Novel insights into the mechanism of action of FTY720 in a transgenic model of allograft rejection: implications for therapy of chronic rejection

J Immunol. 2006 Jan 1;176(1):36-42. doi: 10.4049/jimmunol.176.1.36.

Abstract

FTY720 is a high-affinity agonist at the sphingosine 1-phosphate receptor 1 that prevents lymphocyte egress from lymphoid tissue and prolongs allograft survival in several animal models of solid organ transplantation. In this study we used a recently developed adoptive transfer model of TCR transgenic T cells to track allospecific CD4+ T cell expansion and trafficking characteristics, cytokine secretion profiles, and surface phenotype in vivo in the setting of FTY720 administration. We report that FTY720 administration had no effect on alloantigen-driven T cell activation, proliferation, acquisition of effector-memory function, or T cell apoptosis. However, FTY720 caused a reversible sequestration of alloantigen-specific effector-memory T cells in regional lymphoid tissue associated with a decrease in T cell infiltration within the allograft and a subsequent prolongation in allograft survival. Furthermore, delayed administration of FTY720 in a cardiac model of chronic allograft rejection attenuated the progression of vasculopathy and tissue fibrosis consistent with the hypothesis that FTY720 interrupts the trafficking of activated effector-memory T cells. These data have important implications for targeting the sphingosine 1-phosphate receptor 1 in solid organ transplantation.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adoptive Transfer
  • Animals
  • Apoptosis / drug effects
  • Apoptosis / immunology
  • CD4-Positive T-Lymphocytes / drug effects
  • CD4-Positive T-Lymphocytes / immunology*
  • Chemotaxis, Leukocyte / drug effects
  • Chemotaxis, Leukocyte / immunology
  • Chronic Disease
  • Cytokines / drug effects
  • Cytokines / metabolism
  • Disease Models, Animal
  • Fingolimod Hydrochloride
  • Flow Cytometry
  • Graft Rejection / prevention & control*
  • Heart Transplantation / immunology
  • Immunohistochemistry
  • Immunologic Memory / drug effects
  • Immunosuppressive Agents / pharmacology*
  • Lymphocyte Activation / drug effects
  • Lymphocyte Activation / immunology
  • Mice
  • Mice, Transgenic
  • Propylene Glycols / pharmacology*
  • Receptors, Antigen, T-Cell / genetics
  • Skin Transplantation / immunology
  • Sphingosine / analogs & derivatives
  • Transplantation, Homologous

Substances

  • Cytokines
  • Immunosuppressive Agents
  • Propylene Glycols
  • Receptors, Antigen, T-Cell
  • Fingolimod Hydrochloride
  • Sphingosine