Memory alloreactive B cells and alloantibodies prevent anti-CD154-mediated allograft acceptance

J Immunol. 2009 Feb 1;182(3):1314-24. doi: 10.4049/jimmunol.182.3.1314.

Abstract

The impact of memory B cells and alloantibodies on the ability to induce transplantation tolerance has not been elucidated. We have developed a murine heart transplant model that isolates the contributions of functional memory B cells from memory T cells in allograft rejection. Memory 3-83 B cells with dual specificity for H-2K(k) and H-2K(b) were generated in 3-83 Igi BCR knockin (BALB/c background) mice by the transplantation of C3H (H-2K(k)) hearts in the absence of immunosuppression. To test the effect of functional memory 3-83 B cells, C3H-primed 3-83 Igi recipients were challenged with C57BL/6 hearts (H-2K(b)) at 60-90 days post-C3H heart transplant and treated with anti-CD154 mAbs. Despite immunosuppression, the C57BL/6 hearts were acutely rejected within 10-13 days and graft rejection was associated with increased frequencies of C57BL/6-specific IFN-gamma-producing T cells. Histology revealed significant numbers of infiltrating T cells, consistent with acute T cell-mediated rejection. The resistance to tolerance induction was dependent on the synergistic effects of memory 3-83 B cells and alloantibodies, whereas memory T cells are not necessary. We conclude that the combined effects of functional memory B cells and alloantibodies prevent anti-CD154-mediated graft acceptance by facilitating the CD40-CD154-independent activation of alloreactive T cells. This study provides insight into the potential ability of memory B cells and alloantibodies to prevent anti-CD154-mediated graft acceptance.

Publication types

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

MeSH terms

  • Acute Disease
  • Animals
  • Antibodies, Monoclonal / physiology*
  • B-Lymphocyte Subsets / immunology*
  • B-Lymphocyte Subsets / metabolism
  • B-Lymphocyte Subsets / transplantation
  • CD4-Positive T-Lymphocytes / immunology
  • CD4-Positive T-Lymphocytes / metabolism
  • CD4-Positive T-Lymphocytes / transplantation
  • CD40 Ligand / antagonists & inhibitors
  • CD40 Ligand / immunology*
  • Female
  • Gene Knock-In Techniques
  • Graft Rejection / immunology*
  • Graft Rejection / pathology
  • Graft Survival / immunology
  • Heart Transplantation / immunology*
  • Heart Transplantation / pathology
  • Immune Tolerance
  • Immunologic Memory*
  • Immunosuppression Therapy
  • Isoantibodies / biosynthesis
  • Isoantibodies / metabolism*
  • Isoantigens / metabolism*
  • Lymphocyte Activation / immunology
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C3H
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Transplantation, Heterotopic

Substances

  • Antibodies, Monoclonal
  • Isoantibodies
  • Isoantigens
  • CD40 Ligand