PMID- 23056267 OWN - NLM STAT- MEDLINE DCOM- 20130611 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 7 IP - 10 DP - 2012 TI - Flt3L combined with rapamycin promotes cardiac allograft tolerance by inducing regulatory dendritic cells and allograft autophagy in mice. PG - e46230 LID - 10.1371/journal.pone.0046230 [doi] LID - e46230 AB - The induction of immune tolerance is still a formidable challenge in organ transplantation. Dendritic cells (DCs) play an important role in orchestrating immune responses by either mediating protective immune responses or inducing antigen specific tolerance. Previous studies demonstrated that the fms-like tyrosine kinase 3 receptor (Flt3) and its ligand (Flt3L) play an essential role in the regulation of DC commitment and development. Here, we report a synergic effect between Flt3L and low-dose rapamycin (Rapa) in the protection of allograft rejction. It was found that Flt3L combined with Rapa significantly prolonged murine cardiac allograft survival time as compared with that of untreated recipients or recipients treated with Rapa or Flt3L alone. Mechanistic studies revealed that Flt3L combined with low-dose of Rapa induced the generation of tolerogenic DCs along with the production of CD25(+) Foxp3(+) regulatory T cells and IL-10 secretion. We also observed enhanced autophagy in the cardiac allograft, which could be another asset contributing to the enhanced allograft survival. All together, these data suggest that Flt3L combined with low-dose of Rapa could be an effective therapeutic approach to induce tolerance in clinical setting of transplantation. FAU - Xiong, Ali AU - Xiong A AD - Department of Immunology, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Duan, Lihua AU - Duan L FAU - Chen, Jie AU - Chen J FAU - Fan, Zhigang AU - Fan Z FAU - Zheng, Fang AU - Zheng F FAU - Tan, Zheng AU - Tan Z FAU - Gong, Feili AU - Gong F FAU - Fang, Min AU - Fang M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121002 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Membrane Proteins) RN - 0 (flt3 ligand protein) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - *Autophagy MH - Dendritic Cells/*immunology MH - Heart Transplantation/*immunology MH - *Immune Tolerance MH - Membrane Proteins/*pharmacology MH - Mice MH - Mice, Inbred BALB C MH - Sirolimus/*pharmacology MH - Transplantation, Homologous PMC - PMC3462742 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2012/10/12 06:00 MHDA- 2013/06/12 06:00 PMCR- 2012/10/02 CRDT- 2012/10/12 06:00 PHST- 2012/05/11 00:00 [received] PHST- 2012/08/28 00:00 [accepted] PHST- 2012/10/12 06:00 [entrez] PHST- 2012/10/12 06:00 [pubmed] PHST- 2013/06/12 06:00 [medline] PHST- 2012/10/02 00:00 [pmc-release] AID - PONE-D-12-14092 [pii] AID - 10.1371/journal.pone.0046230 [doi] PST - ppublish SO - PLoS One. 2012;7(10):e46230. doi: 10.1371/journal.pone.0046230. Epub 2012 Oct 2.