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Blood, 1 October 2006, Vol. 108, No. 7, pp. 2257-2264.
Prepublished online as a Blood First Edition Paper on January 31, 2006; DOI 10.1182/blood-2005-10-4059.


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IMMUNOBIOLOGY

CD8+ T-cell–mediated killing of donor dendritic cells prevents alloreactive T helper type-2 responses in vivo

Sophie Laffont, Jérôme D. Coudert, Lucile Garidou, Laurent Delpy, Aurélie Wiedemann, Cécile Demur, Christiane Coureau, and Jean-Charles Guéry

From Institut National de la Santé et de la Recherche Médicale (INSERM), U 563, Centre de Physiopathologie de Toulouse-Purpan, the Université Paul-Sabatier, and Service d'Hématologie, Centre Hospitalier Universitaire (CHU) Purpan, Toulouse, France.

Accumulating evidence indicates that, in absence of CD8+ T-cell activation, CD4+ T-cell–mediated allograft rejection is associated with a dominant Th2-cell response and eosinophil infiltrates. In this study, we analyzed the mechanisms by which CD8+ T cells regulate alloreactive CD4+ T-cell priming and differentiation into interleukin 4 (IL-4)–producing cells. We showed that interferon {gamma} (IFN-{gamma}) production by CD8+ T cells was dispensable for the inhibition of Th2-cell development, as well as tissue eosinophilia and type 2 cytokine production in the rejected grafts. Since we noticed that CD8+ T cells not only suppressed Th2 differentiation, but also down-modulated the overall priming of alloreactive CD4+ T cells, we evaluated whether CD8+ T cells act by limiting the accumulation of donor-derived dendritic cells (DCs) in lymph nodes. We found that indeed, alloreactive CD8+ T cells rapidly eliminated allogeneic DCs from T-cell areas of draining lymph nodes, through a perforin-dependent mechanism. Thus, our data demonstrate that cytotoxic T lymphocyte (CTL)–mediated clearance of allogeneic DCs is a negative feedback mechanism that limits the duration of alloantigen presentation in draining lymph nodes, thereby modulating the amplitude and polarization of the primary alloreactive CD4+ T-cell responses.


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