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CD8 T-cell recognition of acquired alloantigen promotes acute allograft rejection.


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Authors

Harper, Simon JF 
Ali, Jason M 
Wlodek, Elizabeth 
Negus, Marg C 
Harper, Ines G 

Abstract

Adaptive CD8 T-cell immunity is the principal arm of the cellular alloimmune response, but its development requires help. This can be provided by CD4 T cells that recognize alloantigen "indirectly," as self-restricted allopeptide, but this process remains unexplained, because the target epitopes for CD4 and CD8 T-cell recognition are "unlinked" on different cells (recipient and donor antigen presenting cells (APCs), respectively). Here, we test the hypothesis that the presentation of intact and processed MHC class I alloantigen by recipient dendritic cells (DCs) (the "semidirect" pathway) allows linked help to be delivered by indirect-pathway CD4 T cells for generating destructive cytotoxic CD8 T-cell alloresponses. We show that CD8 T-cell-mediated rejection of murine heart allografts that lack hematopoietic APCs requires host secondary lymphoid tissue (SLT). SLT is necessary because within it, recipient dendritic cells can acquire MHC from graft parenchymal cells and simultaneously present it as intact protein to alloreactive CD8 T cells and as processed peptide alloantigen for recognition by indirect-pathway CD4 T cells. This enables delivery of essential help for generating cytotoxic CD8 T-cell responses that cause rapid allograft rejection. In demonstrating the functional relevance of the semidirect pathway to transplant rejection, our findings provide a solution to a long-standing conundrum as to why SLT is required for CD8 T-cell allorecognition of graft parenchymal cells and suggest a mechanism by which indirect-pathway CD4 T cells provide help for generating effector cytotoxic CD8 T-cell alloresponses at late time points after transplantation.

Description

Keywords

CD8 cytotoxicity, alloimmunity, allorecognition, semidirect allorecognition, semidirect pathway, Allografts, Animals, CD4-Positive T-Lymphocytes, CD8-Positive T-Lymphocytes, Dendritic Cells, Graft Rejection, Heart Transplantation, Histocompatibility Antigens Class I, Isoantigens, Mice, Mice, Inbred BALB C, Mice, Knockout

Journal Title

Proc Natl Acad Sci U S A

Conference Name

Journal ISSN

0027-8424
1091-6490

Volume Title

112

Publisher

Proceedings of the National Academy of Sciences
Sponsorship
British Heart Foundation (None)
British Heart Foundation (None)
British Heart Foundation (None)
This work was supported by a British Heart Foundation project grant, the National Institute of Health Research Cambridge Biomedical Research Centre and the National Institute of Health Research Blood and Transplant Research Unit. SH was supported by an Academy of Medical Sciences / Wellcome Trust starter grant and the European Society for Organ Transplantation Junior Basic Science Research Grant. JA and IH were supported by Wellcome Trust Clinical Research Training Fellowships and Raymond and Beverly Sackler Scholarships.