PMID- 14662900 OWN - NLM STAT- MEDLINE DCOM- 20040315 LR - 20190516 IS - 0022-1767 (Print) IS - 0022-1767 (Linking) VI - 171 IP - 12 DP - 2003 Dec 15 TI - Blocking the monocyte chemoattractant protein-1/CCR2 chemokine pathway induces permanent survival of islet allografts through a programmed death-1 ligand-1-dependent mechanism. PG - 6929-35 AB - Islet allografts are subject to rapid rejection through host cellular immune responses involving mononuclear cell recruitment and tissue injury. Interruption of leukocyte recruitment through chemokine receptor targeting is of therapeutic benefit in various experimental models, but little is known about the contribution of chemokine pathways to islet allograft rejection. We found that murine islets produce monocyte chemoattractant protein-1 (MCP-1; CCL2) in vitro and that islet allograft rejection was associated with intragraft expression of MCP-1 and its receptor, CCR2. We therefore investigated whether MCP-1 and CCR2 are required for the rejection of fully MHC-disparate islet allografts. Wild-type mice treated with blocking anti-MCP-1 mAb plus a brief, subtherapeutic course of rapamycin had long-term islet allograft survival, in contrast to the effect of treatment with either mAb or rapamycin alone. CCR2(-/-) mice treated with rapamycin also maintained islet allografts long-term. Both MCP/CCR2- and rapamycin-sensitive signals were required for maximal proliferation of alloreactive T cells, suggesting that MCP-1/CCR2 induce rejection by promoting alloreactive T cell clonal expansion and homing and migration. Prolonged islet allograft survival achieved by blockade of the MCP-1/CCR2 pathway plus rapamycin therapy was accompanied by a mononuclear cell infiltrate expressing the inhibitory receptor, programmed death-1 (PD-1), and its ligand (PD-L1, B7-H1), and prolongation of islet allograft survival was abrogated by anti-PD-L1 mAb therapy. These data show that the blockade of MCP-1 binding to CCR2 in conjunction with subtherapeutic immunosuppression can have profound effects on islet allograft survival and implicate the expression of the PD-1/PD-L1 pathway in the regulation of physiologic responses in vivo. FAU - Lee, Iris AU - Lee I AD - Department of Pathology and Laboratory Medicine, Joseph Stokes, Jr., Research Institute and Biesecker Pediatric Liver Center, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, PA 19104, USA. FAU - Wang, Liqing AU - Wang L FAU - Wells, Andrew D AU - Wells AD FAU - Ye, Qunrui AU - Ye Q FAU - Han, Rongxiang AU - Han R FAU - Dorf, Martin E AU - Dorf ME FAU - Kuziel, William A AU - Kuziel WA FAU - Rollins, Barrett J AU - Rollins BJ FAU - Chen, Lieping AU - Chen L FAU - Hancock, Wayne W AU - Hancock WW LA - eng GR - AI40152/AI/NIAID NIH HHS/United States GR - DK063591/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Immunol JT - Journal of immunology (Baltimore, Md. : 1950) JID - 2985117R RN - 0 (Antibodies, Monoclonal) RN - 0 (Antigens, Surface) RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (B7-1 Antigen) RN - 0 (B7-H1 Antigen) RN - 0 (Blood Proteins) RN - 0 (Ccr2 protein, mouse) RN - 0 (Cd274 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Ligands) RN - 0 (Membrane Glycoproteins) RN - 0 (Pdcd1 protein, mouse) RN - 0 (Peptides) RN - 0 (Programmed Cell Death 1 Receptor) RN - 0 (Proteins) RN - 0 (Receptors, CCR2) RN - 0 (Receptors, Chemokine) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antibodies, Monoclonal/administration & dosage MH - Antigens, Surface/*physiology MH - Apoptosis Regulatory Proteins MH - *B7-1 Antigen MH - B7-H1 Antigen MH - Blood Proteins/antagonists & inhibitors/immunology/metabolism/*physiology MH - Cell Differentiation/genetics/immunology MH - Cell Division/genetics/immunology MH - Chemokine CCL2/*antagonists & inhibitors/biosynthesis/physiology MH - Clone Cells MH - Dose-Response Relationship, Immunologic MH - Female MH - Graft Enhancement, Immunologic/methods MH - Graft Rejection/immunology MH - Graft Survival/drug effects/genetics/*immunology MH - Islets of Langerhans Transplantation/*immunology/pathology MH - Ligands MH - Membrane Glycoproteins MH - Mice MH - Mice, Inbred BALB C MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Organ Culture Techniques MH - Peptides/antagonists & inhibitors/immunology/metabolism/*physiology MH - Programmed Cell Death 1 Receptor MH - Proteins/metabolism/*physiology MH - Receptors, CCR2 MH - Receptors, Chemokine/*antagonists & inhibitors/physiology MH - Signal Transduction/drug effects/genetics/immunology MH - Sirolimus/administration & dosage/therapeutic use MH - T-Lymphocyte Subsets/cytology/immunology MH - Up-Regulation/drug effects/genetics/immunology EDAT- 2003/12/10 05:00 MHDA- 2004/03/17 05:00 CRDT- 2003/12/10 05:00 PHST- 2003/12/10 05:00 [pubmed] PHST- 2004/03/17 05:00 [medline] PHST- 2003/12/10 05:00 [entrez] AID - 10.4049/jimmunol.171.12.6929 [doi] PST - ppublish SO - J Immunol. 2003 Dec 15;171(12):6929-35. doi: 10.4049/jimmunol.171.12.6929.