Non-cytotoxic blocking antibodies and suppressor cells induced by donor-specific transfusions in healthy volunteers and potential kidney transplant recipients

Immunol Lett. 1990 Nov;26(2):127-30. doi: 10.1016/0165-2478(90)90134-c.

Abstract

Donor-specific transfusion (DST)-induced immunosuppression plays a significant role in clinical and experimental transplantation. To clarify the mechanism of suppression on alloreactivity the suppressor cell induction and the non-cytotoxic blocking antibody production and importance was studied in 15 healthy volunteers and 3 kidney transplant recipients (KTR) after DST on mixed lymphocyte culture (MLC). Significant decrease of anti-donor MLC response was found in all of KTR and in 12 cases of the 15 transfused volunteers. Of 18 cases, 15 had blocking factors in their post-DST serum which strongly (52-91%) inhibited the MLC response. The IgG fractions isolated from the "blocking sera" were responsible for this inhibition. Eighty-one percent of non-cytotoxic blocking antibodies affected the responder cells in MLC and reacted with third party responder cells as well. Both buffy coat and platelet transfusions evoked production of the non-specific blocking antibodies. Our data strongly suggest that DST induces not only the differentiation of suppressor cells and production of anti-idiotypic antibodies, but also the appearance of non-specific, non-cytotoxic antibodies, which may participate in the cell-mediated immune suppression of the alloimmune reactivity.

MeSH terms

  • Antibody Formation / immunology*
  • Azathioprine / administration & dosage
  • Blood Platelets / immunology
  • Blood Transfusion*
  • Cytotoxicity, Immunologic / immunology
  • Histocompatibility Antigens Class I / immunology
  • Histocompatibility Antigens Class II / immunology
  • Humans
  • Immunization
  • Immunoglobulin G / immunology
  • Immunosuppression Therapy
  • Kidney Transplantation / immunology*
  • Lymphocyte Culture Test, Mixed
  • Lymphocyte Transfusion*
  • Lymphocytes / immunology
  • Platelet Transfusion*
  • T-Lymphocytes, Regulatory / immunology*

Substances

  • Histocompatibility Antigens Class I
  • Histocompatibility Antigens Class II
  • Immunoglobulin G
  • Azathioprine