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A single intravenous infusion of apoptotic cells, an alternative cell-based therapy approach facilitating hematopoietic cell engraftment, did not induce autoimmunity.

Abstract
Previously, we reported that intravenous infusion of apoptotic leukocytes facilitated bone marrow (BM) engraftment across major histocompatibility barriers. This cell-based therapeutic approach is of great interest for stem cell therapy across histocompatibility barriers. Autoimmunity associated with apoptotic cell administration may, however, limit the use of this approach. Indeed, autoantigens are concentrated on the surface of apoptotic cells, and defective clearance of apoptotic bodies is associated with the occurrence of systemic autoimmune disease. In consequence, we assessed the autoimmune responses raised against ubiquitous double-stranded DNA (dsDNA) and cardiolipin autoantigens following a single intravenous infusion of apoptotic cells simultaneously to allogeneic BM administration. No difference was observed between levels of natural circulating immunoglobulin M (IgM) (anti-dsDNA and anti-cardiolipin) autoantibodies found in mice receiving allogeneic BM alone and those found in mice receiving apoptotic cells also. Pathogenic IgG autoantibody titers after apoptotic cell infusion were 9- to 200-fold lower than autoantibody titers found in lupus-prone mice and not different from titers detected in BM grafted mice. Kinetic analysis of autoantibodies after transplantation did not demonstrate any immunization against tested autoantigens after apoptotic cell infusion. Finally, neither immune complex deposition nor specific lesions were observed in the renal glomeruli of mice infused with apoptotic cells 9 months post-BM transplantation. Overall, these results show no specific toxicity of a single infusion of apoptotic cells administrated simultaneously to BM and may also shed light on factors influencing the immunogenic properties of apoptotic cells.
AuthorsSylvain Perruche, François Kleinclauss, Régis Angonin, Jean-Yves Cahn, Eric Deconinck, Luc Reininger, José Boucraut, Pierre Tiberghien, Philippe Saas
JournalJournal of hematotherapy & stem cell research (J Hematother Stem Cell Res) Vol. 12 Issue 4 Pg. 451-9 (Aug 2003) ISSN: 1525-8165 [Print] United States
PMID12965082 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Autoantibodies
  • Autoantigens
  • Immunoglobulin G
  • Immunoglobulin M
  • DNA
Topics
  • Animals
  • Apoptosis
  • Autoantibodies (chemistry)
  • Autoantigens (chemistry)
  • Autoimmunity
  • Bone Marrow Cells (cytology)
  • Bone Marrow Transplantation
  • Cell- and Tissue-Based Therapy (methods)
  • DNA (chemistry)
  • Flow Cytometry
  • Hematopoietic Stem Cells (cytology)
  • Immunoglobulin G (chemistry)
  • Immunoglobulin M (chemistry)
  • Kidney Glomerulus (cytology)
  • Kinetics
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Microscopy, Fluorescence
  • Time Factors

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