"Pruning" of alloreactive CD4+ T cells using 5- (and 6-)carboxyfluorescein diacetate succinimidyl ester prolongs skin allograft survival

J Immunol. 2004 Dec 1;173(11):6574-82. doi: 10.4049/jimmunol.173.11.6574.

Abstract

Removal of alloreactive cells by either thymic deletion or deletion/anergy in the periphery is regarded as crucial to the development of tolerance. Dyes, such as CFSE, that allow monitoring of cell division suggest that in vitro proliferation could be a used as a way of "pruning" alloreactive cells while retaining a normal immune repertoire with retention of memory to previously encountered pathogens. This would overcome the problems occurring as a result of therapies that use massive depletion of T cells to allow acceptance of organ transplants or bone marrow grafts. We therefore used a skin graft model of CD4-mediated T cell rejection across a major H-2 mismatch (C57BL/6 (H-2(b)) to BALB/c (H-2(d)) mice) to evaluate whether nondividing CD4(+) T cells derived from a mixed lymphocyte culture would exhibit tolerance to a skin graft from the initial stimulator strain. We demonstrate that selective removal of dividing alloreactive CD4(+) T cells resulted in marked specific prolongation of allogeneic skin graft survival, and that the nondividing CD4(+) T cells retained a broad TCR repertoire and the ability to maintain memory. This novel way of depleting alloreactive T cells may serve as a useful strategy in combination with other mechanisms to achieve transplant tolerance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biomarkers / metabolism
  • CD4-Positive T-Lymphocytes / cytology*
  • CD4-Positive T-Lymphocytes / immunology*
  • CD4-Positive T-Lymphocytes / metabolism
  • CD4-Positive T-Lymphocytes / transplantation
  • Cell Division / immunology
  • Cell Separation / methods
  • Epitopes, T-Lymphocyte / administration & dosage
  • Epitopes, T-Lymphocyte / immunology
  • Female
  • Fluoresceins / metabolism*
  • Graft Enhancement, Immunologic* / methods
  • Graft Rejection / prevention & control*
  • Immunologic Memory
  • Lymphocyte Activation*
  • Lymphocyte Culture Test, Mixed
  • Lymphocyte Depletion* / methods
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, SCID
  • Receptors, Antigen, T-Cell / biosynthesis
  • Skin Transplantation / immunology*
  • Skin Transplantation / methods
  • Skin Transplantation / pathology
  • Species Specificity
  • Succinimides / metabolism*
  • T-Lymphocyte Subsets / cytology
  • T-Lymphocyte Subsets / immunology
  • T-Lymphocyte Subsets / metabolism
  • T-Lymphocyte Subsets / transplantation
  • Transplantation, Homologous

Substances

  • 5-(6)-carboxyfluorescein diacetate succinimidyl ester
  • Biomarkers
  • Epitopes, T-Lymphocyte
  • Fluoresceins
  • Receptors, Antigen, T-Cell
  • Succinimides