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In vivo prevention of transplant arteriosclerosis by ex vivo-expanded human regulatory T cells

Nadig, Satish N ; Wieckiewicz, Joanna ; Wu, Douglas C ; Warnecke, Gregor ; Zhang, Wei ; Luo, Shiqiao ; Schiopu, Alexandru LU ; Taggart, David P and Wood, Kathryn J (2010) In Nature Medicine 16(7). p.809-813
Abstract

Transplant arteriosclerosis is the hallmark of chronic allograft dysfunction (CAD) affecting transplanted organs in the long term. These fibroproliferative lesions lead to neointimal thickening of arteries in all transplanted allografts. Luminal narrowing then leads to graft ischemia and organ demise. To date, there are no known tolerance induction strategies that prevent transplant arteriosclerosis. Therefore, we designed this study to test the hypothesis that human regulatory T cells (T(reg) cells) expanded ex vivo can prevent transplant arteriosclerosis. Here we show the comparative capacity of T(reg) cells, sorted via two separate strategies, to prevent transplant arteriosclerosis in a clinically relevant chimeric humanized mouse... (More)

Transplant arteriosclerosis is the hallmark of chronic allograft dysfunction (CAD) affecting transplanted organs in the long term. These fibroproliferative lesions lead to neointimal thickening of arteries in all transplanted allografts. Luminal narrowing then leads to graft ischemia and organ demise. To date, there are no known tolerance induction strategies that prevent transplant arteriosclerosis. Therefore, we designed this study to test the hypothesis that human regulatory T cells (T(reg) cells) expanded ex vivo can prevent transplant arteriosclerosis. Here we show the comparative capacity of T(reg) cells, sorted via two separate strategies, to prevent transplant arteriosclerosis in a clinically relevant chimeric humanized mouse system. We found that the in vivo development of transplant arteriosclerosis in human arteries was prevented by treatment of ex vivo-expanded human T(reg) cells. Additionally, we show that T(reg) cells sorted on the basis of low expression of CD127 provide a more potent therapy to conventional T(reg) cells. Our results demonstrate that human T(reg) cells can inhibit transplant arteriosclerosis by impairing effector function and graft infiltration. We anticipate our findings to serve as a foundation for the clinical development of therapeutics targeting transplant arteriosclerosis in both allograft transplantation and other immune-mediated causes of vasculopathy.

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author
; ; ; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Animals, Aorta, Abdominal/surgery, Arteriosclerosis/immunology, CD4-Positive T-Lymphocytes/immunology, Cell Separation, Graft Rejection, Interferon-gamma/metabolism, Interleukin-2 Receptor alpha Subunit/metabolism, Interleukin-7 Receptor alpha Subunit/metabolism, Leukocytes, Mononuclear/transplantation, Mammary Arteries/transplantation, Mice, Mice, Inbred BALB C, T-Lymphocytes, Regulatory/immunology
in
Nature Medicine
volume
16
issue
7
pages
809 - 813
publisher
Nature Publishing Group
external identifiers
  • scopus:77954539326
  • pmid:20473306
ISSN
1546-170X
DOI
10.1038/nm.2154
language
English
LU publication?
no
id
60e7e33b-c5c8-4768-bc14-b6d83201609e
date added to LUP
2023-03-10 12:13:28
date last changed
2024-04-18 19:22:25
@article{60e7e33b-c5c8-4768-bc14-b6d83201609e,
  abstract     = {{<p>Transplant arteriosclerosis is the hallmark of chronic allograft dysfunction (CAD) affecting transplanted organs in the long term. These fibroproliferative lesions lead to neointimal thickening of arteries in all transplanted allografts. Luminal narrowing then leads to graft ischemia and organ demise. To date, there are no known tolerance induction strategies that prevent transplant arteriosclerosis. Therefore, we designed this study to test the hypothesis that human regulatory T cells (T(reg) cells) expanded ex vivo can prevent transplant arteriosclerosis. Here we show the comparative capacity of T(reg) cells, sorted via two separate strategies, to prevent transplant arteriosclerosis in a clinically relevant chimeric humanized mouse system. We found that the in vivo development of transplant arteriosclerosis in human arteries was prevented by treatment of ex vivo-expanded human T(reg) cells. Additionally, we show that T(reg) cells sorted on the basis of low expression of CD127 provide a more potent therapy to conventional T(reg) cells. Our results demonstrate that human T(reg) cells can inhibit transplant arteriosclerosis by impairing effector function and graft infiltration. We anticipate our findings to serve as a foundation for the clinical development of therapeutics targeting transplant arteriosclerosis in both allograft transplantation and other immune-mediated causes of vasculopathy.</p>}},
  author       = {{Nadig, Satish N and Wieckiewicz, Joanna and Wu, Douglas C and Warnecke, Gregor and Zhang, Wei and Luo, Shiqiao and Schiopu, Alexandru and Taggart, David P and Wood, Kathryn J}},
  issn         = {{1546-170X}},
  keywords     = {{Animals; Aorta, Abdominal/surgery; Arteriosclerosis/immunology; CD4-Positive T-Lymphocytes/immunology; Cell Separation; Graft Rejection; Interferon-gamma/metabolism; Interleukin-2 Receptor alpha Subunit/metabolism; Interleukin-7 Receptor alpha Subunit/metabolism; Leukocytes, Mononuclear/transplantation; Mammary Arteries/transplantation; Mice; Mice, Inbred BALB C; T-Lymphocytes, Regulatory/immunology}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{809--813}},
  publisher    = {{Nature Publishing Group}},
  series       = {{Nature Medicine}},
  title        = {{In vivo prevention of transplant arteriosclerosis by ex vivo-expanded human regulatory T cells}},
  url          = {{http://dx.doi.org/10.1038/nm.2154}},
  doi          = {{10.1038/nm.2154}},
  volume       = {{16}},
  year         = {{2010}},
}