Polyclonal Recipient nTregs Are Superior to Donor or Third-Party Tregs in the Induction of Transplantation Tolerance

Induction of donor-specific tolerance is still considered as the “Holy Grail” in transplantation medicine. The mixed chimerism approach is virtually the only tolerance approach that was successfully translated into the clinical setting. We have previously reported successful induction of chimerism a...

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Main Authors: Nina Pilat, Christoph Klaus, Karin Hock, Ulrike Baranyi, Lukas Unger, Benedikt Mahr, Andreas M. Farkas, Fritz Wrba, Thomas Wekerle
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2015/562935
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author Nina Pilat
Christoph Klaus
Karin Hock
Ulrike Baranyi
Lukas Unger
Benedikt Mahr
Andreas M. Farkas
Fritz Wrba
Thomas Wekerle
author_facet Nina Pilat
Christoph Klaus
Karin Hock
Ulrike Baranyi
Lukas Unger
Benedikt Mahr
Andreas M. Farkas
Fritz Wrba
Thomas Wekerle
author_sort Nina Pilat
collection DOAJ
description Induction of donor-specific tolerance is still considered as the “Holy Grail” in transplantation medicine. The mixed chimerism approach is virtually the only tolerance approach that was successfully translated into the clinical setting. We have previously reported successful induction of chimerism and tolerance using cell therapy with recipient T regulatory cells (Tregs) to avoid cytotoxic recipient treatment. Treg therapy is limited by the availability of cells as large-scale expansion is time-consuming and associated with the risk of contamination with effector cells. Using a costimulation-blockade based bone marrow (BM) transplantation (BMT) model with Treg therapy instead of cytoreductive recipient treatment we aimed to determine the most potent Treg population for clinical translation. Here we show that CD4+CD25+ in vitro activated nTregs are superior to TGFβ induced iTregs in promoting the induction of chimerism and tolerance. Therapy with nTregs (but not iTregs) led to multilineage chimerism and donor-specific tolerance in mice receiving as few as 0.5 × 106 cells. Moreover, we show that only recipient Tregs, but not donor or third-party Tregs, had a beneficial effect on BM engraftment at the tested doses. Thus, recipient-type nTregs significantly improve chimerism and tolerance and might be the most potent Treg population for translation into the clinical setting.
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spelling doaj-art-03978fb2ddc248a5a3005addf9ccdc562025-02-03T06:11:40ZengWileyJournal of Immunology Research2314-88612314-71562015-01-01201510.1155/2015/562935562935Polyclonal Recipient nTregs Are Superior to Donor or Third-Party Tregs in the Induction of Transplantation ToleranceNina Pilat0Christoph Klaus1Karin Hock2Ulrike Baranyi3Lukas Unger4Benedikt Mahr5Andreas M. Farkas6Fritz Wrba7Thomas Wekerle8Section of Transplantation Immunology, Department of Surgery, Medical University of Vienna, 1090 Vienna, AustriaSection of Transplantation Immunology, Department of Surgery, Medical University of Vienna, 1090 Vienna, AustriaSection of Transplantation Immunology, Department of Surgery, Medical University of Vienna, 1090 Vienna, AustriaSection of Transplantation Immunology, Department of Surgery, Medical University of Vienna, 1090 Vienna, AustriaSection of Transplantation Immunology, Department of Surgery, Medical University of Vienna, 1090 Vienna, AustriaSection of Transplantation Immunology, Department of Surgery, Medical University of Vienna, 1090 Vienna, AustriaSection of Transplantation Immunology, Department of Surgery, Medical University of Vienna, 1090 Vienna, AustriaInstitute of Clinical Pathology, Medical University of Vienna, 1090 Vienna, AustriaSection of Transplantation Immunology, Department of Surgery, Medical University of Vienna, 1090 Vienna, AustriaInduction of donor-specific tolerance is still considered as the “Holy Grail” in transplantation medicine. The mixed chimerism approach is virtually the only tolerance approach that was successfully translated into the clinical setting. We have previously reported successful induction of chimerism and tolerance using cell therapy with recipient T regulatory cells (Tregs) to avoid cytotoxic recipient treatment. Treg therapy is limited by the availability of cells as large-scale expansion is time-consuming and associated with the risk of contamination with effector cells. Using a costimulation-blockade based bone marrow (BM) transplantation (BMT) model with Treg therapy instead of cytoreductive recipient treatment we aimed to determine the most potent Treg population for clinical translation. Here we show that CD4+CD25+ in vitro activated nTregs are superior to TGFβ induced iTregs in promoting the induction of chimerism and tolerance. Therapy with nTregs (but not iTregs) led to multilineage chimerism and donor-specific tolerance in mice receiving as few as 0.5 × 106 cells. Moreover, we show that only recipient Tregs, but not donor or third-party Tregs, had a beneficial effect on BM engraftment at the tested doses. Thus, recipient-type nTregs significantly improve chimerism and tolerance and might be the most potent Treg population for translation into the clinical setting.http://dx.doi.org/10.1155/2015/562935
spellingShingle Nina Pilat
Christoph Klaus
Karin Hock
Ulrike Baranyi
Lukas Unger
Benedikt Mahr
Andreas M. Farkas
Fritz Wrba
Thomas Wekerle
Polyclonal Recipient nTregs Are Superior to Donor or Third-Party Tregs in the Induction of Transplantation Tolerance
Journal of Immunology Research
title Polyclonal Recipient nTregs Are Superior to Donor or Third-Party Tregs in the Induction of Transplantation Tolerance
title_full Polyclonal Recipient nTregs Are Superior to Donor or Third-Party Tregs in the Induction of Transplantation Tolerance
title_fullStr Polyclonal Recipient nTregs Are Superior to Donor or Third-Party Tregs in the Induction of Transplantation Tolerance
title_full_unstemmed Polyclonal Recipient nTregs Are Superior to Donor or Third-Party Tregs in the Induction of Transplantation Tolerance
title_short Polyclonal Recipient nTregs Are Superior to Donor or Third-Party Tregs in the Induction of Transplantation Tolerance
title_sort polyclonal recipient ntregs are superior to donor or third party tregs in the induction of transplantation tolerance
url http://dx.doi.org/10.1155/2015/562935
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