Journal of Clinical Investigation · 2000 · 130 citations · 52 references
Life SciencesImmunologyCardiac TransplantationImmunoregulationTransplant ImmunologyAllograft RejectionCostimulatory SignalingHeart TransplantationHelper T Cell SubsetsTransplant RejectionAllograft Rejection MechanismsCd28 CostimulationImmunologic Response To AllograftT Cell Costimulatory PathwaysT-cell Costimulation BlockadeTh1 Immune ResponseTh1 ResponsesTh2 Immune Response
We used signal transducer and activator of transcription 4 (STAT4) and STAT6 gene knockout (-/-) mice as recipients of fully mismatched cardiac allografts to study the role of T-cell costimulatory pathways in regulating allogeneic T-helper 1 (Th1) versus Th2 responses in vivo. STAT4(-/-) mice have impaired Th1 responses, whereas STAT6(-/-) mice do not generate normal Th2 responses. Cardiac allografts from C57BL/6 mice were transplanted into normal wild-type (WT), STAT4(-/-), and STAT6(-/-) BALB/c recipients. STAT4(-/-) and STAT6(-/-) mice rejected their grafts with the same tempo as untreated WT recipients. CD28-B7 blockade by a single injection of CTLA4Ig induced long-term engraftment and donor-specific tolerance in all three groups of recipients. CD154 blockade by a single injection of MR1 was effective in prolonging allograft survival and inducing tolerance in STAT4(-/-) mice but was only marginally effective in STAT6(-/-) recipients and WT controls. In addition, a similar protocol of MR1 was ineffective in prolonging graft survival in CD28(-/-) BALB/c recipients, suggesting that the lack of efficacy seen in WT and STAT6(-/-) mice is not due to the presence of a functional CD28-B7 pathway. Furthermore, there was a similar differential effect of CD28-B7 versus CD154-CD40 blockade in inhibiting immune responses in animals immunized with ovalbumin and complete Freund's adjuvant. These novel data indicate that Th1 and Th2 cells are differentially regulated by CD28-B7 versus CD154-CD40 costimulation pathways in vivo and may have potential implications for the development of therapeutic strategies such as T-cell costimulatory blockade in humans.
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Stat6 Is Required for Mediating Responses to IL-4 and for the Development of Th2 Cells
Mark H. Kaplan, Ulrike Schindler, Stephen T. Smiley et al. · Immunity · 1996 · 1.6K citations · Full text
Long-term acceptance of skin and cardiac allografts after blocking CD40 and CD28 pathways
Christian P. Larsen, Eric T. Elwood, Diane Z. Alexander et al. · Nature · 1996 · 1.5K citations
Impaired IL-12 responses and enhanced development of Th2 cells in Stat4-deficient mice
Mark H. Kaplan, Ya‐Lin Sun, Timothy Hoey et al. · Nature · 1996 · 1.2K citations
Life Sciences, Immunology, Pathology +16