PMID- 14961984 OWN - NLM STAT- MEDLINE DCOM- 20041007 LR - 20230124 IS - 1600-6135 (Print) IS - 1600-6135 (Linking) VI - 4 IP - 3 DP - 2004 Mar TI - Non-complement- and complement-activating antibodies synergize to cause rejection of cardiac allografts. PG - 326-34 AB - Alloantibodies (AlloAbs) are a clinically significant component of the immune response to organ transplants. In our experimental model, B10.A (H-2a) cardiac transplants survived significantly longer in C57BL/6 (H-2b) immunoglobulin knock-out (IgKO) recipients than in their wild-type (WT) counterparts. Passive transfer of a single 50-200-microg dose of complement-activating IgG2b AlloAbs to IgKO recipients reconstituted acute rejection of cardiac allografts. Although passive transfer of a subthreshold dose of 25 microg of IgG2b or a single 100-200-microg dose of non-complement-activating IgG1 AlloAbs did not restore acute rejection to IgKO recipients, a combination of these AlloAbs did cause acute graft rejection. Histologically, rejection was accompanied by augmented release of von Willebrand factor from endothelial cells. IgG1 AlloAbs did not activate complement on their own and did not augment complement activation by IgG2b AlloAbs. However, IgG1 AlloAbs stimulated cultured mouse endothelial cells to produce monocyte chemotactic protein 1 (MCP-1) and neutrophil chemoattractant growth-related oncogene alpha (KC). TNF-alpha augmented IgG1 induced secretion of MCP-1 and KC. These findings indicate that non-complement-activating AlloAbs can augment injury to allografts by complement-activating AlloAbs. Non-complement-activating AlloAbs stimulate endothelial cells to produce chemokines and this effect is augmented in the milieu of proinflammatory cytokines. FAU - Rahimi, Salma AU - Rahimi S AD - Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. FAU - Qian, Zhiping AU - Qian Z FAU - Layton, Jodi AU - Layton J FAU - Fox-Talbot, Karen AU - Fox-Talbot K FAU - Baldwin, William M 3rd AU - Baldwin WM 3rd FAU - Wasowska, Barbara A AU - Wasowska BA LA - eng GR - P01 HL 56091/HL/NHLBI NIH HHS/United States GR - R01 HL 63948/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Transplant JT - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JID - 100968638 RN - 0 (Antibodies, Monoclonal) RN - 0 (Immunoglobulin G) RN - 0 (Isoantibodies) RN - 9007-36-7 (Complement System Proteins) SB - IM MH - Animals MH - Antibodies, Monoclonal/immunology/pharmacology MH - Complement System Proteins/*immunology MH - Drug Synergism MH - Graft Rejection/chemically induced/*immunology MH - Heart Transplantation/*immunology MH - Immunoglobulin G/immunology/pharmacology MH - Isoantibodies/immunology MH - Mice EDAT- 2004/02/14 05:00 MHDA- 2004/10/08 09:00 CRDT- 2004/02/14 05:00 PHST- 2004/02/14 05:00 [pubmed] PHST- 2004/10/08 09:00 [medline] PHST- 2004/02/14 05:00 [entrez] AID - S1600-6135(22)07462-7 [pii] AID - 10.1111/j.1600-6143.2004.00334.x [doi] PST - ppublish SO - Am J Transplant. 2004 Mar;4(3):326-34. doi: 10.1111/j.1600-6143.2004.00334.x.