title: Cre/loxP-mediated CTLA4IgG gene transfer induces clinically relevant immunosuppression via on-off gene recombination in vivo.
abstract: OBJECTIVE
  Transfer of the CTLA4IgG gene induces long-term and high levels of CTLA4IgG expression, which can result in generalized immunosuppression. In this study, we utilized Cre/loxP-mediated on-off switch recombination to eliminate transgene expression of CTLA4IgG following acceptance of murine cardiac allografts.
  
  
  METHODS
  Fully MHC-mismatched hearts from BALB/c donor mice were transplanted into C3H/He recipient mice. Adenovirus-containing CTLA4IgG flanked between two loxP sites was administered via a recipient tail vein immediately after transplantation. Cre-recombinase gene was subsequently transferred at day 30 posttransplantation.
  
  
  RESULTS
  Long-term allograft survival was observed in recipients that received the CTLA4IgG gene. Cre-mediated recombination reduced CTLA4IgG gene expression without any adverse effect on the graft survival. Secondary skin grafts of donor type and of third party were promptly rejected in the recipients that accepted cardiac allografts. In addition, the B cell response against ovalbumin was suppressed during high levels of serum CTLA4IgG, but recovered after Cre-mediated inactivation of CTLA4IgG gene.
  
  
  CONCLUSIONS
  CTLA4IgG gene transfer promoted long-term survival of murine cardiac allografts; however, this was not sufficient to induce tolerance. Cre/loxP-mediated on-off switch recombination was useful to inactivate the CTLA4IgG gene so that recipients' immune responses against neoantigens were restored without an influence on the allograft survival. This system may open novel strategies to orchestrate clinically relevant immunosuppression.
authors.affiliation: Department of Organ Regeneration, Shinshu University Graduate School of Medicine, Matsumoto, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Izawa
authors.forename: Kenji
authors.initials: K
authors.lastname: Sano
authors.forename: Megumi
authors.initials: M
authors.lastname: Takehara
authors.forename: Manabu
authors.initials: M
authors.lastname: Inobe
authors.forename: Jun-ichi
authors.initials: J
authors.lastname: Suzuki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Imamura
authors.forename: Masafumi
authors.initials: M
authors.lastname: Takahashi
authors.forename: Uichi
authors.initials: U
authors.lastname: Ikeda
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Isobe
authors.forename: Toshimitsu
authors.initials: T
authors.lastname: Uede
mesh_terms: D000069594:Abatacept; D000256:Adenoviridae / Q000235:genetics; D000818:Animals; D001402:B-Lymphocytes / Q000276:immunology; D005786:Gene Expression Regulation; D015316:Genetic Therapy / Q000379:methods*; D005822:Genetic Vectors / Q000008:administration & dosage / Q000235:genetics; D006084:Graft Rejection / Q000517:prevention & control; D006085:Graft Survival; D016027:Heart Transplantation; D018796:Immunoconjugates / Q000235:genetics* / Q000378:metabolism; D007165:Immunosuppression Therapy; D019426:Integrases / Q000235:genetics*; D051379:Mice; D008807:Mice, Inbred BALB C; D008809:Mice, Inbred C3H; D011995:Recombination, Genetic; D016038:Skin Transplantation; D014161:Transduction, Genetic / Q000379:methods; D014184:Transplantation, Homologous
chemical_list: D018796:Immunoconjugates; D000069594:Abatacept; C045073:Cre recombinase; D019426:Integrases