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Publication : Depletion of donor dendritic cells ameliorates immunogenicity of both skin and hind limb transplants.

First Author  Ashraf MI Year  2024
Journal  Front Immunol Volume  15
Pages  1395945 PubMed ID  38799435
Mgi Jnum  J:349372 Mgi Id  MGI:7644402
Doi  10.3389/fimmu.2024.1395945 Citation  Ashraf MI, et al. (2024) Depletion of donor dendritic cells ameliorates immunogenicity of both skin and hind limb transplants. Front Immunol 15:1395945
abstractText  Acute cellular rejection remains a significant obstacle affecting successful outcomes of organ transplantation including vascularized composite tissue allografts (VCA). Donor antigen presenting cells (APCs), particularly dendritic cells (DCs), orchestrate early alloimmune responses by activating recipient effector T cells. Employing a targeted approach, we investigated the impact of donor-derived conventional DCs (cDCs) and APCs on the immunogenicity of skin and skin-containing VCA grafts, using mouse models of skin and hind limb transplantation. By post-transplantation day 6, skin grafts demonstrated severe rejections, characterized by predominance of recipient CD4 T cells. In contrast, hind limb grafts showed moderate rejection, primarily infiltrated by CD8 T cells. Notably, the skin component exhibited heightened immunogenicity when compared to the entire VCA, evidenced by increased frequencies of pan (CD11b(-)CD11c(+)), mature (CD11b(-)CD11c(+)MHCII(+)) and active (CD11b(-)CD11c(+)CD40(+)) DCs and cDC2 subset (CD11b(+)CD11c(+) MHCII(+)) in the lymphoid tissues and the blood of skin transplant recipients. While donor depletion of cDC and APC reduced frequencies, maturation and activation of DCs in all analyzed tissues of skin transplant recipients, reduction in DC activities was only observed in the spleen of hind limb recipients. Donor cDC and APC depletion did not impact all lymphocyte compartments but significantly affected CD8 T cells and activated CD4 T in lymph nodes of skin recipients. Moreover, both donor APC and cDC depletion attenuated the Th17 immune response, evident by significantly reduced Th17 (CD4(+)IL-17(+)) cells in the spleen of skin recipients and reduced levels of IL-17E and lymphotoxin-alpha in the serum samples of both skin and hind limb recipients. In conclusion, our findings underscore the highly immunogenic nature of skin component in VCA. The depletion of donor APCs and cDCs mitigates the immunogenicity of skin grafts while exerting minimal impact on VCA.
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