Longitudinal study of the frequency of cytotoxic T cell precursors in kidney allograft recipients

Clin Exp Immunol. 1996 Apr;104(1):108-14. doi: 10.1046/j.1365-2249.1996.d01-657.x.

Abstract

Clonal deletion or inactivation of donor-specific alloreactive cells are important mechanisms that are believed to account for acquired immune tolerance in allograft recipients. Serial assessment of precursor cytotoxic T lymphocyte frequencies (CTLpf) by limiting dilution analysis (LDA) provides information at the clonal level on changes in the alloimmune response of graft recipients. We performed a longitudinal study of 15 cadaveric kidney recipients before and every 3 months throughout the first year after transplantation (Tx). Pre-Tx values of donor CTLpf showed high interindividual variability without a predictive value for the clinical outcome. All patients with well functioning kidneys had decreased CDLpf at 3 months post-Tx in comparison with pre-Tx values. This decrease was donor-specific in four patients and was permanent in two cases throughout the study. Most patients presented decreased anti-donor CTLpf values from 6 to 9 months, whereas a partial recovery of donor CTLpf was observed in three patients. Reversible acute rejection was diagnosed in three patients, and it was associated with a marked increase in anti-donor CTLpf, returning to pre-Tx values by 9 months post-Tx. In addition, one patient with chronic rejection displayed a transient increase in CDLpf 6 months after Tx. The results of this sequential study indicate the establishment of a state of either hyporesponsiveness or functional clonal inactivation, transient or permanent, which could facilitate allograft acceptance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Clonal Deletion*
  • Female
  • Graft Rejection / immunology
  • Humans
  • Isoantibodies / immunology
  • Isoantigens / immunology
  • Kidney Transplantation / immunology*
  • Longitudinal Studies
  • Lymphocyte Activation
  • Male
  • Middle Aged
  • T-Lymphocytes, Cytotoxic / immunology*

Substances

  • Isoantibodies
  • Isoantigens