Abstract | BACKGROUND: Intermingled skin grafting using autologous skin islets inlaid in allogeneic skin sheets was found to delay graft rejection, contributing to a significant reduction in mortality for patients with severe burns. In this study we examine the down-regulatory mechanisms underlying the effect of the autologous skin islets. METHODS: Mixed culture of lymphocytes with epidermal cells of autologous and allogeneic origin were performed with a comparing of cell activity from cytokine-knockout mice. And the Th1/Th2-related cytokine profiles were examined. RESULTS: Autologous keratinocytes act as potent inducers of suppression in the mixed culture by making a shift of the cytokine profile from Th1 to Th2. The observed suppression is predominantly mediated by interleukin (IL)-10, because the effect could be reversed by application of a neutralizing antibody to IL-10. The results of reconstitution experiments in BALB/c mice, with or without IL-10 gene-knockout, are consistent with this finding. These demonstrated that T cells were main effective components for the IL-10-related suppression. Furthermore, a newly identified member of the human B7 family (B7-H1) is found to play an important role in activating human IL-10-secreting lymphocytes. When transfected with the CD80 gene, autologous keratinocytes lost the ability to down-regulate the mixed cell culture, which effect could be reversed by introduction of the anti-CD80 antibody. CONCLUSIONS: Our study provides new evidence that autologous keratinocytes present in intermingled skin grafts are inducers for local immune tolerance by expression of B1-H1 in their activation of the IL-10-secreting T cells.
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Authors | Yingping Cao, Hong Zhou, Jian Tao, Zexian Zheng, Ningli Li, Baihua Shen, Tsi-Siang Shih, Jian Hong, Jingwu Zhang, Kuang-Yen Chou |
Journal | Transplantation
(Transplantation)
Vol. 75
Issue 8
Pg. 1390-6
(Apr 27 2003)
ISSN: 0041-1337 [Print] United States |
PMID | 12717236
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Antigens, CD
- B7-1 Antigen
- B7-H1 Antigen
- Blood Proteins
- CD274 protein, human
- Cd274 protein, mouse
- Cytokines
- Membrane Glycoproteins
- Peptides
- Interleukin-10
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Topics |
- Animals
- Antigens, CD
- B7-1 Antigen
(pharmacology, physiology)
- B7-H1 Antigen
- Blood Proteins
- Cells, Cultured
- Coculture Techniques
- Cytokines
(metabolism)
- Epidermal Cells
- Epidermis
(physiology)
- Humans
- Immunosuppression Therapy
- Interleukin-10
(genetics, metabolism, physiology)
- Keratinocytes
(physiology)
- Lymphocyte Activation
(physiology)
- Lymphocyte Culture Test, Mixed
- Membrane Glycoproteins
- Mice
- Mice, Knockout
(genetics)
- Peptides
- Skin Transplantation
- T-Lymphocytes
(physiology)
- Th1 Cells
(metabolism)
- Th2 Cells
(metabolism)
- Transplantation Tolerance
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