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Publication : Critical Role of Macrophage FcγR Signaling and Reactive Oxygen Species in Alloantibody-Mediated Hepatocyte Rejection.

First Author  Zimmerer JM Year  2018
Journal  J Immunol Volume  201
Issue  12 Pages  3731-3740
PubMed ID  30397035 Mgi Jnum  J:268247
Mgi Id  MGI:6269184 Doi  10.4049/jimmunol.1800333
Citation  Zimmerer JM, et al. (2018) Critical Role of Macrophage FcgammaR Signaling and Reactive Oxygen Species in Alloantibody-Mediated Hepatocyte Rejection. J Immunol 201(12):3731-3740
abstractText  Humoral alloimmunity negatively impacts both short- and long-term cell and solid organ transplant survival. We previously reported that alloantibody-mediated rejection of transplanted hepatocytes is critically dependent on host macrophages. However, the effector mechanism(s) of macrophage-mediated injury to allogeneic liver parenchymal cells is not known. We hypothesized that macrophage-mediated destruction of allogeneic hepatocytes occurs by cell-cell interactions requiring FcgammaRs. To examine this, alloantibody-dependent hepatocyte rejection in CD8-depleted wild-type (WT) and Fcgamma-chain knockout (KO; lacking all functional FcgammaR) transplant recipients was evaluated. Alloantibody-mediated hepatocellular allograft rejection was abrogated in recipients lacking FcgammaR compared with WT recipients. We also investigated anti-FcgammaRI mAb, anti-FcgammaRIII mAb, and inhibitors of intracellular signaling (to block phagocytosis, cytokines, and reactive oxygen species [ROS]) in an in vitro alloantibody-dependent, macrophage-mediated hepatocytoxicity assay. Results showed that in vitro alloantibody-dependent, macrophage-mediated hepatocytotoxicity was critically dependent on FcgammaRs and ROS. The adoptive transfer of WT macrophages into CD8-depleted FcgammaR-deficient recipients was sufficient to induce alloantibody-mediated rejection, whereas adoptive transfer of macrophages from Fcgamma-chain KO mice or ROS-deficient (p47 KO) macrophages was not. These results provide the first evidence, to our knowledge, that alloantibody-dependent hepatocellular allograft rejection is mediated by host macrophages through FcgammaR signaling and ROS cytotoxic effector mechanisms. These results support the investigation of novel immunotherapeutic strategies targeting macrophages, FcgammaRs, and/or downstream molecules, including ROS, to inhibit humoral immune damage of transplanted hepatocytes and perhaps other cell and solid organ transplants.
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