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*Substance via MeSH
Medline Plus Health Information
*Autoimmune Diseases
*Cardiomyopathy
*Heart Transplantation
The Journal of Immunology, 1999, 162: 6836-6842.
Copyright © 1999 by The American Association of Immunologists

De Novo Autoimmunity to Cardiac Myosin After Heart Transplantation and Its Contribution to the Rejection Process1

Eugenia V. Fedoseyeva2,*, Feng Zhang{dagger}, Patricia L. Orr*, David Levin{ddagger}, Harry J. Buncke{dagger} and Gilles Benichou2,3,*

* Department of Surgery and Immunogenetics and Transplantation Laboratory, {dagger} Microsurgical Laboratory, and {ddagger} Department of Pathology, Davies Medical Center, University of California School of Medicine, San Francisco, CA 94114.

Allograft rejection is initiated by an immune response to donor MHC proteins. We recently reported that this response can result in breakdown of immune tolerance to a recipient self Ag. However, the contribution of this autoimmune response to graft rejection has yet to be determined. Here, we found that after mouse allogeneic heart transplantation, de novo CD4+ T cell and B cell autoimmune response to cardiac myosin (CM), a major contractile protein of cardiac muscle, is elicited in recipients. Importantly, CM is the autoantigen that causes autoimmune myocarditis, a heart autoimmune disease whose histopathological features resemble those observed in rejected cardiac transplants. Furthermore, T cell responses directed to CM peptide myhc{alpha} 334–352, a known myocarditogenic determinant, were detected in heart-transplanted mice. No responses to CM were observed in mice that had received an allogeneic skin graft or a syngeneic heart transplant, demonstrating that this response is tissue specific and that allogeneic response is necessary to break tolerance to CM. Next, we showed that sensitization of recipient mice with CM markedly accelerates the rejection of allogeneic heart. Therefore, posttransplant autoimmune response to CM is relevant to the rejection process. We conclude that transplantation-induced autoimmune response to CM represents a new mechanism that may play a significant role in cardiac transplant rejection.




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