Inhibition of Innate Co-Receptor TREM-1 Signaling Reduces CD4(+) T Cell Activation and Prolongs Cardiac Allograft Survival

Schiechl, G. and Brunner, S. M. and Kesselring, R. and Martin, M. and Ruemmele, P. and Mack, M. and Hirt, S. W. and Schlitt, H. J. and Geissler, E. K. and Fichtner-Feigl, S. (2013) Inhibition of Innate Co-Receptor TREM-1 Signaling Reduces CD4(+) T Cell Activation and Prolongs Cardiac Allograft Survival. AMERICAN JOURNAL OF TRANSPLANTATION, 13 (5). pp. 1168-1180. ISSN 1600-6135,

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Abstract

The innate receptor triggering-receptor-expressed-on-myeloid-cells-1 (TREM-1) enhances downstream signaling of pattern recognition receptor (PRR) molecules implicated in inflammatory responses. However the mechanistic role of TREM-1 in chronic heart rejection has yet to be elucidated. We examined the effect of TREM-1+ antigen-presenting cells (APC) on alloreactive CD4+ lymphocytes. Bm12 donor hearts were transplanted into wild-type MHC-class-II-mismatched C57BL/6J recipient mice. Progressive allograft rejection of bm12-donor hearts with decreased organ function, severe vasculopathy and allograft fibrosis was evident within 4 weeks. TREM-1+CD11b+MHC-II+F4/80+CCR2+ APC and IFN-producing CD4+ cells were detected during chronic rejection. Peptide inhibition of TREM-1 attenuated graft vasculopathy, reduced graft-infiltrating leukocytes and prolonged allograft survival, while being accompanied by sustained low levels of CD4+ and CD8+ cell infiltration. Remarkably, temporary inhibition of TREM-1 during early immune activation was sufficient for long-term allograft survival. Mechanistically, TREM-1 inhibition leads to reduced differentiation and proliferation of IFN-producing Th1 cells. In conclusion, TREM-1 influences chronic heart rejection by regulating the infiltration and differentiation of CD4+ lymphocytes.

Item Type: Article
Uncontrolled Keywords: CHRONIC REJECTION; MYELOID CELLS-1; ADAPTER PROTEIN; TGF-BETA; INFLAMMATORY RESPONSES; IMMUNE-RESPONSES; RECEPTOR; VASCULOPATHY; EXPRESSION; FIBROSIS; Allograft survival; chronic rejection; heart transplantation; innate immunity; TREM-1
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Chirurgie
Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie
Medicine > Lehrstuhl für Innere Medizin II
Medicine > Lehrstuhl für Pathologie
Medicine > Zentren des Universitätsklinikums Regensburg > Regensburger Centrum für Interventionelle Immunologie (RCI)
Depositing User: Dr. Gernot Deinzer
Date Deposited: 15 Apr 2020 13:14
Last Modified: 15 Apr 2020 13:14
URI: https://pred.uni-regensburg.de/id/eprint/16733

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