301. Liver grafts from CD39-overexpressing rodents are protected from ischemia reperfusion injury due to reduced numbers of resident CD4+ T cells.
- Author
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Pommey S, Lu B, McRae J, Stagg J, Hill P, Salvaris E, Robson SC, d'Apice AJ, Cowan PJ, and Dwyer KM
- Subjects
- Alanine Transaminase blood, Animals, Antigens, CD genetics, Apyrase genetics, CD4-Positive T-Lymphocytes immunology, Disease Models, Animal, Interleukin-6 blood, Killer Cells, Natural pathology, Liver Transplantation immunology, Lymphopenia genetics, Male, Mice, Mice, Inbred C57BL, Mice, Knockout, Mice, Transgenic, Reperfusion Injury metabolism, Reperfusion Injury pathology, T-Lymphocytes, Regulatory pathology, Antigens, CD metabolism, Apyrase metabolism, CD4-Positive T-Lymphocytes pathology, Liver Transplantation pathology, Lymphopenia pathology, Reperfusion Injury prevention & control, Up-Regulation
- Abstract
Unlabelled: Ischemia-reperfusion injury (IRI) is a major limiting event for successful liver transplantation, and CD4+ T cells and invariant natural killer T (iNKT) cells have been implicated in promoting IRI. We hypothesized that hepatic overexpression of CD39, an ectonucleotidase with antiinflammatory functions, will protect liver grafts after prolonged cold ischemia. CD39-transgenic (CD39tg) and wildtype (WT) mouse livers were transplanted into WT recipients after 18 hours cold storage and pathological analysis was performed 6 hours after transplantation. Serum levels of alanine aminotransferase and interleukin (IL)-6 were significantly reduced in recipients of CD39tg livers compared to recipients of WT livers. Furthermore, less severe histopathological injury was demonstrated in the CD39tg grafts. Immune analysis revealed that CD4+ T cells and iNKT cells were significantly decreased in number in the livers of untreated CD39tg mice. This was associated with a peripheral CD4+ T cell lymphopenia due to defective thymocyte maturation. To assess the relative importance of liver-resident CD4+ T cells and iNKT cells in mediating liver injury following extended cold preservation and transplantation, WT mice depleted of CD4+ T cells or mice genetically deficient in iNKT cells were used as donors. The absence of CD4+ T cells, but not iNKT cells, protected liver grafts from early IRI., Conclusion: Hepatic CD4+ T cells, but not iNKT cells, play a critical role in early IRI following extended cold preservation in a liver transplant model., (Copyright © 2012 American Association for the Study of Liver Diseases.)
- Published
- 2013
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