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Department of Surgery, University of Glasgow, Scotland, United Kingdom
Recent studies in the rat have identified a role for T
cell-dependent alloantibody in rejection of MHC class I-disparate
allografts. RT1Aa-disparate PVG.R8 heart grafts are
rejected acutely in naive, and hyperacutely in sensitized,
PVG.RT1u recipients by CD4 T cell-dependent alloantibody.
Here, we examined the T cell Ag recognition pathways responsible and
show that direct injection into skeletal muscle of plasmid DNA,
encoding a water-soluble form of the RT1Aa MHC class I
heavy chain (pcmu-tAa), stimulates IgG2b cytotoxic
alloantibody and markedly accelerates rejection of PVG.R8 heart grafts
(median survival time 2 days). pcmu-tAa injection did not
induce CTL to Aa, arguing against direct allorecognition of
soluble Aa. Treatment with mAbs confirmed that the
alloimmune response to pcmu-tAa injection depended on CD4,
not CD8, T cells. Priming T cells for indirect allorecognition by
injection of 15-mer peptides spanning the
1 and
2 domains of
Aa failed to stimulate anti-Aa Ab but
caused an accelerated Ab response to a PVG.R8 heart and a modest
acceleration in graft rejection (median survival time 4 days). These
results suggest that both soluble MHC class I and allopeptides prime
CD4 T cells by the indirect pathway, but that soluble class I is a more
effective immunogen for humoral alloimmunity because its tertiary
protein structure provides B cell epitopes. We propose that priming
humoral alloimmunity, like CTL priming, requires recognition of intact
MHC on donor cells, but essential T cell help can be provided by CD4 T
cells recognizing allogeneic class I exclusively by the indirect
pathway.
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