PMID- 36186130 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221004 IS - 2152-5250 (Print) IS - 2152-5250 (Electronic) IS - 2152-5250 (Linking) VI - 13 IP - 5 DP - 2022 Oct 1 TI - Absence of TSC1 Accelerates CD8(+) T cell-mediated Acute Cardiac Allograft Rejection. PG - 1562-1575 LID - 10.14336/AD.2022.0224 [doi] AB - Tuberous sclerosis complex (TSC) is an autosomal dominant disease caused by inactivating mutations in TSC1 or TSC2.Patients with TSC often require organ transplantation after organ failure. TSC1 serves as an important control node in immune cell development and responses; however, its effect on T cells in transplant immunity has not yet been explored. Here, we characterized the effect of TSC1 deficiency in T cells on acute allograft rejection using a mouse cardiac transplantation model. We observed compromised allograft survival in mice with TSC1-deficient T cells. Notably, the allografts in mice transferred with TSC1-deficient CD8(+)T cells showed accelerated acute allograft rejection. TSC1 deficiency triggered the increased accumulation of CD8(+) T cells in allografts due to augmented infiltration caused by increased CXCR3 expression levels and elevated in-situ proliferation of TSC1-deficient CD8(+) T cells. Compared to CD8(+) T cells from wild-type (WT) mice, TSC1-deficient CD8(+) T cells exhibited enhanced cell proliferation and increased expression levels of interferon-gamma and granzyme B after alloantigen stimulation. Rapamycin, an inhibitor of mammalian target of rapamycin (mTOR), is used to treat patients with TSC and prevent rejection after solid-organ transplantation. Although rapamycin induced most cardiac allografts to survive beyond 100 d in WT mice, rapamycin-treated cardiac allografts in TSC1-deficient mice were rejected within 60 d. These results suggest that TSC1-deficient recipients may be more resistant to rapamycin-mediated immunosuppression during organ transplantation. Collectively, TSC1 significantly accelerates acute allograft rejection by enhancing the alloreactivity of CD8(+) T cells, making them more resistant to mTOR inhibitor-mediated immunosuppression. CI - copyright: (c) 2022 Tan et al. FAU - Tan, Liang AU - Tan L AD - 1Department of Kidney Transplantation, Second Xiangya Hospital of Central South University, Changsha, China. AD - 2Clinical Research Center for Organ Transplantation in Hunan Province, Changsha, China. FAU - Xu, Yanan AU - Xu Y AD - 3State Key Laboratory of Membrane Biology, Institute of Zoology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Beijing, China. FAU - Lan, Gongbin AU - Lan G AD - 1Department of Kidney Transplantation, Second Xiangya Hospital of Central South University, Changsha, China. AD - 2Clinical Research Center for Organ Transplantation in Hunan Province, Changsha, China. FAU - Wang, Hongxia AU - Wang H AD - 4Laboratory Medicine Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China. FAU - Liang, Zhanfeng AU - Liang Z AD - 3State Key Laboratory of Membrane Biology, Institute of Zoology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Beijing, China. FAU - Zhang, Zhaoqi AU - Zhang Z AD - 3State Key Laboratory of Membrane Biology, Institute of Zoology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Beijing, China. FAU - Tian, Qianchuan AU - Tian Q AD - 3State Key Laboratory of Membrane Biology, Institute of Zoology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Beijing, China. FAU - Hou, Yangxiao AU - Hou Y AD - 3State Key Laboratory of Membrane Biology, Institute of Zoology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Beijing, China. FAU - Zhao, Yong AU - Zhao Y AD - 3State Key Laboratory of Membrane Biology, Institute of Zoology, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Beijing, China. AD - 5Institute for Stem Cell and Regeneration, Chinese Academy of Sciences, Beijing, China. FAU - Xie, Xubiao AU - Xie X AD - 1Department of Kidney Transplantation, Second Xiangya Hospital of Central South University, Changsha, China. AD - 2Clinical Research Center for Organ Transplantation in Hunan Province, Changsha, China. LA - eng PT - Journal Article DEP - 20221001 PL - United States TA - Aging Dis JT - Aging and disease JID - 101540533 PMC - PMC9466980 OTO - NOTNLM OT - acute rejection OT - cardiac transplantation OT - tuberous sclerosis complex 1 COIS- Conflicts of interest All authors have no conflict of interest to declare. EDAT- 2022/10/04 06:00 MHDA- 2022/10/04 06:01 PMCR- 2022/10/01 CRDT- 2022/10/03 04:29 PHST- 2021/12/18 00:00 [received] PHST- 2022/02/24 00:00 [accepted] PHST- 2022/10/03 04:29 [entrez] PHST- 2022/10/04 06:00 [pubmed] PHST- 2022/10/04 06:01 [medline] PHST- 2022/10/01 00:00 [pmc-release] AID - ad-13-5-1562 [pii] AID - 10.14336/AD.2022.0224 [doi] PST - epublish SO - Aging Dis. 2022 Oct 1;13(5):1562-1575. doi: 10.14336/AD.2022.0224. eCollection 2022 Oct 1.