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Prepublished online as a Blood First Edition Paper on December 19, 2002; DOI 10.1182/blood-2002-07-2076.

Submitted July 15, 2002
Accepted December 10, 2002
Active suppression of allogeneic proliferative responses by dendritic cells after induction of long-term allograft survival by CTLA4Ig
Cecile Guillot, Severine Menoret, Carole Guillonneau, Cecile Braudeau, Maria G Castro, Pedro Lowenstein, and Ignacio Anegon*
Unite 437, Institut National de la Sante et de la Recherche Medicale (INSERM) et Institut de Transplantation et Recherche en Transplantation (ITERT), Nantes, France
Gene Therapeutics Research Institute, UCLA Cedars-Sinai Medical Center, Los Angeles, CA, USA
* Corresponding author; email: ianegon{at}nantes.inserm.fr.
Costimulatory blockade using CTLA4Ig efficiently down-regulates immune responses in animal models and is currently being used in autoimmune and transplantation clinical trials, but the precise cellular and molecular mechanisms involved remain unclear. Rats transplanted with allogeneic hearts and treated with adenoviruses coding for CTLA4Ig show long-term allograft survival. The immune mechanisms regulating induction of long-term allograft acceptance were analyzed in splenocytes using mixed leukocyte reactions (MLRs). MLRs of splenocytes but not purified T cells, from CTLA4Ig-treated rats showed > 75% inhibition compared to controls. Splenocytes from CTLA4Ig-treated rats inhibited proliferation of naive and allogeneically primed splenocytes or T cells. MLRs suppression was dependent on soluble secreted product(s). Production of soluble inhibitory product(s) was triggered by a donor antigen-specific stimulation and inhibited proliferation in an antigen non-specific manner. CTLA4Ig levels in the culture supernatant were undetectable and neither IL-10, TGF 1, IL-4, nor IL-13 were responsible for suppression of MLRs. Inhibition of NO production or addition of IL-2 could not restore proliferation independently but the combined treatment synergistically induced proliferation comparable to controls. Stimulation of APCs using TNF-related activation-induced cytokine (TRANCE) or CD40L and addition of IL-2 normalized MLRs of CTLA4Ig-treated splenocytes. Finally, dendritic cells (DCs), but not T cells, from CTLA4Ig-treated rats inhibited naive MLRs. Altogether, these results provide evidence that after in vivo CTLA4Ig treatment, splenocytes and in particular DCs, can inhibit alloantigen-induced proliferative responses through secretion of inhibitory products, thus promoting alloantigen-specific tolerance in vivo.

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