PMID- 22156194 OWN - NLM STAT- MEDLINE DCOM- 20120306 LR - 20211021 IS - 1558-8238 (Electronic) IS - 0021-9738 (Print) IS - 0021-9738 (Linking) VI - 122 IP - 1 DP - 2012 Jan TI - Haptoglobin activates innate immunity to enhance acute transplant rejection in mice. PG - 383-7 LID - 58344 [pii] LID - 10.1172/JCI58344 [doi] AB - Immune tolerance to transplanted organs is impaired when the innate immune system is activated in response to the tissue necrosis that occurs during harvesting and implantation procedures. A key molecule in this immune pathway is the intracellular TLR signal adaptor known as myeloid differentiation primary response gene 88 (MyD88). After transplantation, MyD88 induces DC maturation as well as the production of inflammatory mediators, such as IL-6 and TNF-alpha. However, upstream activators of MyD88 function in response to transplantation have not been identified. Here, we show that haptoglobin, an acute phase protein, is an initiator of this MyD88-dependent inflammatory process in a mouse model of skin transplantation. Necrotic lysates from transplanted skin elicited higher inflammatory responses in DCs than did nontransplanted lysates, suggesting DC-mediated responses are triggered by factors released during transplantation. Analysis of transplanted lysates identified haptoglobin as one of the proteins upregulated during transplantation. Expression of donor haptoglobin enhanced the onset of acute skin transplant rejection, whereas haptoglobin-deficient skin grafts showed delayed acute rejection and antidonor T cell priming in a MyD88-dependent graft rejection model. Thus, our results show that haptoglobin release following skin necrosis contributes to accelerated transplant rejection, with potential implications for the development of localized immunosuppressive therapies. FAU - Shen, Hua AU - Shen H AD - Department of Internal Medicine, Yale University School of Medicine,New Haven, Connecticut, USA. FAU - Song, Yang AU - Song Y FAU - Colangelo, Christopher M AU - Colangelo CM FAU - Wu, Terence AU - Wu T FAU - Bruce, Can AU - Bruce C FAU - Scabia, Gaia AU - Scabia G FAU - Galan, Anjela AU - Galan A FAU - Maffei, Margherita AU - Maffei M FAU - Goldstein, Daniel R AU - Goldstein DR LA - eng GR - R01 AI064660/AI/NIAID NIH HHS/United States GR - R56 AI064660/AI/NIAID NIH HHS/United States GR - AI064660/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20111212 PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 0 (Haptoglobins) RN - 0 (Interleukin-6) RN - 0 (Myd88 protein, mouse) RN - 0 (Myeloid Differentiation Factor 88) RN - 0 (Tlr2 protein, mouse) RN - 0 (Tlr4 protein, mouse) RN - 0 (Toll-Like Receptor 2) RN - 0 (Toll-Like Receptor 4) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Acute Disease MH - Animals MH - Dendritic Cells/immunology/metabolism MH - Female MH - Graft Rejection/*etiology/immunology/metabolism/pathology MH - Haptoglobins/deficiency/genetics/*metabolism MH - Immunity, Innate/*physiology MH - Interleukin-6/biosynthesis MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Myeloid Differentiation Factor 88/deficiency/genetics/metabolism MH - Necrosis MH - Skin/immunology/metabolism/pathology MH - Skin Transplantation/immunology/pathology/physiology MH - T-Lymphocytes/immunology MH - Toll-Like Receptor 2/deficiency/genetics/metabolism MH - Toll-Like Receptor 4/deficiency/genetics/metabolism MH - Tumor Necrosis Factor-alpha/biosynthesis PMC - PMC3248290 EDAT- 2011/12/14 06:00 MHDA- 2012/03/07 06:00 PMCR- 2011/12/12 CRDT- 2011/12/14 06:00 PHST- 2011/04/15 00:00 [received] PHST- 2011/10/26 00:00 [accepted] PHST- 2011/12/14 06:00 [entrez] PHST- 2011/12/14 06:00 [pubmed] PHST- 2012/03/07 06:00 [medline] PHST- 2011/12/12 00:00 [pmc-release] AID - 58344 [pii] AID - 10.1172/JCI58344 [doi] PST - ppublish SO - J Clin Invest. 2012 Jan;122(1):383-7. doi: 10.1172/JCI58344. Epub 2011 Dec 12.