Regulatory immune cells in transplantation

Key Points The presence of regulatory immune cells in transplant recipients can shift the balance away from rejection and towards immune regulation. Different populations of T cells with regulatory activity have a role in promoting transplant tolerance. These populations include CD4 + regulatory T (...

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Veröffentlicht in:Nature reviews. Immunology 2012-06, Vol.12 (6), p.417-430
Hauptverfasser: Wood, Kathryn J., Bushell, Andrew, Hester, Joanna
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description Key Points The presence of regulatory immune cells in transplant recipients can shift the balance away from rejection and towards immune regulation. Different populations of T cells with regulatory activity have a role in promoting transplant tolerance. These populations include CD4 + regulatory T (T Reg ) cells, CD8 + T Reg cells, CD4 − CD8 − T cells, natural killer T (NKT) cells and γδ T cells. Control of allograft rejection and graft-versus-host disease (GVHD) can also be enhanced by various non-T cell leukocytes, including regulatory B cells, tolerogenic dendritic cells (DCs), regulatory macrophages, myeloid-derived suppressor cells (MDSCs) and mesenchymal stromal cells (MSCs). Distinct regulatory cell populations are present in the draining lymphoid tissue and in the peripheral blood. These cells migrate to the allograft, where they modulate immune responses by inhibiting effector cells and by inducing other regulatory cells. Early after transplantation, MDSCs and MSCs can migrate to the site of an inflammatory response and promote the development of tolerogenic DCs and macrophages that induce peripheral T Reg cell development. Cellular therapies using T Reg cells, regulatory macrophages and MSCs are being developed for clinical application to control rejection or GVHD in transplant recipients. Establishing immune tolerance in transplant recipients is essential for promoting the long-term survival of an allograft and for preventing the development of harmful graft-versus-host responses. This Review considers the clinical potential of manipulating different immunosuppressive cell populations, including regulatory T cells, B cells and macrophages, in the setting of transplantation. Immune regulation is fundamental to any immune response to ensure that it is appropriate for the perceived threat to the host. Following cell and organ transplantation, it is essential to control both the innate immune response triggered by the injured tissue and the adaptive immune response stimulated by mismatched donor and recipient histocompatibility antigens to enable the transplant to survive and function. Here, we discuss the leukocyte populations that can promote immune tolerance after cell or solid-organ transplantation. Such populations include regulatory T cells, B cells and macrophages, as well as myeloid-derived suppressor cells, dendritic cells and mesenchymal stromal cells. We consider the potential of these regulatory immune cells to develop and function in tr
doi_str_mv 10.1038/nri3227
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Different populations of T cells with regulatory activity have a role in promoting transplant tolerance. These populations include CD4 + regulatory T (T Reg ) cells, CD8 + T Reg cells, CD4 − CD8 − T cells, natural killer T (NKT) cells and γδ T cells. Control of allograft rejection and graft-versus-host disease (GVHD) can also be enhanced by various non-T cell leukocytes, including regulatory B cells, tolerogenic dendritic cells (DCs), regulatory macrophages, myeloid-derived suppressor cells (MDSCs) and mesenchymal stromal cells (MSCs). Distinct regulatory cell populations are present in the draining lymphoid tissue and in the peripheral blood. These cells migrate to the allograft, where they modulate immune responses by inhibiting effector cells and by inducing other regulatory cells. Early after transplantation, MDSCs and MSCs can migrate to the site of an inflammatory response and promote the development of tolerogenic DCs and macrophages that induce peripheral T Reg cell development. Cellular therapies using T Reg cells, regulatory macrophages and MSCs are being developed for clinical application to control rejection or GVHD in transplant recipients. Establishing immune tolerance in transplant recipients is essential for promoting the long-term survival of an allograft and for preventing the development of harmful graft-versus-host responses. This Review considers the clinical potential of manipulating different immunosuppressive cell populations, including regulatory T cells, B cells and macrophages, in the setting of transplantation. Immune regulation is fundamental to any immune response to ensure that it is appropriate for the perceived threat to the host. Following cell and organ transplantation, it is essential to control both the innate immune response triggered by the injured tissue and the adaptive immune response stimulated by mismatched donor and recipient histocompatibility antigens to enable the transplant to survive and function. Here, we discuss the leukocyte populations that can promote immune tolerance after cell or solid-organ transplantation. Such populations include regulatory T cells, B cells and macrophages, as well as myeloid-derived suppressor cells, dendritic cells and mesenchymal stromal cells. We consider the potential of these regulatory immune cells to develop and function in transplant recipients and their potential use as cellular therapies to promote long-term graft function.