title: Costimulation blockade induces tolerance to HESC transplanted to the testis and induces regulatory T-cells to HESC transplanted into the heart.
abstract: In order to study the ability of costimulation blockade to induce tolerance to human embryonic stem cells (HESC), severe combined immunodeficient (SCID), and immunocompetent C57BL/6 mice treated with costimulation blockade received intratesticular and intramyocardial HESC transplants. All SCID mice with intratesticular HESC transplants developed teratoma. When SCID mice were transplanted intramyocardially, only two of five mice developed teratoma-like tumors. C57BL/6 mice transplanted intratesticularly and treated with costimulation blockade all developed teratoma and were surrounded by CD4(+)CD25(+)Foxp3(+) T-cells, while isotype control treated recipients rejected their grafts. Most C57BL/6 mice transplanted intramyocardially and treated with costimulation blockade demonstrated lymphocytic infiltrates 1 month after transplantation, whereas one maintained its graft. Isolation of regulatory T-cells from intramyocardial transplanted recipients treated with costimulation blockade demonstrated specificity toward undifferentiated HESC and down-regulated naive T-cell activation toward HESC. These results demonstrate that costimulation blockade is sufficiently robust to induce tolerance to HESC in the immune-privileged environment of the testis. HESC specific regulatory T-cells developed to HESC transplanted to the heart and the success of transplantation was similar to that seen in SCID mice.
authors.affiliation: Department of Molecular Medicine and Surgery, Division of Cardiothoracic Surgery and Anaesthesiology, Karolinska University Hospital, S-171 76, Stockholm, Sweden. karl-enrik.grinnemo@karolinska.se
authors.forename: Karl-Henrik
authors.initials: KH
authors.lastname: Grinnemo
authors.forename: Rami
authors.initials: R
authors.lastname: Genead
authors.forename: Makiko
authors.initials: M
authors.lastname: Kumagai-Braesch
authors.forename: Agneta
authors.initials: A
authors.lastname: Andersson
authors.forename: Christian
authors.initials: C
authors.lastname: Danielsson
authors.forename: Agneta
authors.initials: A
authors.lastname: Månsson-Broberg
authors.forename: Göran
authors.initials: G
authors.lastname: Dellgren
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: Strömberg
authors.forename: Henrik
authors.initials: H
authors.lastname: Ekberg
authors.forename: Outi
authors.initials: O
authors.lastname: Hovatta
authors.forename: Christer
authors.initials: C
authors.lastname: Sylvén
authors.forename: Matthias
authors.initials: M
authors.lastname: Corbascio
mesh_terms: D000818:Animals; D015496:CD4-Positive T-Lymphocytes / Q000378:metabolism; D023201:CD40 Ligand / Q000096:biosynthesis; D017690:Cell Transplantation / Q000379:methods*; D053595:Embryonic Stem Cells / Q000166:cytology* / Q000378:metabolism; D006801:Humans; D007108:Immune Tolerance / Q000276:immunology; D053645:Interleukin-2 Receptor alpha Subunit / Q000096:biosynthesis; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D016513:Mice, SCID; D009206:Myocardium / Q000378:metabolism*; D050378:T-Lymphocytes, Regulatory / Q000166:cytology*; D013737:Testis / Q000378:metabolism*
chemical_list: D053645:Interleukin-2 Receptor alpha Subunit; D023201:CD40 Ligand