[PDF][PDF] Distinct graft-specific TCR avidity profiles during acute rejection and tolerance

ML Miller, CM McIntosh, JB Williams, Y Wang… - Cell reports, 2018 - cell.com
ML Miller, CM McIntosh, JB Williams, Y Wang, MK Hollinger, NJ Isaad, JJ Moon…
Cell reports, 2018cell.com
Mechanisms implicated in robust transplantation tolerance at the cellular level can be
broadly categorized into those that inhibit alloreactive T cells intrinsically (clonal deletion
and dysfunction) or extrinsically through regulation. Here, we investigated whether
additional population-level mechanisms control T cells by examining whether
therapeutically induced peripheral transplantation tolerance could influence T cell
populations' avidity for alloantigens. Whereas T cells with high avidity preferentially …
Summary
Mechanisms implicated in robust transplantation tolerance at the cellular level can be broadly categorized into those that inhibit alloreactive T cells intrinsically (clonal deletion and dysfunction) or extrinsically through regulation. Here, we investigated whether additional population-level mechanisms control T cells by examining whether therapeutically induced peripheral transplantation tolerance could influence T cell populations' avidity for alloantigens. Whereas T cells with high avidity preferentially accumulated during acute rejection of allografts, the alloreactive T cells in tolerant recipients retained a low-avidity profile, comparable to naive mice despite evidence of activation. These contrasting avidity profiles upon productive versus tolerogenic stimulation were durable and persisted upon alloantigen re-encounter in the absence of any immunosuppression. Thus, peripheral transplantation tolerance involves control of alloreactive T cells at the population level, in addition to the individual cell level. Controlling expansion or eliminating high-affinity, donor-specific T cells long term may be desirable to achieve robust transplantation tolerance in the clinic.
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