Donor-derived IP-10 initiates development of acute allograft rejection

J Exp Med. 2001 Apr 16;193(8):975-80. doi: 10.1084/jem.193.8.975.

Abstract

An allograft is often considered an immunologically inert playing field on which host leukocytes assemble and wreak havoc. However, we demonstrate that graft-specific physiologic responses to early injury initiate and promulgate destruction of vascularized grafts. Serial analysis of allografts showed that intragraft expression of the three chemokine ligands for the CXC chemo-kine receptor CXCR3 was induced in the order of interferon (IFN)-gamma-inducible protein of 10 kD (IP-10, or CXCL10), IFN-inducible T cell alpha-chemoattractant (I-TAC; CXCL11), and then monokine induced by IFN-gamma (Mig, CXCL9). Initial IP-10 production was localized to endothelial cells, and only IP-10 was induced by isografting. Anti-IP-10 monoclonal antibodies prolonged allograft survival, but surprisingly, IP-10-deficient (IP-10(-/-)) mice acutely rejected allografts. However, though allografts from IP-10(+/+) mice were rejected by day 7, hearts from IP-10(-/-) mice survived long term. Compared with IP-10(+/+) donors, use of IP-10(-/-) donors reduced intragraft expression of cytokines, chemokines and their receptors, and associated leukocyte infiltration and graft injury. Hence, tissue-specific generation of a single chemokine in response to initial ischemia/reperfusion can initiate progressive graft infiltration and amplification of multiple effector pathways, and targeting of this proximal chemokine can prevent acute rejection. These data emphasize the pivotal role of donor-derived IP-10 in initiating alloresponses, with implications for tissue engineering to decrease immunogenicity, and demonstrate that chemokine redundancy may not be operative in vivo.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acute Disease
  • Animals
  • Chemokine CXCL10
  • Chemokines / genetics
  • Chemokines, CXC / deficiency
  • Chemokines, CXC / genetics
  • Chemokines, CXC / physiology*
  • Graft Rejection / immunology*
  • Graft Rejection / pathology
  • Graft Survival / immunology
  • Heart Transplantation / immunology*
  • Heart Transplantation / pathology
  • Interferon-gamma / pharmacology
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Inbred Strains
  • Mice, Knockout
  • Receptors, CXCR3
  • Receptors, Chemokine / immunology
  • Transplantation, Homologous / immunology*
  • Transplantation, Homologous / pathology
  • Transplantation, Isogeneic / immunology

Substances

  • Chemokine CXCL10
  • Chemokines
  • Chemokines, CXC
  • Cxcr3 protein, mouse
  • Receptors, CXCR3
  • Receptors, Chemokine
  • Interferon-gamma