title: MIP-3alpha/CCL20 in renal transplantation and its possible involvement as dendritic cell chemoattractant in allograft rejection.
abstract: Graft-infiltrating dendritic cells (DC) and alloreactive T lymphocytes play a critical role in renal allograft rejection. Renal proximal tubular epithelial cells (TEC) are considered as active players in the attraction of leukocytes during renal inflammatory responses. Macrophage inflammatory protein (MIP)-3alpha/CCL20 is a major chemokine expressed by epithelial cells that attracts immature DC. In the present study, we present evidence that also the transplanted kidney can be a major source of MIP-3alpha/CCL20. Renal transplant recipients with rejection showed significantly increased excretion of urinary MIP-3alpha/CCL20 that correlated with transplant function. The tubular staining for MIP-3alpha/CCL20 in renal biopsies of patients with rejection as well as in vitro studies with primary human TEC indicated that TEC might be responsible for the increased urinary MIP-3alpha/CCL20. Furthermore, MIP-3alpha/CCL20 produced by activated TEC was highly potent in the attraction of CD1a+CD34+-derived DC precursors. These data suggest a role for MIP-3alpha/CCL20 in amplification of the immune response during renal allograft rejection by attraction of CCR6+ inflammatory cells, which may include DC, to the site of inflammation.
authors.affiliation: Department of Nephrology, Leiden University Medical Center, Leiden, The Netherlands. A.M.Woltman@lumc.nl
authors.forename: Andrea M
authors.initials: AM
authors.lastname: Woltman
authors.forename: Johan W
authors.initials: JW
authors.lastname: de Fijter
authors.forename: Sandra W
authors.initials: SW
authors.lastname: van der Kooij
authors.forename: Kim E
authors.initials: KE
authors.lastname: Jie
authors.forename: Catherine
authors.initials: C
authors.lastname: Massacrier
authors.forename: Christophe
authors.initials: C
authors.lastname: Caux
authors.forename: Mohamed R
authors.initials: MR
authors.lastname: Daha
authors.forename: Cees
authors.initials: C
authors.lastname: van Kooten
mesh_terms: D000328:Adult; D018949:Antigens, CD1 / Q000096:biosynthesis; D018952:Antigens, CD34 / Q000096:biosynthesis; D001706:Biopsy; D023201:CD40 Ligand / Q000096:biosynthesis; D002465:Cell Movement; D054418:Chemokine CCL20; D018946:Chemokine CCL5 / Q000096:biosynthesis; D018925:Chemokines / Q000378:metabolism; D019742:Chemokines, CC / Q000096:biosynthesis*; D002630:Chemotactic Factors; D003713:Dendritic Cells / Q000166:cytology* / Q000378:metabolism; D004305:Dose-Response Relationship, Drug; D004797:Enzyme-Linked Immunosorbent Assay; D004847:Epithelial Cells / Q000473:pathology; D005260:Female; D005434:Flow Cytometry; D005786:Gene Expression Regulation; D006084:Graft Rejection; D006801:Humans; D007150:Immunohistochemistry; D007249:Inflammation; D007375:Interleukin-1 / Q000096:biosynthesis; D007668:Kidney / Q000473:pathology; D016030:Kidney Transplantation / Q000379:methods*; D007684:Kidney Tubules / Q000473:pathology; D007962:Leukocytes / Q000166:cytology; D019402:Macrophage Inflammatory Proteins / Q000096:biosynthesis*; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D054399:Receptors, CCR6; D019707:Receptors, Chemokine / Q000096:biosynthesis; D013997:Time Factors; D014184:Transplantation, Homologous / Q000379:methods*
chemical_list: D018949:Antigens, CD1; D018952:Antigens, CD34; C108355:CCL20 protein, human; C483024:CCL5 protein, human; C498126:CCR6 protein, mouse; C419393:CD1a antigen; D054418:Chemokine CCL20; D018946:Chemokine CCL5; D018925:Chemokines; D019742:Chemokines, CC; D002630:Chemotactic Factors; D007375:Interleukin-1; D019402:Macrophage Inflammatory Proteins; D054399:Receptors, CCR6; D019707:Receptors, Chemokine; D023201:CD40 Ligand