title: Pretransplant donor peripheral blood mononuclear cells infusion induces transplantation tolerance by generating regulatory T cells.
abstract: BACKGROUND
  It was suggested that maintenance of tolerance to organ transplantation may depend on the formation of T regulatory cells.
  
  
  METHODS
  Lewis (LW) rats were made tolerant to a Brown Norway kidney by pretransplant donor peripheral blood mononuclear cells (PBMC) infusion. At greater than 90 days after transplantation, lymph node cells (LN) and graft-infiltrating leukocytes (GIL) alloreactivity was tested in mixed lymphocyte reaction (MLR), coculture, and transwell experiments. GIL phenotype was analyzed by FACS. mRNA expression of cytokines and other markers was analyzed on CD4+ T cells from LN. The tolerogenic potential of tolerant cells in vivo was evaluated by adoptive transfer.
  
  
  RESULTS
  Tolerant LN cells showed a reduced proliferation against donor stimulators but a normal anti-third-party alloreactivity. In coculture, these cells inhibited antidonor but not antithird-party reactivity of naïve LN cells. Interleukin (IL)-10 and FasL mRNA expression was up-regulated in tolerant CD4+ T cells, but an anti-IL-10 monoclonal antibody (mAb) only partially reversed their inhibitory effect. Immunoregulatory activity was concentrated in the CD4+ CD25+ T-cell subset. In a transwell system, tolerant T cells inhibited a naïve MLR to a lesser extent than in a standard coculture. Regulatory cells transferred tolerance after infusion into naïve LW recipients. CD4+ T cells isolated from tolerized grafts were hyporesponsive to donor stimulators and suppressed a naïve MLR against donor antigens.
  
  
  CONCLUSIONS
  Donor-specific regulatory T cells play a role in tolerance induction by donor PBMC infusion. Regulatory activity is concentrated in the CD4+ CD25+ subset and requires cell-to-cell contact. Regulatory CD4+ T cells accumulate in tolerized kidney grafts where they could exert a protective function against host immune response.
authors.affiliation: Transplant Research Center, Chiara Cucchi de Alessandri e Gilberto Crespi, Mario Negri Institute for Pharmacological Research, Bergamo, Italy.
authors.forename: Regiane Aparecida
authors.initials: RA
authors.lastname: Cavinato
authors.forename: Federica
authors.initials: F
authors.lastname: Casiraghi
authors.forename: Nadia
authors.initials: N
authors.lastname: Azzollini
authors.forename: Paola
authors.initials: P
authors.lastname: Cassis
authors.forename: Daniela
authors.initials: D
authors.lastname: Cugini
authors.forename: Marilena
authors.initials: M
authors.lastname: Mister
authors.forename: Anna
authors.initials: A
authors.lastname: Pezzotta
authors.forename: Sistiana
authors.initials: S
authors.lastname: Aiello
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Remuzzi
authors.forename: Marina
authors.initials: M
authors.lastname: Noris
mesh_terms: D000818:Animals; D015496:CD4-Positive T-Lymphocytes / Q000276:immunology; D006084:Graft Rejection / Q000276:immunology; D006801:Humans; D016030:Kidney Transplantation / Q000276:immunology; D008198:Lymph Nodes / Q000276:immunology; D007959:Lymphocyte Culture Test, Mixed; D017710:Lymphocyte Transfusion; D008297:Male; D023421:Models, Animal; D016133:Polymerase Chain Reaction; D051381:Rats; D011914:Rats, Inbred BN; D011917:Rats, Inbred Lew; D016176:T-Lymphocyte Subsets / Q000276:immunology*; D023001:Transplantation Tolerance / Q000502:physiology*; D014184:Transplantation, Homologous / Q000276:immunology