Blockade of the 4-1BB Pathway Attenuates Graft Arterial Disease in Cardiac Allografts

  • Saiki Hitoshi
    Department of Cardiovascular Medicine, Tokyo Medical and Dental University
  • Suzuki Jun-ichi
    Department of Cardiovascular Medicine, Tokyo Medical and Dental University
  • Kosuge Hisanori
    Department of Cardiovascular Medicine, Tokyo Medical and Dental University
  • Haraguchi Go
    Department of Cardiovascular Medicine, Tokyo Medical and Dental University
  • Ishihara Takashi
    Department of Cardiovascular Medicine, Tokyo Medical and Dental University
  • Haga Takaaki
    Department of Cardiovascular Medicine, Tokyo Medical and Dental University
  • Maejima Yasuhiro
    Department of Cardiovascular Medicine, Tokyo Medical and Dental University
  • Isobe Mitsuaki
    Department of Cardiovascular Medicine, Tokyo Medical and Dental University
  • Uede Toshimitsu
    Division of Molecular Immunology, Institute for Genetic Medicine, Hokkaido University

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Abstract

4-1BB, a member of the tumor necrosis factor (TNF) receptor superfamily, binds the 4-1BB ligand (4-1BBL) and works as a costimulatory molecule and regulates T cell-mediated immune responses. Because T cell-mediated immunity is associated with graft arterial disease (GAD), we investigated the role of the 4-1BB pathway in the progression of GAD.<br> Hearts from C57BL/6 mice were transplanted into Bm12 mice (class II mismatch). 4-1BB expression was induced on CD4+ and CD8+ splenocytes in allografts after cardiac transplantation. 4-1BBL was detected in the vessel wall of the rejecting cardiac allograft and in cultured smooth muscle cells (SMCs) stimulated with fetal calf serum. Recipients were injected intraperitoneally with 4-1BBIg every 7 days for 8 weeks. GAD was significantly attenuated by 4-1BBIg treatment (luminal occlusion, 15.4 ± 3.1% versus control IgG treatment, 75.6 ± 4.6%, P < 0.001). T-cell infiltration of cardiac allografts and expression of interferon-g , interleukin-6, and interleukin-15 in cardiac allografts were suppressed by 4-1BBIg treatment. Coculture of SMCs with sensitized splenocytes after transplantation induced SMC proliferation, and this was inhibited by addition of 4-1BBIg.<br> The 4-1BB pathway regulates not only T-cell activation but also SMC proliferation. Blockade of the 4-1BB pathway is a promising strategy to prevent progression of GAD. <br>

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