Non-hematopoietic allograft cells directly activate CD8+ T cells and trigger acute rejection: An alternative mechanism of allorecognition

D Kreisel, AS Krupnick, AE Gelman, FH Engels… - Nature medicine, 2002 - nature.com
D Kreisel, AS Krupnick, AE Gelman, FH Engels, SH Popma, AM Krasinskas, KR Balsara…
Nature medicine, 2002nature.com
Despite evidence that human non-hematopoietic cells, such as vascular endothelium, can
activate allogeneic T lymphocytes in vitro, the prevailing view has been that hematopoietic
antigen-presenting cells are required to trigger alloimmune responses in vivo. Here we
report that mouse non-hematopoietic cells activate alloreactive CD8+ T lymphocytes in vitro
and in vivo. We also show that vascularized cardiac allografts are acutely rejected via CD8+
direct allorecognition even if the alloantigen is not presented by hematopoietic professional …
Abstract
Despite evidence that human non-hematopoietic cells, such as vascular endothelium, can activate allogeneic T lymphocytes in vitro, the prevailing view has been that hematopoietic antigen-presenting cells are required to trigger alloimmune responses in vivo. Here we report that mouse non-hematopoietic cells activate alloreactive CD8+ T lymphocytes in vitro and in vivo. We also show that vascularized cardiac allografts are acutely rejected via CD8+ direct allorecognition even if the alloantigen is not presented by hematopoietic professional antigen-presenting cells. Because activation of alloreactive CD8+ T cells by donor-type non-hematopoietic cells can continue for the life of the allograft, these findings present a new clinically relevant mechanism of allorecognition and should be taken into consideration when developing strategies to prevent allograft vasculopathy or to induce tolerance.
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