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Direct recognition of hepatocyte-expressed MHC class I alloantigens is required for tolerance induction
Moumita Paul-Heng, Mario Leong, Eithne Cunningham, Daniel L. J. Bunker, Katherine Bremner, Zane Wang, Chuanmin Wang, Szun Szun Tay, Claire McGuffog, Grant J. Logan, Ian E. Alexander, Min Hu, Stephen I. Alexander, Tim D. Sparwasser, Patrick Bertolino, David G. Bowen, G. Alex Bishop, Alexandra Sharland
Moumita Paul-Heng, Mario Leong, Eithne Cunningham, Daniel L. J. Bunker, Katherine Bremner, Zane Wang, Chuanmin Wang, Szun Szun Tay, Claire McGuffog, Grant J. Logan, Ian E. Alexander, Min Hu, Stephen I. Alexander, Tim D. Sparwasser, Patrick Bertolino, David G. Bowen, G. Alex Bishop, Alexandra Sharland
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Research Article Hepatology Transplantation

Direct recognition of hepatocyte-expressed MHC class I alloantigens is required for tolerance induction

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Abstract

Adeno-associated viral vector–mediated (AAV-mediated) expression of allogeneic major histocompatibility complex class I (MHC class I) in recipient liver induces donor-specific tolerance in mouse skin transplant models in which a class I allele (H-2Kb or H-2Kd) is mismatched between donor and recipient. Tolerance can be induced in mice primed by prior rejection of a donor-strain skin graft, as well as in naive recipients. Allogeneic MHC class I may be recognized by recipient T cells as an intact molecule (direct recognition) or may be processed and presented as an allogeneic peptide in the context of self-MHC (indirect recognition). The relative contributions of direct and indirect allorecognition to tolerance induction in this setting are unknown. Using hepatocyte-specific AAV vectors encoding WT allogeneic MHC class I molecules, or class I molecules containing a point mutation (D227K) that impedes direct recognition of intact allogeneic MHC class I by CD8+ T cells without hampering the presentation of processed peptides derived from allogeneic MHC class I, we show here that tolerance induction depends upon recognition of intact MHC class I. Indirect recognition alone yielded a modest prolongation of subsequent skin graft survival, attributable to the generation of CD4+ Tregs, but it was not sufficient to induce tolerance.

Authors

Moumita Paul-Heng, Mario Leong, Eithne Cunningham, Daniel L. J. Bunker, Katherine Bremner, Zane Wang, Chuanmin Wang, Szun Szun Tay, Claire McGuffog, Grant J. Logan, Ian E. Alexander, Min Hu, Stephen I. Alexander, Tim D. Sparwasser, Patrick Bertolino, David G. Bowen, G. Alex Bishop, Alexandra Sharland

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Figure 10

Depletion of CD4+FoxP3+ Tregs abrogates the survival prolongation of Kd-bearing skin grafts to b-haplotype DEREG mice.

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Depletion of CD4+FoxP3+ Tregs abrogates the survival prolongation of Kd-...
DEREG or C57BL/6 mice were treated with 12 ng/g Diphtheria toxin (DT) i.p. for 3 consecutive days, following which blood and splenocytes were collected and stained for the presence of FoxP3+ T cells. A and B are gated on CD3+CD4+ cells and show representative plots (n = 3). DT administration did not alter the percentage of FoxP3+ cells in the blood (A) or spleen (B) of C57BL/6 mice. In contrast, CD3+CD4+ T cells expressing the GFP reporter under the control of FoxP3 were almost completely absent from DT-treated DEREG mice, while a small residual population of FoxP3+GFP– cells remained following depletion. C (gated on CD3+CD4+ cells) summarizes the proportion of cells expressing FoxP3 in all DT-treated mice. In DEREG mice, FoxP3 cells declined from 14.4% ± 1.7% to 0.96% ± 0.19% of CD4+ T cells in blood (P = 0.015) and from 23.1% ± 1.8% to 5.7% ± 0.8% of CD4+ T cells in spleen (P = 0.010), upon DT administration. (D) Absolute numbers of CD4+FoxP3+ T cells were reduced from 42,067 ± 3,982 to 971 ± 192 in the peripheral blood of DT-treated DEREG mice (P = 0.0005) and from 1.5 × 106 ± 0.5 × 106 to 1.08 × 105 ± 0.63 × 105 in spleen (P = 0.0038). Boxes in C and D show minimum to maximum with a line at the mean. Data described as mean ± SEM, statistical analyses were performed using an unpaired t test; n = 3/group. (E and F) Survival of B6.Kd skin grafts to DEREG mice transduced with AAV-Kd was not influenced by DT treatment. Conversely, B6.Kd skin graft survival in DEREG mice inoculated with AAV-Kd-D227K was reduced from 27 to 18 days (P = 0.0046) when DT was coadministered, abrogating the survival prolongation due to expression of the Kd-D227K transgene. n = 6/group; survival analysis was performed using the log-rank test.

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