[HTML][HTML] Th1 cytokines, programmed cell death, and alloreactive T cell clone size in transplant tolerance

K Kishimoto, S Sandner, J Imitola… - The Journal of …, 2002 - Am Soc Clin Investig
K Kishimoto, S Sandner, J Imitola, M Sho, Y Li, PB Langmuir, DM Rothstein, TB Strom…
The Journal of clinical investigation, 2002Am Soc Clin Investig
The Th1 cytokines IL-2 and IFN-γ, which inhibit T cell proliferation and promote activation
induced cell death, may be required to diminish alloreactive T cell numbers and to foster
tolerance across full allogeneic barriers. However, we hypothesized that these cytokines
might be dispensable when the alloreactive T cell clone size is relatively small, as is seen in
recipients of minor-mismatched grafts. We show that alloreactive T cell clone size of
C57BL/6 mice against multiple minor-mismatched 129X1/sv mice was∼ 4–9-fold smaller …
The Th1 cytokines IL-2 and IFN-γ, which inhibit T cell proliferation and promote activation induced cell death, may be required to diminish alloreactive T cell numbers and to foster tolerance across full allogeneic barriers. However, we hypothesized that these cytokines might be dispensable when the alloreactive T cell clone size is relatively small, as is seen in recipients of minor-mismatched grafts. We show that alloreactive T cell clone size of C57BL/6 mice against multiple minor-mismatched 129X1/sv mice was ∼4–9-fold smaller than that against MHC-mismatched BALB/c mice. In the MHC-mismatched combination, CD28-B7 blockade by CTLA4Ig induced long-term graft survival in wild-type recipients, but this treatment was ineffective in IFNγ–/– or IL-2–/– recipients. In contrast, in the minor-mismatched combination, CTLA4Ig induced long-term allograft survival in wild-type, IFNγ–/–, and IL-2–/– recipients. Bcl-xL transgenic animals, which are defective in "passive" T cell death, are likewise sensitive to the effects of CTLA4Ig only in the setting of the minor-mismatch grafts. Therefore, the alloreactive T cell clone size is an important determinant affecting the need for Th1 cytokines and T cell death in tolerance induction. These data have implications for the design of tolerance strategies in transplant recipients with varying degrees of MHC mismatching.
The Journal of Clinical Investigation