</description><identifier>ISSN: 1474-1733</identifier><identifier>EISSN: 1474-1741</identifier><identifier>DOI: 10.1038/nri3227</identifier><identifier>PMID: 22627860</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>40 ; 631/250/2504 ; 631/250/251 ; 692/698/1543/1565/1597 ; 692/700/565/545/576/402 ; Animals ; Antigens ; B cells ; Biomedical and Life Sciences ; Biomedicine ; Dendritic cells ; Donors ; Graft versus host disease ; Graft vs Host Disease - immunology ; Graft vs Host Disease - prevention &amp; control ; Health aspects ; Histocompatibility ; HLA Antigens - immunology ; Humans ; Immune response ; Immune System - cytology ; Immune Tolerance - immunology ; Immunological tolerance ; Immunology ; Immunoregulation ; Immunosuppressive Agents - pharmacology ; Leukocytes ; Lymphocytes B ; Lymphocytes T ; Macrophages ; Mesenchyme ; Organ Transplantation - methods ; Physiological aspects ; review-article ; stromal cells ; Suppressor cells ; T cells ; Transplantation ; Transplantation Immunology ; Transplantation of organs, tissues, etc ; Transplants &amp; implants</subject><ispartof>Nature reviews. Immunology, 2012-06, Vol.12 (6), p.417-430</ispartof><rights>Springer Nature Limited 2012</rights><rights>COPYRIGHT 2012 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jun 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-fb54dffaa9b82c7e6f6b60c2bae32ac9aaa00a9ad7535245aec3dcec3bb1b8813</citedby><cites>FETCH-LOGICAL-c540t-fb54dffaa9b82c7e6f6b60c2bae32ac9aaa00a9ad7535245aec3dcec3bb1b8813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22627860$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wood, Kathryn J.</creatorcontrib><creatorcontrib>Bushell, Andrew</creatorcontrib><creatorcontrib>Hester, Joanna</creatorcontrib><title>Regulatory immune cells in transplantation</title><title>Nature reviews. Immunology</title><addtitle>Nat Rev Immunol</addtitle><addtitle>Nat Rev Immunol</addtitle><description>Key Points The presence of regulatory immune cells in transplant recipients can shift the balance away from rejection and towards immune regulation. Different populations of T cells with regulatory activity have a role in promoting transplant tolerance. These populations include CD4 + regulatory T (T Reg ) cells, CD8 + T Reg cells, CD4 − CD8 − T cells, natural killer T (NKT) cells and γδ T cells. Control of allograft rejection and graft-versus-host disease (GVHD) can also be enhanced by various non-T cell leukocytes, including regulatory B cells, tolerogenic dendritic cells (DCs), regulatory macrophages, myeloid-derived suppressor cells (MDSCs) and mesenchymal stromal cells (MSCs). Distinct regulatory cell populations are present in the draining lymphoid tissue and in the peripheral blood. These cells migrate to the allograft, where they modulate immune responses by inhibiting effector cells and by inducing other regulatory cells. Early after transplantation, MDSCs and MSCs can migrate to the site of an inflammatory response and promote the development of tolerogenic DCs and macrophages that induce peripheral T Reg cell development. Cellular therapies using T Reg cells, regulatory macrophages and MSCs are being developed for clinical application to control rejection or GVHD in transplant recipients. Establishing immune tolerance in transplant recipients is essential for promoting the long-term survival of an allograft and for preventing the development of harmful graft-versus-host responses. This Review considers the clinical potential of manipulating different immunosuppressive cell populations, including regulatory T cells, B cells and macrophages, in the setting of transplantation. Immune regulation is fundamental to any immune response to ensure that it is appropriate for the perceived threat to the host. Following cell and organ transplantation, it is essential to control both the innate immune response triggered by the injured tissue and the adaptive immune response stimulated by mismatched donor and recipient histocompatibility antigens to enable the transplant to survive and function. Here, we discuss the leukocyte populations that can promote immune tolerance after cell or solid-organ transplantation. Such populations include regulatory T cells, B cells and macrophages, as well as myeloid-derived suppressor cells, dendritic cells and mesenchymal stromal cells. We consider the potential of these regulatory immune cells to develop and function in transplant recipients and their potential use as cellular therapies to promote long-term graft function.