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Prepublished online as a Blood First Edition Paper on January 16, 2003; DOI 10.1182/blood-2002-11-3370.

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Blood, 1 June 2003, Vol. 101, No. 11, pp. 4457-4463

IMMUNOBIOLOGY

Rapamycin inhibits IL-4—induced dendritic cell maturation in vitro and dendritic cell mobilization and function in vivo

Holger Hackstein, Timucin Taner, Alan F. Zahorchak, Adrian E. Morelli, Alison J. Logar, Andre Gessner, and Angus W. Thomson

From the Thomas E. Starzl Transplantation Institute and Department of Surgery, and Department of Immunology, University of Pittsburgh, PA; Institute for Clinical Immunology and Transfusion Medicine, Justus-Liebig University, Giessen, Germany; and Institute for Clinical Microbiology and Immunology, University Erlangen, Erlangen, Germany.

Rapamycin (RAPA) is a potent immunosuppressive macrolide hitherto believed to mediate its action primarily via suppression of lymphocyte responses to interleukin 2 (IL-2) and other growth factors. We show here that this view is incomplete and provide evidence that RAPA suppresses the functional activation of dendritic cells (DCs) both in vitro and in vivo. In vitro, RAPA inhibits IL-4—dependent maturation and T-cell stimulatory activity of murine bone marrow—derived DCs. These effects are associated with posttranscriptional down-regulation of both subunits of the IL-4 receptor complex (CD124, CD132) and are mediated via binding of RAPA to its intracellular receptor FK506-binding protein 12 (FKBP12). In vivo, RAPA impairs steady-state DC generation and fms-like tyrosine 3 kinase ligand (Flt3L)—induced DC mobilization. In addition, in vivo administration of RAPA impairs DC costimulatory molecule up-regulation, production of proinflammatory cytokines, and T-cell allostimulatory capacity. These novel findings have implications for RAPA-based therapy of chronic DC-triggered autoimmune diseases, transplant rejection, and hematologic malignancies with activating Flt3 mutations.


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