Mycophenolic acid-treated human dendritic cells have a mature migratory phenotype and inhibit allogeneic responses via direct and indirect pathways

Int Immunol. 2005 Apr;17(4):351-63. doi: 10.1093/intimm/dxh215. Epub 2005 Feb 14.

Abstract

Immature dendritic cells (DCs) can induce T-cell hyporesponsiveness, thus interfering with the process of DC maturation in a pro-inflammatory context, may therefore provide a novel approach to inducing allograft tolerance. We have studied the effects of mycophenolic acid (MPA), an immunosuppressive agent currently used in transplantation, using an in vitro model of a mixed human DC/alloreactive CD4(+) T lymphocyte culture. DCs differentiated from monocytes were exposed to MPA during maturation. MPA treatment affected the maturation of DCs, and this was reflected both in the impairment of the up-regulation of co-stimulatory molecule expression and the maintained endocytic capacity. However, MPA-DCs exhibited a distinctive microscopic morphology and secreted IL-10 and so could no longer be regarded as immature DC. Moreover, MPA-DCs had a mature phenotype for chemokine receptor expression, exhibiting down-regulation of CCR5 and up-regulation of CCR7. Interestingly, the abilities of the MPA-DCs to induce CD4(+) T-cell proliferation in response to alloantigens was impaired not only via direct but also via indirect pathways. The maintenance of endocytosis and the inhibition of syngeneic T-cell activation suggest that these cells could have a potential role to avoid chronic rejection. All these characteristics suggest that MPA-DCs may be used in cell therapy to induce allograft tolerance.

MeSH terms

  • Apoptosis / drug effects
  • Cell Movement / drug effects*
  • Cell Proliferation / drug effects
  • Dendritic Cells / drug effects*
  • Dendritic Cells / enzymology
  • Dendritic Cells / immunology
  • Humans
  • IMP Dehydrogenase / antagonists & inhibitors*
  • Lymphocyte Activation / drug effects
  • Lymphocyte Activation / immunology
  • Mycophenolic Acid / pharmacology*

Substances

  • IMP Dehydrogenase
  • Mycophenolic Acid