[HTML][HTML] Graft-infiltrating host dendritic cells play a key role in organ transplant rejection

Q Zhuang, Q Liu, SJ Divito, Q Zeng, KM Yatim… - Nature …, 2016 - nature.com
Q Zhuang, Q Liu, SJ Divito, Q Zeng, KM Yatim, AD Hughes, DM Rojas-Canales, A Nakao…
Nature communications, 2016nature.com
Successful engraftment of organ transplants has traditionally relied on preventing the
activation of recipient (host) T cells. Once T-cell activation has occurred, however, stalling
the rejection process becomes increasingly difficult, leading to graft failure. Here we
demonstrate that graft-infiltrating, recipient (host) dendritic cells (DCs) play a key role in
driving the rejection of transplanted organs by activated (effector) T cells. We show that
donor DCs that accompany heart or kidney grafts are rapidly replaced by recipient DCs. The …
Abstract
Successful engraftment of organ transplants has traditionally relied on preventing the activation of recipient (host) T cells. Once T-cell activation has occurred, however, stalling the rejection process becomes increasingly difficult, leading to graft failure. Here we demonstrate that graft-infiltrating, recipient (host) dendritic cells (DCs) play a key role in driving the rejection of transplanted organs by activated (effector) T cells. We show that donor DCs that accompany heart or kidney grafts are rapidly replaced by recipient DCs. The DCs originate from non-classical monocytes and form stable, cognate interactions with effector T cells in the graft. Eliminating recipient DCs reduces the proliferation and survival of graft-infiltrating T cells and abrogates ongoing rejection or rejection mediated by transferred effector T cells. Therefore, host DCs that infiltrate transplanted organs sustain the alloimmune response after T-cell activation has already occurred. Targeting these cells provides a means for preventing or treating rejection.
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