The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Heeger, P. S.
Right arrow Articles by Tary-Lehmann, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Heeger, P. S.
Right arrow Articles by Tary-Lehmann, M.
The Journal of Immunology, 1999, 163: 2267-2275.
Copyright © 1999 by The American Association of Immunologists

Pretransplant Frequency of Donor-Specific, IFN-{gamma}-Producing Lymphocytes Is a Manifestation of Immunologic Memory and Correlates with the Risk of Posttransplant Rejection Episodes

Peter S. Heeger*,{dagger}, Neil S. Greenspan{dagger}, Shannon Kuhlenschmidt*, Cora Dejelo§, Donald E. Hricik*, James A. Schulak{ddagger} and Magdalena Tary-Lehmann1,{dagger}

Departments of * Medicine, {dagger} Pathology, and {ddagger} Surgery and § Histocompatibility Laboratory, University Hospitals of Cleveland, Cleveland Veterans Affairs Medical Center and Case Western Reserve University, Cleveland, OH, 44106

While matching for MHC Ags improves renal allograft survival, closely matched grafts sometimes fail due to rejection, and poorly matched allografts are often well tolerated by the recipient. The severity of the rejection process may partially depend on the presence of environmentally primed T cells in the recipient that cross-react with donor Ags. To test for the presence of primed, donor-specific T cells in humans before transplantation, we used an enzyme-linked immunospot assay for detection of allospecific cytokines produced by individual human PBLs. We demonstrate that this approach detects cytokine production at single cell resolution and detects production of IFN-{gamma} only when there is defined immunologic priming, thus representing a measure of primed donor-specific immunity. Because the environmental Ag exposure of the recipient is not a function of the HLA mismatch between donor and potential recipient, the number of HLA mismatches may not correlate with the frequency of pretransplant, donor-specific IFN-{gamma}-producing PBLs. Studies of donor-specific IFN-{gamma}-producing lymphocytes in a cohort of patients being evaluated for renal transplantation corroborated this hypothesis. Moreover, for recipients of both living and cadaver renal allografts, the pretransplant frequency of donor-specific memory cells correlated with the posttransplant risk of developing acute rejection episodes. This improved ability to define the strength of the allospecific immune response by enzyme-linked immunospot assay may allow improved pairing of recipients with donors and identification of kidney allograft donor-recipient pairs at high risk for acute rejection, thus permitting targeted interventions aimed at prolonging graft survival.




This article has been cited by other articles:


Home page
J. Leukoc. Biol.Home page
A. E. Anderson, B. L. Sayers, M. A. Haniffa, D. J. Swan, J. Diboll, X.-N. Wang, J. D. Isaacs, and C. M. U. Hilkens
Differential regulation of naive and memory CD4+ T cells by alternatively activated dendritic cells
J. Leukoc. Biol., July 1, 2008; 84(1): 124 - 133.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
O. Bestard, P. Nickel, J. M. Cruzado, C. Schoenemann, O. Boenisch, A. Sefrin, J. M. Grinyo, H.-D. Volk, and P. Reinke
Circulating Alloreactive T Cells Correlate with Graft Function in Longstanding Renal Transplant Recipients
J. Am. Soc. Nephrol., July 1, 2008; 19(7): 1419 - 1429.
[Full Text] [PDF]


