Indirect T cell allorecognition and alloantibody-mediated rejection of MHC class I-disparate heart grafts

J Immunol. 1998 Aug 1;161(3):1292-8.

Abstract

Recent studies in the rat have identified a role for T cell-dependent alloantibody in rejection of MHC class I-disparate allografts. RT1Aa-disparate PVG.R8 heart grafts are rejected acutely in naive, and hyperacutely in sensitized, PVG.RTIu recipients by CD4 T cell-dependent alloantibody. Here, we examined the T cell Ag recognition pathways responsible and show that direct injection into skeletal muscle of plasmid DNA, encoding a water-soluble form of the RT1Aa MHC class I heavy chain (pcmu-tAa), stimulates IgG2b cytotoxic alloantibody and markedly accelerates rejection of PVG.R8 heart grafts (median survival time 2 days). pcmu-tAa injection did not induce CTL to Aa, arguing against direct allorecognition of soluble Aa. Treatment with mAbs confirmed that the alloimmune response to pcmu-tAa injection depended on CD4, not CD8, T cells. Priming T cells for indirect allorecognition by injection of 15-mer peptides spanning the alpha1 and alpha2 domains of Aa failed to stimulate anti-Aa Ab but caused an accelerated Ab response to a PVG.R8 heart and a modest acceleration in graft rejection (median survival time 4 days). These results suggest that both soluble MHC class I and allopeptides prime CD4 T cells by the indirect pathway, but that soluble class I is a more effective immunogen for humoral alloimmunity because its tertiary protein structure provides B cell epitopes. We propose that priming humoral alloimmunity, like CTL priming, requires recognition of intact MHC on donor cells, but essential T cell help can be provided by CD4 T cells recognizing allogeneic class I exclusively by the indirect pathway.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Monoclonal / administration & dosage
  • Cytotoxicity, Immunologic
  • Graft Rejection / genetics
  • Graft Rejection / immunology*
  • Heart Transplantation / immunology*
  • Histocompatibility Antigens Class I / genetics*
  • Histocompatibility Antigens Class I / immunology
  • Injections, Intramuscular
  • Injections, Intraperitoneal
  • Injections, Subcutaneous
  • Isoantibodies / physiology*
  • Isoantigens / immunology*
  • Lymphocyte Depletion
  • Peptides / administration & dosage
  • Peptides / genetics
  • Peptides / immunology
  • Rats
  • Rats, Inbred Strains
  • Skin Transplantation / immunology
  • T-Lymphocytes / immunology*
  • T-Lymphocytes, Cytotoxic / immunology
  • Vaccines, DNA / immunology

Substances

  • Antibodies, Monoclonal
  • Histocompatibility Antigens Class I
  • Isoantibodies
  • Isoantigens
  • Peptides
  • Vaccines, DNA