PMID- 22710387 OWN - NLM STAT- MEDLINE DCOM- 20130423 LR - 20211021 IS - 1531-7013 (Electronic) IS - 1087-2418 (Print) IS - 1087-2418 (Linking) VI - 17 IP - 4 DP - 2012 Aug TI - HLA class I antibody-mediated endothelial and smooth muscle cell activation. PG - 446-51 LID - 10.1097/MOT.0b013e328355f1c2 [doi] AB - PURPOSE OF REVIEW: Advances in immunosuppression and patient management have successfully improved 1-year transplant outcome. Unfortunately, antibody-mediated rejection is a major barrier to long-term graft survival. This study summarizes the effects of antibodies on endothelial cell and smooth muscle cell (SMC) migration, proliferation and leukocyte recruitment, emphasizing the intracellular signaling pathways that orchestrate these distinct functional outcomes. RECENT FINDINGS: Several studies have provided further insight into the effects of human leukocyte antigen (HLA) class I antibodies on vascular cells. We found that HLA I molecules partner with integrin beta4 to transduce proliferative signaling, and identified proteins that associate with the cytoskeleton after HLA class I crosslinking. Natural killer cells have been strongly implicated in a murine model of donor-specific major histocompatibility complex I antibody-triggered neointimal thickening. A recently developed human arterial graft model revealed the role of matrix metalloproteinases in SMC mitogenesis by HLA class I antibodies. Using a donor transgenic for HLA-A2, Fukami et al. investigated the mechanisms of accommodation induced by low titers of HLA class I antibodies. SUMMARY: Ligation of HLA class I molecules with antibodies leads to the activation of intracellular signals in endothelial cells and SMCs, which in turn promote actin cytoskeletal remodeling, survival, proliferation, and recruitment of leukocytes. FAU - Zhang, Xiaohai AU - Zhang X AD - Department of Pathology, UCLA Immunogenetics Center, David Geffen School of Medicine, University of California, Los Angeles, California 90095, USA. FAU - Valenzuela, Nicole M AU - Valenzuela NM FAU - Reed, Elaine F AU - Reed EF LA - eng GR - R01 HL090995/HL/NHLBI NIH HHS/United States GR - R01 HL 090995/HL/NHLBI NIH HHS/United States GR - R01 AI 042819/AI/NIAID NIH HHS/United States GR - R01 AI042819/AI/NIAID NIH HHS/United States GR - U01AI077821/AI/NIAID NIH HHS/United States GR - 5T32 HL69766-10/HL/NHLBI NIH HHS/United States GR - U01 AI077821/AI/NIAID NIH HHS/United States GR - T32 HL069766/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - United States TA - Curr Opin Organ Transplant JT - Current opinion in organ transplantation JID - 9717388 RN - 0 (Actins) RN - 0 (Antibodies) RN - 0 (HLA Antigens) RN - 0 (Integrin beta4) SB - IM MH - Actins/immunology MH - Animals MH - Antibodies/immunology MH - Cell Proliferation MH - Cell Survival MH - Chemotaxis, Leukocyte MH - Cytoskeleton/immunology MH - Endothelial Cells/*immunology MH - Endothelium, Vascular/cytology/*immunology MH - HLA Antigens/*immunology MH - Humans MH - Integrin beta4/immunology MH - Myocytes, Smooth Muscle/*immunology MH - Signal Transduction PMC - PMC3880156 MID - NIHMS540647 COIS- Conflicts of interest The authors have no conflicts of interest to disclose. EDAT- 2012/06/20 06:00 MHDA- 2013/04/24 06:00 PMCR- 2014/01/03 CRDT- 2012/06/20 06:00 PHST- 2012/06/20 06:00 [entrez] PHST- 2012/06/20 06:00 [pubmed] PHST- 2013/04/24 06:00 [medline] PHST- 2014/01/03 00:00 [pmc-release] AID - 10.1097/MOT.0b013e328355f1c2 [doi] PST - ppublish SO - Curr Opin Organ Transplant. 2012 Aug;17(4):446-51. doi: 10.1097/MOT.0b013e328355f1c2.