PMID- 22952868 OWN - NLM STAT- MEDLINE DCOM- 20130207 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 7 IP - 8 DP - 2012 TI - Tolerance induction by exosomes from immature dendritic cells and rapamycin in a mouse cardiac allograft model. PG - e44045 LID - 10.1371/journal.pone.0044045 [doi] LID - e44045 AB - BACKGROUND: Dendritic cells (DCs) release bioactive exosomes that play an important role in immune regulation. Because they express low levels of class I major histocompatibility complex (MHC) and co-stimulatory molecules, exosomes derived from donor immature DCs (imDex) prolong allograft survival by inhibiting T-cell activation. However, this effect is limited and does not induce immunological tolerance when imDex are administered alone. Thus, we tested the effect of combined treatment with donor imDex and low-dose rapamycin on inducing tolerance in a mouse cardiac transplantation model. METHODS: ImDex were obtained from the culture supernatant of immature DCs derived from donor mouse (C57BL/6) bone marrow and were injected with suboptimal doses of rapamycin into recipient mouse (BALB/c) before and after transplantation. The capacity of this treatment to induce immune tolerance was analyzed in vitro and in vivo using the mouse cardiac transplantation model. RESULTS: Donor imDex expressed moderate levels of MHC class II and low levels of MHC class I and co-stimulatory molecules, but neither imDex nor subtherapeutic rapamycin dose alone induced cardiac allograft tolerance. Combined treatment with imDex and rapamycin, however, led to donor specific cardiac allograft tolerance. This effect was accompanied by decreased anti-donor antigen cellular response and an increased percentage of spleen CD4(+)CD25(+) T cells in recipients. Furthermore, this donor specific tolerance could be further transferred to naive allograft recipients through injection of splenocytes, but not serum, from tolerant recipients. CONCLUSION: Combined with immunosuppressive treatment, donor imDex can prolong cardiac allograft survival and induce donor specific allograft tolerance. FAU - Li, Xiao AU - Li X AD - Department of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China. FAU - Li, Jun-Jie AU - Li JJ FAU - Yang, Jing-Yue AU - Yang JY FAU - Wang, De-Sheng AU - Wang DS FAU - Zhao, Wei AU - Zhao W FAU - Song, Wen-Jie AU - Song WJ FAU - Li, Wei-Min AU - Li WM FAU - Wang, Jian-Feng AU - Wang JF FAU - Han, Wei AU - Han W FAU - Zhang, Zhuo-Chao AU - Zhang ZC FAU - Yu, Yong AU - Yu Y FAU - Cao, Da-Yong AU - Cao DY FAU - Dou, Ke-Feng AU - Dou KF LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120829 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Antigens) RN - 0 (Immunosuppressive Agents) RN - 0 (Interleukin-2 Receptor alpha Subunit) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antigens/immunology MH - Blotting, Western MH - CD4-Positive T-Lymphocytes/drug effects/immunology MH - Cell Differentiation/*drug effects MH - Cell Proliferation/drug effects MH - Dendritic Cells/*cytology/drug effects/*immunology MH - Dose-Response Relationship, Drug MH - Exosomes/drug effects/*immunology MH - Flow Cytometry MH - Graft Rejection/immunology MH - Graft Survival/drug effects/immunology MH - *Heart Transplantation MH - Immune Tolerance/*drug effects MH - Immunosuppressive Agents/pharmacology MH - Interleukin-2 Receptor alpha Subunit/metabolism MH - Lymphocyte Activation/drug effects MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Mice, Inbred C57BL MH - Models, Animal MH - Sirolimus/*pharmacology MH - Spleen/cytology/immunology MH - Transplantation, Homologous PMC - PMC3430614 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2012/09/07 06:00 MHDA- 2013/02/08 06:00 PMCR- 2012/08/29 CRDT- 2012/09/07 06:00 PHST- 2012/05/08 00:00 [received] PHST- 2012/08/01 00:00 [accepted] PHST- 2012/09/07 06:00 [entrez] PHST- 2012/09/07 06:00 [pubmed] PHST- 2013/02/08 06:00 [medline] PHST- 2012/08/29 00:00 [pmc-release] AID - PONE-D-12-12950 [pii] AID - 10.1371/journal.pone.0044045 [doi] PST - ppublish SO - PLoS One. 2012;7(8):e44045. doi: 10.1371/journal.pone.0044045. Epub 2012 Aug 29.