 mice (P < 0.01). We observed a significant decrease in the proliferation of T cells pre-sensitized by stimulated imDCs after CD1d blockade. Lipopolysaccharide stimulation caused elevated the production of IL-12 and tumor necrosis factor-α (TNF-α) (P < 0.01) and decreased the secretion of IL-10 (P < 0.05). The addition of CD1d neutralization antibody did not significantly change the concentrations of IL-12, TNF-α, or IL-10 produced by imDCs cultured in the presence of LPS (P > 0.05). CONCLUSIONS: Blockade of CD1d impaired the ability of imDCs to stimulate allogeneic T cell response. By reduced T cell proliferation, the secretion of IL-12 and TNF-α decreased and production of a T-helper type 2 cytokine IL-10 increased, which indicates the potential of CD1d blockade as a method to induce immune tolerance to allograft antigens in transplantation.

Anti-rejection effect of ethanol extract of Poria cocos wolf in rats after cardiac allograft implantation.

BACKGROUND: A living fetus within the maternal uterus provides an example of allogene tolerance in mammals. Poria cocos Wolf is the main component of many Chinese medicinal combination drugs that have therapeutic effects on recurrent spontaneous abortion and that can maintain pregnancy until delivery. It was hypothesized that this herbal medicine can also prolong allograft survival after organ transplantation. Here, in an in vivo study, we report the anti-rejection effect of the ethanol extract of Poria cocos Wolf (EEPCW) in rats after cardiac allograft implantation. METHODS: Ten normal rats were healthy controls. Eighty rats receiving homologous heart transplants were divided into 4 groups of 20 rats each based on type of treatment: olive oil 8 ml.kg(-1).d(-1), EEPCW 25 mg.kg(-1).d(-1), EEPCW 50 mg.kg(-1).d(-1) or cyclosporin A 5 mg.kg(-1).d(-1). Allograft survival was observed in 10 rats from each group. On the seventh day post transplantation, pathological lesions and percentages of CD3+, CD4+, and CD8+ lymphocytes and the CD4+/CD8+ ratio in peripheral blood were assessed in another 10 rats from each group and in 10 normal rats. RESULTS: The survival time of donor hearts in the two EEPCW groups was significantly prolonged, to (15.9 +/- 2.4) days and (30.0 +/- 0.0) days, respectively, compared with (6.7 +/- 0.8) days in the control group. Pathological lesions in the two EEPCW groups were also less severe, and the percentages of CD3+, CD4+, and CD8+ lymphocytes and CD4+/CD8+ ratio were significantly lower in the EEPCW groups. CONCLUSIONS: Acute rejection of heart transplants and cellular immune reaction can be effectively suppressed using the EEPCW. Taking advantage of novel immunosuppressants derived from Chinese medicinal herbs used to treat abnormal pregnancy provides a hopeful road for future research and treatment in organ transplantation.