In vitro induced CD4(+)CD25(+)Foxp3(+) Tregs attenuate hepatic ischemia-reperfusion injury

Int Immunopharmacol. 2009 May;9(5):549-52. doi: 10.1016/j.intimp.2009.01.020. Epub 2009 Jan 31.

Abstract

Reperfusion injury causes liver dysfunction after warm or cold ischemia. Emerging data suggest a role of T cells as mediators in this ischemia/reperfusion (I/R) injury. In the T cells, a part of CD4(+)CD25(+)FoxP3(+) T regulatory cells (Tregs) were reported to facilitate recovery from I/R injury. These Tregs can be induced by TGF-beta in vitro. Interestingly, rapamycin was reported to selectively expand these Tregs in vitro. In the present study, addition of rapamycin to cultures containing TGF-beta further increased the frequency and absolute number of functional CD4(+) Tregs. Using a partial (70%) hepatic warm ischemia model, we investigated the effects of liver function recovery under the treatment of Tregs induced by rapamycin and TGF-beta. The treatment of Tregs significantly reduced serum alanine aminotransferase and aspartate aminotransferase compared to I/R control animals at 24 h after reperfusion (P<0.05). They also significantly attenuated the up-regulation of IFN-gamma and IL-17 compared to the I/R control animals (P<0.05). In conclusion, Tregs ameliorate the biochemical of hepatic I/R injury by preventing proinflammatory cytokines following a warm I/R insult. These data may pave the way to use Tregs as cell therapy to prevent hepatic I/R injury.

MeSH terms

  • Alanine Transaminase / blood
  • Animals
  • Aspartate Aminotransferases / blood
  • CD4 Antigens
  • Forkhead Transcription Factors / immunology
  • Interferon-gamma / metabolism
  • Interleukin-17 / metabolism
  • Interleukin-2 Receptor alpha Subunit
  • Liver / blood supply
  • Liver / immunology
  • Liver / metabolism*
  • Liver / pathology
  • Lymphocyte Activation / drug effects
  • Male
  • Rats
  • Rats, Wistar
  • Recovery of Function
  • Reperfusion Injury / blood
  • Reperfusion Injury / drug therapy
  • Reperfusion Injury / immunology*
  • Reperfusion Injury / pathology
  • Reperfusion Injury / physiopathology
  • Sirolimus / pharmacology*
  • T-Lymphocytes, Regulatory / drug effects
  • T-Lymphocytes, Regulatory / immunology
  • T-Lymphocytes, Regulatory / metabolism*
  • T-Lymphocytes, Regulatory / pathology
  • Transforming Growth Factor beta / metabolism*

Substances

  • CD4 Antigens
  • Forkhead Transcription Factors
  • Foxp3 protein, rat
  • Interleukin-17
  • Interleukin-2 Receptor alpha Subunit
  • Transforming Growth Factor beta
  • Interferon-gamma
  • Aspartate Aminotransferases
  • Alanine Transaminase
  • Sirolimus