Home page
Int ImmunolHome page
B. Metzler, P. Gfeller, G. Wieczorek, J. Li, B. Nuesslein-Hildesheim, A. Katopodis, M. Mueller, and V. Brinkmann
Modulation of T cell homeostasis and alloreactivity under continuous FTY720 exposure
Int. Immunol., May 1, 2008; 20(5): 633 - 644.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Crit. Care Med.Home page
J. L. Bobadilla, R. B. Love, E. Jankowska-Gan, Q. Xu, L. D. Haynes, R. K. Braun, M. S. Hayney, A. Munoz del Rio, K. Meyer, D. S. Greenspan, et al.
Th-17, Monokines, Collagen Type V, and Primary Graft Dysfunction in Lung Transplantation
Am. J. Respir. Crit. Care Med., March 15, 2008; 177(6): 660 - 668.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
T. Wang, H. Dai, N. Wan, Y. Moore, and Z. Dai
The Role for Monocyte Chemoattractant Protein-1 in the Generation and Function of Memory CD8+ T Cells
J. Immunol., March 1, 2008; 180(5): 2886 - 2893.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
N. Wan, H. Dai, T. Wang, Y. Moore, X. X. Zheng, and Z. Dai
Bystander Central Memory but Not Effector Memory CD8+ T Cells Suppress Allograft Rejection
J. Immunol., January 1, 2008; 180(1): 113 - 121.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
S. L. Shiao, N. C. Kirkiles-Smith, B. R. Shepherd, J. M. McNiff, E. J. Carr, and J. S. Pober
Human Effector Memory CD4+ T Cells Directly Recognize Allogeneic Endothelial Cells In Vitro and In Vivo
J. Immunol., October 1, 2007; 179(7): 4397 - 4404.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
O. Bestard, J. M. Cruzado, M. Mestre, A. Caldes, J. Bas, M. Carrera, J. Torras, I. Rama, F. Moreso, D. Seron, et al.
Achieving Donor-Specific Hyporesponsiveness Is Associated with FOXP3+ Regulatory T Cell Recruitment in Human Renal Allograft Infiltrates
J. Immunol., October 1, 2007; 179(7): 4901 - 4909.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
C. L. O'Keefe, L. Gondek, R. Davis, E. Kuczkowski, R. M. Sobecks, A. Rodriguez, Y. Narvaez, Z. McIver, R. Tuthill, M. Laughlin, et al.
Molecular Analysis of Alloreactive CTL Post-Hemopoietic Stem Cell Transplantation
J. Immunol., August 1, 2007; 179(3): 2013 - 2022.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
A. Valujskikh and X. C. Li
Frontiers in Nephrology: T Cell Memory as a Barrier to Transplant Tolerance
J. Am. Soc. Nephrol., August 1, 2007; 18(8): 2252 - 2261.
[Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
L. K. Selin and M. A. Brehm
Frontiers in Nephrology: Heterologous Immunity, T Cell Cross-Reactivity, and Alloreactivity
J. Am. Soc. Nephrol., August 1, 2007; 18(8): 2268 - 2277.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
J. J. Augustine, E. D. Poggio, M. Clemente, M. I. Aeder, K. A. Bodziak, J. A. Schulak, P. S. Heeger, and D. E. Hricik
Hemodialysis Vintage, Black Ethnicity, and Pretransplantation Antidonor Cellular Immunity in Kidney Transplant Recipients
J. Am. Soc. Nephrol., May 1, 2007; 18(5): 1602 - 1606.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
Z. Liu, H. Dai, N. Wan, T. Wang, S. Bertera, M. Trucco, and Z. Dai
Suppression of Memory CD8 T Cell Generation and Function by Tryptophan Catabolism
J. Immunol., April 1, 2007; 178(7): 4260 - 4266.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
M. A. Brehm, J. Mangada, T. G. Markees, T. Pearson, K. A. Daniels, T. B. Thornley, R. M. Welsh, A. A. Rossini, and D. L. Greiner
Rapid quantification of naive alloreactive T cells by TNF-{alpha} production and correlation with allograft rejection in mice
Blood, January 15, 2007; 109(2): 819 - 826.
[Abstract] [Full Text] [PDF]


Home page
Int ImmunolHome page
Y. S. Kim, S. H. Yang, H. G. Kang, E. Y. Seong, S. H. Lee, W. Gao, J. Kenny, X. X. Zheng, and T. B. Strom
Distinctive role of donor strain immature dendritic cells in the creation of allograft tolerance
Int. Immunol., December 1, 2006; 18(12): 1771 - 1777.
[Abstract] [Full Text] [PDF]


Home page
CJASNHome page
R. B. Mannon and A. D. Kirk
Beyond Histology: Novel Tools to Diagnose Allograft Dysfunction
Clin. J. Am. Soc. Nephrol., May 1, 2006; 1(3): 358 - 366.
[Abstract] [Full Text] [PDF]


