Protection of islet grafts through transforming growth factor-?-induced tolerogenic dendritic cells.
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ABSTRACT: In type 1 diabetes, the insulin-producing ?-cells are destroyed by the immune system. One way of restoring glucose control is to transplant ?-cells from a donor. Although this procedure may restore endogenous insulin production, immunosuppressive treatment is needed to prevent the recipient from rejecting the donor-derived islets. We investigated the possibilities of transient expression of the immunosuppressive cytokine transforming growth factor (TGF)-? within islets to achieve long-term graft tolerance. We found that brief expression of TGF-? prevented rejection of syngeneic islets, that there was reduction of dendritic cell (DC) activation in the graft, and that there was reduced reactivation of T cells in the graft-draining lymph nodes. In vitro exposure of bone marrow-derived DCs to TGF-? reduced expression of costimulatory molecules CD80 and CD86, as well as production of proinflammatory cytokines such as interleukin-12 p70 in DCs, but did not alter levels of major histocompatibility complex classes I and II. Furthermore, the capacity of TGF-?-treated bone marrow-derived DCs to activate both CD4(+) and CD8(+) T cells was reduced. Adding TGF-?-conditioned tolerogenic DCs to the grafted islets led to long-term survival of the graft, demonstrating that TGF-?-induced tolerogenic DCs can provide an effective means to restore immune tolerance in an already established autoimmune disease.
SUBMITTER: Thomas DC
PROVIDER: S-EPMC3749342 | biostudies-literature | 2013 Sep
REPOSITORIES: biostudies-literature
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