title: A single intravenous infusion of apoptotic cells, an alternative cell-based therapy approach facilitating hematopoietic cell engraftment, did not induce autoimmunity.
abstract: Previously, we reported that intravenous infusion of apoptotic leukocytes facilitated bone marrow (BM) engraftment across major histocompatibility barriers. This cell-based therapeutic approach is of great interest for stem cell therapy across histocompatibility barriers. Autoimmunity associated with apoptotic cell administration may, however, limit the use of this approach. Indeed, autoantigens are concentrated on the surface of apoptotic cells, and defective clearance of apoptotic bodies is associated with the occurrence of systemic autoimmune disease. In consequence, we assessed the autoimmune responses raised against ubiquitous double-stranded DNA (dsDNA) and cardiolipin autoantigens following a single intravenous infusion of apoptotic cells simultaneously to allogeneic BM administration. No difference was observed between levels of natural circulating immunoglobulin M (IgM) (anti-dsDNA and anti-cardiolipin) autoantibodies found in mice receiving allogeneic BM alone and those found in mice receiving apoptotic cells also. Pathogenic IgG autoantibody titers after apoptotic cell infusion were 9- to 200-fold lower than autoantibody titers found in lupus-prone mice and not different from titers detected in BM grafted mice. Kinetic analysis of autoantibodies after transplantation did not demonstrate any immunization against tested autoantigens after apoptotic cell infusion. Finally, neither immune complex deposition nor specific lesions were observed in the renal glomeruli of mice infused with apoptotic cells 9 months post-BM transplantation. Overall, these results show no specific toxicity of a single infusion of apoptotic cells administrated simultaneously to BM and may also shed light on factors influencing the immunogenic properties of apoptotic cells.
authors.affiliation: INSERM E0119, Etablissement Français du Sang Bourgogne Franche-Comté, MEN EA2284, Université de Franche-Comté, Besançon, France.
authors.forename: Sylvain
authors.initials: S
authors.lastname: Perruche
authors.forename: François
authors.initials: F
authors.lastname: Kleinclauss
authors.forename: Régis
authors.initials: R
authors.lastname: Angonin
authors.forename: Jean-Yves
authors.initials: JY
authors.lastname: Cahn
authors.forename: Eric
authors.initials: E
authors.lastname: Deconinck
authors.forename: Luc
authors.initials: L
authors.lastname: Reininger
authors.forename: José
authors.initials: J
authors.lastname: Boucraut
authors.forename: Pierre
authors.initials: P
authors.lastname: Tiberghien
authors.forename: Philippe
authors.initials: P
authors.lastname: Saas
mesh_terms: D000818:Animals; D017209:Apoptosis; D001323:Autoantibodies / Q000737:chemistry; D001324:Autoantigens / Q000737:chemistry; D015551:Autoimmunity; D001854:Bone Marrow Cells / Q000166:cytology; D016026:Bone Marrow Transplantation; D064987:Cell- and Tissue-Based Therapy / Q000379:methods; D004247:DNA / Q000737:chemistry; D005434:Flow Cytometry; D006412:Hematopoietic Stem Cells / Q000166:cytology*; D007074:Immunoglobulin G / Q000737:chemistry; D007075:Immunoglobulin M / Q000737:chemistry; D007678:Kidney Glomerulus / Q000166:cytology; D007700:Kinetics; D008297:Male; D051379:Mice; D008807:Mice, Inbred BALB C; D008810:Mice, Inbred C57BL; D008856:Microscopy, Fluorescence; D013997:Time Factors
chemical_list: D001323:Autoantibodies; D001324:Autoantigens; D007074:Immunoglobulin G; D007075:Immunoglobulin M; D004247:DNA