Home page
CJASNHome page
L. Gallon, E. Gagliardini, A. Benigni, D. Kaufman, A. Waheed, M. Noris, and G. Remuzzi
Immunophenotypic Analysis of Cellular Infiltrate of Renal Allograft Biopsies in Patients with Acute Rejection after Induction with Alemtuzumab (Campath-1H)
Clin. J. Am. Soc. Nephrol., May 1, 2006; 1(3): 539 - 545.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
B. Koehn, S. Gangappa, J. D. Miller, R. Ahmed, and C. P. Larsen
Patients, pathogens, and protective immunity: the relevance of virus-induced alloreactivity in transplantation.
J. Immunol., March 1, 2006; 176(5): 2691 - 2696.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
M. D. Vu, M. R. Clarkson, H. Yagita, L. A. Turka, M. H. Sayegh, and X. C. Li
Critical, but Conditional, Role of OX40 in Memory T Cell-Mediated Rejection
J. Immunol., February 1, 2006; 176(3): 1394 - 1401.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
E. D. Poggio, M. Clemente, D. E. Hricik, and P. S. Heeger
Panel of Reactive T Cells as a Measurement of Primed Cellular Alloimmunity in Kidney Transplant Candidates
J. Am. Soc. Nephrol., February 1, 2006; 17(2): 564 - 572.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
J. Iacomini and M. H. Sayegh
Measuring T Cell Alloreactivity to Predict Kidney Transplant Outcomes: Are We There Yet?
J. Am. Soc. Nephrol., February 1, 2006; 17(2): 328 - 330.
[Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
H. Andree, P. Nickel, C. Nasiadko, M. H. Hammer, C. Schonemann, A. Pruss, H.-D. Volk, and P. Reinke
Identification of Dialysis Patients with Panel-Reactive Memory T Cells before Kidney Transplantation Using an Allogeneic Cell Bank
J. Am. Soc. Nephrol., February 1, 2006; 17(2): 573 - 580.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
Q. Zhang, Y. Chen, R. L. Fairchild, P. S. Heeger, and A. Valujskikh
Lymphoid Sequestration of Alloreactive Memory CD4 T Cells Promotes Cardiac Allograft Survival
J. Immunol., January 15, 2006; 176(2): 770 - 777.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
D. Baeten, S. Louis, C. Braud, C. Braudeau, C. Ballet, F. Moizant, A. Pallier, M. Giral, S. Brouard, and J.-P. Soulillou
Phenotypically and Functionally Distinct CD8+ Lymphocyte Populations in Long-Term Drug-Free Tolerance and Chronic Rejection in Human Kidney Graft Recipients
J. Am. Soc. Nephrol., January 1, 2006; 17(1): 294 - 304.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
S. L. Shiao, J. M. McNiff, and J. S. Pober
Memory T Cells and Their Costimulators in Human Allograft Injury
J. Immunol., October 15, 2005; 175(8): 4886 - 4896.
[Abstract] [Full Text] [PDF]


Home page
GutHome page
R P Anderson, D A van Heel, J A Tye-Din, M Barnardo, M Salio, D P Jewell, and A V S Hill
T cells in peripheral blood after gluten challenge in coeliac disease
Gut, September 1, 2005; 54(9): 1217 - 1223.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
I. A. Hauser, S. Spiegler, E. Kiss, S. Gauer, O. Sichler, E. H. Scheuermann, H. Ackermann, J. M. Pfeilschifter, H. Geiger, H.-J. Grone, et al.
Prediction of Acute Renal Allograft Rejection by Urinary Monokine Induced by IFN-{gamma} (MIG)
J. Am. Soc. Nephrol., June 1, 2005; 16(6): 1849 - 1858.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
I. W. Nasr, Y. Wang, G. Gao, S. Deng, L. Diggs, D. M. Rothstein, G. Tellides, F. G. Lakkis, and Z. Dai
Testicular Immune Privilege Promotes Transplantation Tolerance by Altering the Balance between Memory and Regulatory T Cells
J. Immunol., May 15, 2005; 174(10): 6161 - 6168.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
E. D. Poggio, M. Clemente, J. Riley, M. Roddy, N. S. Greenspan, C. Dejelo, N. Najafian, M. H. Sayegh, D. E. Hricik, and P. S. Heeger
Alloreactivity in Renal Transplant Recipients with and without Chronic Allograft Nephropathy
J. Am. Soc. Nephrol., July 1, 2004; 15(7): 1952 - 1960.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
T. El-Sawy, M. Miura, and R. Fairchild
Early T Cell Response to Allografts Occuring Prior to Alloantigen Priming Up-Regulates Innate-Mediated Inflammation and Graft Necrosis
Am. J. Pathol., July 1, 2004; 165(1): 147 - 157.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
Y. Chen, P. S. Heeger, and A. Valujskikh
In Vivo Helper Functions of Alloreactive Memory CD4+ T Cells Remain Intact Despite Donor-Specific Transfusion and Anti-CD40 Ligand Therapy
J. Immunol., May 1, 2004; 172(9): 5456 - 5466.
[Abstract] [Full Text] [PDF]