</description><subject>40</subject><subject>631/250/2504</subject><subject>631/250/251</subject><subject>692/698/1543/1565/1597</subject><subject>692/700/565/545/576/402</subject><subject>Animals</subject><subject>Antigens</subject><subject>B cells</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Dendritic cells</subject><subject>Donors</subject><subject>Graft versus host disease</subject><subject>Graft vs Host Disease - immunology</subject><subject>Graft vs Host Disease - prevention &amp; control</subject><subject>Health aspects</subject><subject>Histocompatibility</subject><subject>HLA Antigens - immunology</subject><subject>Humans</subject><subject>Immune response</subject><subject>Immune System - cytology</subject><subject>Immune Tolerance - immunology</subject><subject>Immunological tolerance</subject><subject>Immunology</subject><subject>Immunoregulation</subject><subject>Immunosuppressive Agents - pharmacology</subject><subject>Leukocytes</subject><subject>Lymphocytes B</subject><subject>Lymphocytes T</subject><subject>Macrophages</subject><subject>Mesenchyme</subject><subject>Organ Transplantation - methods</subject><subject>Physiological aspects</subject><subject>review-article</subject><subject>stromal cells</subject><subject>Suppressor cells</subject><subject>T cells</subject><subject>Transplantation</subject><subject>Transplantation Immunology</subject><subject>Transplantation of organs, tissues, etc</subject><subject>Transplants &amp; 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Immunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wood, Kathryn J.</au><au>Bushell, Andrew</au><au>Hester, Joanna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Regulatory immune cells in transplantation</atitle><jtitle>Nature reviews. Immunology</jtitle><stitle>Nat Rev Immunol</stitle><addtitle>Nat Rev Immunol</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>12</volume><issue>6</issue><spage>417</spage><epage>430</epage><pages>417-430</pages><issn>1474-1733</issn><eissn>1474-1741</eissn><abstract>Key Points The presence of regulatory immune cells in transplant recipients can shift the balance away from rejection and towards immune regulation. Different populations of T cells with regulatory activity have a role in promoting transplant tolerance. These populations include CD4 + regulatory T (T Reg ) cells, CD8 + T Reg cells, CD4 − CD8 − T cells, natural killer T (NKT) cells and γδ T cells. Control of allograft rejection and graft-versus-host disease (GVHD) can also be enhanced by various non-T cell leukocytes, including regulatory B cells, tolerogenic dendritic cells (DCs), regulatory macrophages, myeloid-derived suppressor cells (MDSCs) and mesenchymal stromal cells (MSCs). Distinct regulatory cell populations are present in the draining lymphoid tissue and in the peripheral blood. These cells migrate to the allograft, where they modulate immune responses by inhibiting effector cells and by inducing other regulatory cells. Early after transplantation, MDSCs and MSCs can migrate to the site of an inflammatory response and promote the development of tolerogenic DCs and macrophages that induce peripheral T Reg cell development. Cellular therapies using T Reg cells, regulatory macrophages and MSCs are being developed for clinical application to control rejection or GVHD in transplant recipients. Establishing immune tolerance in transplant recipients is essential for promoting the long-term survival of an allograft and for preventing the development of harmful graft-versus-host responses. This Review considers the clinical potential of manipulating different immunosuppressive cell populations, including regulatory T cells, B cells and macrophages, in the setting of transplantation. Immune regulation is fundamental to any immune response to ensure that it is appropriate for the perceived threat to the host. Following cell and organ transplantation, it is essential to control both the innate immune response triggered by the injured tissue and the adaptive immune response stimulated by mismatched donor and recipient histocompatibility antigens to enable the transplant to survive and function. Here, we discuss the leukocyte populations that can promote immune tolerance after cell or solid-organ transplantation. Such populations include regulatory T cells, B cells and macrophages, as well as myeloid-derived suppressor cells, dendritic cells and mesenchymal stromal cells. We consider the potential of these regulatory immune cells to develop and function in transplant recipients and their potential use as cellular therapies to promote long-term graft function.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>22627860</pmid><doi>10.1038/nri3227</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record>
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subjects 40
631/250/2504
631/250/251
692/698/1543/1565/1597
692/700/565/545/576/402
Animals
Antigens
B cells
Biomedical and Life Sciences
Biomedicine
Dendritic cells
Donors
Graft versus host disease
Graft vs Host Disease - immunology
Graft vs Host Disease - prevention & control
Health aspects
Histocompatibility
HLA Antigens - immunology
Humans
Immune response
Immune System - cytology
Immune Tolerance - immunology
Immunological tolerance
Immunology
Immunoregulation
Immunosuppressive Agents - pharmacology
Leukocytes
Lymphocytes B
Lymphocytes T
Macrophages
Mesenchyme
Organ Transplantation - methods
Physiological aspects
review-article
stromal cells
Suppressor cells
T cells
Transplantation
Transplantation Immunology
Transplantation of organs, tissues, etc
Transplants & implants
title Regulatory immune cells in transplantation
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