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th R. Turnquist2,*,




,
* Thomas E. Starzl Transplantation Institute,
Department of Surgery, and
Department of Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213
The ability of dendritic cells (DC) to regulate Ag-specific immune responses via their influence on T regulatory cells (Treg) may be key to their potential as therapeutic tools or targets for the promotion/restoration of tolerance. In this report, we describe the ability of maturation-resistant, rapamycin (RAPA)-conditioned DC, which are markedly impaired in Foxp3 T cell allostimulatory capacity, to favor the stimulation of murine alloantigen-specific CD4+CD25+Foxp3+ Treg. This was distinct from control DC, especially following CD40 ligation, which potently expanded non-Treg. RAPA-DC-stimulated Treg were superior alloantigen-specific suppressors of T effector responses compared with those stimulated by control DC. Supporting the ability of RAPA to target effector T and B cells, but permit the proliferation and suppressive function of Treg, an infusion of recipient-derived alloantigen-pulsed RAPA-DC followed by a short postoperative course of low-dose RAPA promoted indefinite (>100 day) heart graft survival. This was associated with graft infiltration by CD4+Foxp3+ Treg and the absence of transplant vasculopathy. The adoptive transfer of CD4+ T cells from animals with long-surviving grafts conferred resistance to rejection. These novel findings demonstrate that, whereas maturation resistance does not impair the capacity of RAPA-DC to modulate Treg, it profoundly impairs their ability to expand T effector cells. A demonstration of this mechanism endorses their potential as tolerance-promoting cellular vaccines.
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 This work was supported by National Institutes of Health Grants R01DK49745, R01AI41011, and R01AI60994 (to A.W.T.). H.R.T. was supported by National Institutes of Health Grant T32CA082084 and a nonconcurrent American Society of Transplantation Basic Science Fellowship, G.R. by a research training fellowship from The Transplantation Society, and R.T.F. by National Institutes of Health Grant T32DK71492.
2 H.R.T. and G.R. contributed equally to this work.
3 Address correspondence and reprint requests to Dr. Angus W. Thomson, Departments of Surgery and Immunology, University of Pittsburgh School of Medicine, Thomas E. Starzl Transplantation Institute, 200 Lothrop Street, Biomedical Science Tower, Room W1540, Pittsburgh, PA 15213. E-mail address: thomsonaw{at}upmc.edu
4 Abbreviations used in this paper: DC, dendritic cell; 7-AAD, 7-aminoactinomycin D; BM, bone marrow; B10, C57BL/10; C3H, C3H/HeJ; CTR, control; Cy, cyanine; DAPI, 4',6-diamidino-2-phenylindole, dihydrochloride; Foxp3, Forkhead/winged helix protein-3; M
, macrophage; MFI, mean fluorescence intensity; MST, median graft survival time; mTOR, mammalian target of rapamycin; RAPA, rapamycin; RPA, RNase protection assay; Treg, T regulatory cell.
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