Home page
Nephrol Dial TransplantHome page
F. G. Lakkis
Transplantation tolerance: a journey from ignorance to memory
Nephrol. Dial. Transplant., October 1, 2003; 18(10): 1979 - 1982.
[Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
F. G. Lakkis and M. H. Sayegh
Memory T Cells: A Hurdle to Immunologic Tolerance
J. Am. Soc. Nephrol., September 1, 2003; 14(9): 2402 - 2410.
[Full Text] [PDF]


Home page
J. Immunol.Home page
M. A. Brehm, T. G. Markees, K. A. Daniels, D. L. Greiner, A. A. Rossini, and R. M. Welsh
Direct Visualization of Cross-Reactive Effector and Memory Allo-Specific CD8 T Cells Generated in Response to Viral Infections
J. Immunol., April 15, 2003; 170(8): 4077 - 4086.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
M. Karpinski, D. Rush, J. Jeffery, D. Pochinco, D. Milley, and P. Nickerson
Heightened Peripheral Blood Lymphocyte CD69 Expression is Neither Sensitive nor Specific as a Noninvasive Diagnostic Test for Renal Allograft Rejection
J. Am. Soc. Nephrol., January 1, 2003; 14(1): 226 - 233.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
B. Pantenburg, F. Heinzel, L. Das, P. S. Heeger, and A. Valujskikh
T Cells Primed by Leishmania major Infection Cross-React with Alloantigens and Alter the Course of Allograft Rejection
J. Immunol., October 1, 2002; 169(7): 3686 - 3693.
[Abstract] [Full Text] [PDF]


Home page
Proc. Natl. Acad. Sci. USAHome page
G. Chalasani, Z. Dai, B. T. Konieczny, F. K. Baddoura, and F. G. Lakkis
Recall and propagation of allospecific memory T cells independent of secondary lymphoid organs
PNAS, April 30, 2002; 99(9): 6175 - 6180.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
N. Najafian, A. D. Salama, E. V. Fedoseyeva, G. Benichou, and M. H. Sayegh
Enzyme-Linked Immunosorbent Spot Assay Analysis of Peripheral Blood Lymphocyte Reactivity to Donor HLA-DR Peptides: Potential Novel Assay for Prediction of Outcomes for Renal Transplant Recipients
J. Am. Soc. Nephrol., January 1, 2002; 13(1): 252 - 259.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
P. S. Heeger and D. Hricik
Immune Monitoring in Kidney Transplant Recipients Revisited
J. Am. Soc. Nephrol., January 1, 2002; 13(1): 288 - 290.
[Full Text] [PDF]


Home page
J. Immunol.Home page
R. J. Baker, M. P. Hernandez-Fuentes, P. A. Brookes, A. N. Chaudhry, H. T. Cook, and R. I. Lechler
Loss of Direct and Maintenance of Indirect Alloresponses in Renal Allograft Recipients: Implications for the Pathogenesis of Chronic Allograft Nephropathy
J. Immunol., December 15, 2001; 167(12): 7199 - 7206.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
M. D. Hesse, A. Y. Karulin, B. O. Boehm, P. V. Lehmann, and M. Tary-Lehmann
A T Cell Clone's Avidity Is a Function of Its Activation State
J. Immunol., August 1, 2001; 167(3): 1353 - 1361.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
P. S. Heeger, A. Valujskikh, and P. V. Lehmann23
Comprehensive Assessment of Determinant Specificity, Frequency, and Cytokine Signature of the Primed CD8 Cell Repertoire Induced by a Minor Transplantation Antigen
J. Immunol., August 1, 2000; 165(3): 1278 - 1284.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
S. K. Schwander, M. Torres, C. Carranza C, D. Escobedo, M. Tary-Lehmann, P. Anderson, Z. Toossi, J. J. Ellner, E. A. Rich, and E. Sada
Pulmonary Mononuclear Cell Responses to Antigens of Mycobacterium tuberculosis in Healthy Household Contacts of Patients with Active Tuberculosis and Healthy Controls from the Community
J. Immunol., August 1, 2000; 165(3): 1479 - 1485.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
C. V. Hartig, G. W. Haller, D. H. Sachs, S. Kuhlenschmidt, and P. S. Heeger
Naturally Developing Memory T Cell Xenoreactivity to Swine Antigens in Human Peripheral Blood Lymphocytes
J. Immunol., March 1, 2000; 164(5): 2790 - 2796.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Website Copyright © 1999 by The American Association of Immunologists, Inc. All rights reserved.
All Contents Copyright © 1999 by The American Association of Immunologists, Inc. All rights reserved.