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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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Submitted October 12, 2005
Accepted January 21, 2006
CD8+ T cell-mediated killing of donor dendritic cells prevents alloreactive T helper type-2 responses in vivo
Sophie Laffont, Jerome D Coudert, Lucile Garidou, Laurent Delpy, Aurelie Wiedemann, Cecile Demur, Christiane Coureau, and Jean-Charles Guery*
INSERM, U563, Centre de Physiopathologie de Toulouse-Purpan, Toulouse, France
INSERM, U563, Centre de Physiopathologie de Toulouse-Purpan, Toulouse, France; Service d'Hematologie, Centre Hospitalier Universitaire Purpan, Toulouse, France
* Corresponding author; email: jean-charles.guery{at}toulouse.inserm.fr.
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 IL-4-producing cells. We showed that IFN- -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 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 the polarization of the primary alloreactive CD4+ T cell responses.

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