title: Asialo GM1(+) CD8(+) T cells play a critical role in costimulation blockade-resistant allograft rejection.
abstract: Simultaneous blockade of the CD40 and CD28 costimulatory pathways is an effective treatment strategy to promote allograft acceptance but does not lead to indefinite allograft survival. The immune mechanisms responsible for costimulation-independent rejection are not defined. Here we have studied the rejection responses of murine C57BL/6 recipients, which we show to be relatively resistant to inhibition by combined CD40/CD28 blockade. We demonstrate that asialo GM1(+) CD8(+) cells play a critical role in this costimulation blockade-resistant rejection. These results provide new insights into the costimulatory requirements for T-cell subsets and demonstrate for the first time that combined blockade of the CD40 and CD28 pathways does not adequately inhibit CD8-mediated skin allograft rejection. Furthermore, we provide evidence that asialo GM1 is a potentially important therapeutic target for CD8-dependent immune responses.
authors.affiliation: The Carlos and Marguerite Mason Transplantation Research Center, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
authors.forename: J
authors.initials: J
authors.lastname: Trambley
authors.forename: A W
authors.initials: AW
authors.lastname: Bingaman
authors.forename: A
authors.initials: A
authors.lastname: Lin
authors.forename: E T
authors.initials: ET
authors.lastname: Elwood
authors.forename: S Y
authors.initials: SY
authors.lastname: Waitze
authors.forename: J
authors.initials: J
authors.lastname: Ha
authors.forename: M M
authors.initials: MM
authors.lastname: Durham
authors.forename: M
authors.initials: M
authors.lastname: Corbascio
authors.forename: S R
authors.initials: SR
authors.lastname: Cowan
authors.forename: T C
authors.initials: TC
authors.lastname: Pearson
authors.forename: C P
authors.initials: CP
authors.lastname: Larsen
mesh_terms: D000818:Animals; D018106:CD28 Antigens / Q000502:physiology*; D019013:CD40 Antigens / Q000502:physiology*; D018414:CD8-Positive T-Lymphocytes / Q000502:physiology*; D005677:G(M1) Ganglioside / Q000502:physiology*; D006084:Graft Rejection; D007694:Killer Cells, Natural / Q000502:physiology; D008297:Male; D051379:Mice; D008807:Mice, Inbred BALB C; D008810:Mice, Inbred C57BL; D016692:Receptors, Antigen, T-Cell, gamma-delta / Q000032:analysis; D016038:Skin Transplantation / Q000276:immunology; D014184:Transplantation, Homologous
chemical_list: D018106:CD28 Antigens; D019013:CD40 Antigens; D016692:Receptors, Antigen, T-Cell, gamma-delta; D005677:G(M1) Ganglioside; C018835:asialo GM1 ganglioside