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Is Critical for Long-Term Allograft Survival Induced by Blocking the CD28 and CD40 Ligand T Cell Costimulation Pathways1




The Carlos and Marguerite Mason Transplantation Research Center,
*
Renal Division, Department of Medicine and
Department of Surgery, Emory University School of Medicine and Veterans Affairs Medical Center, Atlanta, GA 30033;
Bristol-Myers Squibb Pharmaceutical Research Institute, Seattle, WA 98121; and
§
Pathology and Laboratory Medicine, Veterans Affairs Medical Center and State University of New York, Buffalo, NY 14215
It is postulated that IFN-
production hinders long-term
acceptance of transplanted organs. To test this hypothesis, we compared
survival of skin and heart allografts in wild-type
(IFN-
+/+) mice to that in IFN-
gene knockout
(IFN-
-/-) mice. We found that perioperative blockade
of the CD28 and/or CD40 ligand T cell costimulation pathways induces
long-term skin and heart allograft survival in IFN-
+/+
recipients but fails to do so in IFN-
-/- mice or in
wild-type mice treated with IFN-
-neutralizing Ab at the time of
transplantation. In vitro studies showed that endogenously produced
IFN-
down-regulates T cell proliferation and CTL generation in MLCs.
These actions of IFN-
were not mediated by TNF-
production or
Fas-Fas ligand interactions. In vivo studies revealed exaggerated
expansion and, subsequently, impaired deletion of superantigen-reactive
T lymphocytes in IFN-
-/- mice injected with
staphylococcal enterotoxin B. Taken together, our findings indicate
that IFN-
does not hinder but instead facilitates induction of
long-term allograft survival possibly by limiting expansion of
activated T cells.
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