Induction of bona fide regulatory T cells after liver transplantation - the potential influence of polyclonal antithymocyte globulin

Summary T‐cell‐depleting strategies are an integral part of immunosuppressive regimens used in the hematological and solid organ transplant setting. Besides prevention of alloreactivity, treatment with rabbit antithymocyte globulin (rATG) has been related to the induction of immunoregulatory T cells...

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Veröffentlicht in:Transplant international 2012-03, Vol.25 (3), p.302-313
Hauptverfasser: Stauch, Diana, Yahyazadeh, Ali, Bova, Roberta, Melloh, Götz-Christian, Füldner, Arne, Baron, Udo, Olek, Sven, Göldner, Katrin, Weiss, Sascha, Pratschke, Johann, Kotsch, Katja
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container_issue 3
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container_title Transplant international
container_volume 25
creator Stauch, Diana
Yahyazadeh, Ali
Bova, Roberta
Melloh, Götz-Christian
Füldner, Arne
Baron, Udo
Olek, Sven
Göldner, Katrin
Weiss, Sascha
Pratschke, Johann
Kotsch, Katja
description Summary T‐cell‐depleting strategies are an integral part of immunosuppressive regimens used in the hematological and solid organ transplant setting. Besides prevention of alloreactivity, treatment with rabbit antithymocyte globulin (rATG) has been related to the induction of immunoregulatory T cells (Treg) in vitro and in vivo. To investigate Treg induced by rATG, we prospectively studied the effect of rATG induction therapy in liver‐transplanted recipients in vivo (n = 28). Treg induction was further evaluated by means of Treg‐specific demethylation region (TSDR) analysis within the FOXP3 locus. Whereas no induction of CD4+ CD25highCD127− Treg could be observed by phenotypic analysis, we could demonstrate an induction of TSDR+ T cells within CD4+ T cells exclusively for rATG‐treated patients in the long‐term (day 540) compared with controls (P = NS). Moreover, although in vitro experiments confirm that rATG primarily led to a conversion of CD4+ CD25− into CD4+ CD25+ T cells displaying immunosuppressive capacities, these cells cannot be classified as bona fide Treg based on their FOXP3 demethylation pattern. Consequently, the generation of Treg after rATG co‐incubation in vitro does not reflect the mechanisms of Treg induction in vivo and therefore the potential clinical relevance of these cells for transplant outcome remains to be determined.
doi_str_mv 10.1111/j.1432-2277.2011.01405.x
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Besides prevention of alloreactivity, treatment with rabbit antithymocyte globulin (rATG) has been related to the induction of immunoregulatory T cells (Treg) in vitro and in vivo. To investigate Treg induced by rATG, we prospectively studied the effect of rATG induction therapy in liver‐transplanted recipients in vivo (n = 28). Treg induction was further evaluated by means of Treg‐specific demethylation region (TSDR) analysis within the FOXP3 locus. Whereas no induction of CD4+ CD25highCD127− Treg could be observed by phenotypic analysis, we could demonstrate an induction of TSDR+ T cells within CD4+ T cells exclusively for rATG‐treated patients in the long‐term (day 540) compared with controls (P = NS). Moreover, although in vitro experiments confirm that rATG primarily led to a conversion of CD4+ CD25− into CD4+ CD25+ T cells displaying immunosuppressive capacities, these cells cannot be classified as bona fide Treg based on their FOXP3 demethylation pattern. 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subjects Adult
Animals
Antilymphocyte serum
Antilymphocyte Serum - immunology
Antilymphocyte Serum - therapeutic use
CD25 antigen
CD4 antigen
Demethylation
End Stage Liver Disease - surgery
Female
Flow Cytometry
Forkhead Transcription Factors - metabolism
Foxp3 protein
Graft Rejection - prevention & control
Hepatocytes
Humans
Immunoregulation
Immunosuppressive agents
Immunosuppressive Agents - immunology
Immunosuppressive Agents - therapeutic use
Liver transplantation
Liver Transplantation - immunology
Lymphocyte Activation
Lymphocytes
Lymphocytes T
Male
Methylation
Middle Aged
Rabbits
rATG induction therapy
Real-Time Polymerase Chain Reaction
Retrospective Studies
T-Lymphocytes, Regulatory - metabolism
thymoglobulin
Transplantation Conditioning - methods
Transplants & implants
Treg
title Induction of bona fide regulatory T cells after liver transplantation - the potential influence of polyclonal antithymocyte globulin
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