Induction of Allograft Tolerance While Maintaining Immunity Against Microbial Pathogens: Does Coronin 1 Hold a Key?

Transplantation. 2020 Jul;104(7):1350-1357. doi: 10.1097/TP.0000000000003101.

Abstract

Selective suppression of graft rejection while maintaining anti-pathogen responses has been elusive. Thus far, the most successful strategies to induce suppression of graft rejection relies on inhibition of T-cell activation. However, the very same mechanisms that induce allograft-specific T-cell suppression are also important for immunity against microbial pathogens as well as oncogenically transformed cells, resulting in significant immunosuppression-associated comorbidities. Therefore, defining the pathways that differentially regulate anti-graft versus antimicrobial T-cell responses may allow the development of regimen to induce allograft-specific tolerance. Recent work has defined a molecular pathway driven by the immunoregulatory protein coronin 1 that regulates the phosphodiesterase/cyclic adenosine monophosphate pathway and modulates T cell responses. Interestingly, disruption of coronin 1 promotes allograft tolerance while immunity towards a range of pathogenic microbes is maintained. Here, we briefly review the work leading up to these findings as well as their possible implications for transplantation medicine.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Cyclic AMP / metabolism
  • Disease Models, Animal
  • Graft Rejection / immunology
  • Graft Rejection / prevention & control*
  • Graft Survival / immunology
  • Host-Pathogen Interactions / immunology
  • Humans
  • Immunocompromised Host / drug effects
  • Immunocompromised Host / immunology
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / adverse effects
  • Infections / immunology*
  • Infections / microbiology
  • Lymphocyte Activation / genetics
  • Lymphocyte Activation / immunology
  • Macrophages / immunology
  • Macrophages / metabolism
  • Microfilament Proteins / deficiency*
  • Microfilament Proteins / genetics
  • Microfilament Proteins / immunology
  • Mycobacterium tuberculosis / immunology
  • Organ Transplantation / adverse effects*
  • Phosphoric Diester Hydrolases / metabolism
  • Signal Transduction / genetics
  • Signal Transduction / immunology
  • T-Lymphocytes / immunology
  • T-Lymphocytes / metabolism
  • Transplantation Tolerance / genetics*

Substances

  • Immunosuppressive Agents
  • Microfilament Proteins
  • coronin proteins
  • Cyclic AMP
  • Phosphoric Diester Hydrolases