Blockade of IL-6/IL-6R Signaling Attenuates Acute Antibody-Mediated Rejection in a Mouse Cardiac Transplantation Model

Acute antibody-mediated rejection (AAMR) is an important cause of cardiac allograft dysfunction, and more effective strategies need to be explored to improve allograft prognosis. Interleukin (IL)-6/IL-6R signaling plays a key role in the activation of immune cells including B cells, T cells and macr...

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Autores principales: Maolin Ma, Qipeng Sun, Xiujie Li, Gengguo Deng, Yannan Zhang, Zhe Yang, Fei Han, Zhengyu Huang, Youqiang Fang, Tao Liao, Qiquan Sun
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:6c72b2a0905a448894ce4f8dc24281b12021-11-18T12:25:53ZBlockade of IL-6/IL-6R Signaling Attenuates Acute Antibody-Mediated Rejection in a Mouse Cardiac Transplantation Model1664-322410.3389/fimmu.2021.778359https://doaj.org/article/6c72b2a0905a448894ce4f8dc24281b12021-10-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fimmu.2021.778359/fullhttps://doaj.org/toc/1664-3224Acute antibody-mediated rejection (AAMR) is an important cause of cardiac allograft dysfunction, and more effective strategies need to be explored to improve allograft prognosis. Interleukin (IL)-6/IL-6R signaling plays a key role in the activation of immune cells including B cells, T cells and macrophages, which participate in the progression of AAMR. In this study, we investigated the effect of IL-6/IL-6R signaling blockade on the prevention of AAMR in a mouse model. We established a mouse model of AAMR for cardiac transplantation via presensitization of skin grafts and addition of cyclosporin A, and sequentially analyzed its features. Tocilizumab, anti-IL-6R antibody, and recipient IL-6 knockout were used to block IL-6/IL-6R signaling. We demonstrated that blockade of IL-6/IL-6R signaling significantly attenuated allograft injury and improved survival. Further mechanistic research revealed that signaling blockade decreased B cells in circulation, spleens, and allografts, thus inhibiting donor-specific antibody production and complement activation. Moreover, macrophage, T cell, and pro-inflammatory cytokine infiltration in allografts was also reduced. Collectively, we provided a highly practical mouse model of AAMR and demonstrated that blockade of IL-6/IL-6R signaling markedly alleviated AAMR, which is expected to provide a superior option for the treatment of AAMR in clinic.Maolin MaQipeng SunXiujie LiGengguo DengYannan ZhangZhe YangFei HanZhengyu HuangYouqiang FangTao LiaoQiquan SunFrontiers Media S.A.articleantibody-mediated rejectionIL-6IL-6Rmouse modelcardiac transplantationImmunologic diseases. AllergyRC581-607ENFrontiers in Immunology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic antibody-mediated rejection
IL-6
IL-6R
mouse model
cardiac transplantation
Immunologic diseases. Allergy
RC581-607
spellingShingle antibody-mediated rejection
IL-6
IL-6R
mouse model
cardiac transplantation
Immunologic diseases. Allergy
RC581-607
Maolin Ma
Qipeng Sun
Xiujie Li
Gengguo Deng
Yannan Zhang
Zhe Yang
Fei Han
Zhengyu Huang
Youqiang Fang
Tao Liao
Qiquan Sun
Blockade of IL-6/IL-6R Signaling Attenuates Acute Antibody-Mediated Rejection in a Mouse Cardiac Transplantation Model
description Acute antibody-mediated rejection (AAMR) is an important cause of cardiac allograft dysfunction, and more effective strategies need to be explored to improve allograft prognosis. Interleukin (IL)-6/IL-6R signaling plays a key role in the activation of immune cells including B cells, T cells and macrophages, which participate in the progression of AAMR. In this study, we investigated the effect of IL-6/IL-6R signaling blockade on the prevention of AAMR in a mouse model. We established a mouse model of AAMR for cardiac transplantation via presensitization of skin grafts and addition of cyclosporin A, and sequentially analyzed its features. Tocilizumab, anti-IL-6R antibody, and recipient IL-6 knockout were used to block IL-6/IL-6R signaling. We demonstrated that blockade of IL-6/IL-6R signaling significantly attenuated allograft injury and improved survival. Further mechanistic research revealed that signaling blockade decreased B cells in circulation, spleens, and allografts, thus inhibiting donor-specific antibody production and complement activation. Moreover, macrophage, T cell, and pro-inflammatory cytokine infiltration in allografts was also reduced. Collectively, we provided a highly practical mouse model of AAMR and demonstrated that blockade of IL-6/IL-6R signaling markedly alleviated AAMR, which is expected to provide a superior option for the treatment of AAMR in clinic.
format article
author Maolin Ma
Qipeng Sun
Xiujie Li
Gengguo Deng
Yannan Zhang
Zhe Yang
Fei Han
Zhengyu Huang
Youqiang Fang
Tao Liao
Qiquan Sun
author_facet Maolin Ma
Qipeng Sun
Xiujie Li
Gengguo Deng
Yannan Zhang
Zhe Yang
Fei Han
Zhengyu Huang
Youqiang Fang
Tao Liao
Qiquan Sun
author_sort Maolin Ma
title Blockade of IL-6/IL-6R Signaling Attenuates Acute Antibody-Mediated Rejection in a Mouse Cardiac Transplantation Model
title_short Blockade of IL-6/IL-6R Signaling Attenuates Acute Antibody-Mediated Rejection in a Mouse Cardiac Transplantation Model
title_full Blockade of IL-6/IL-6R Signaling Attenuates Acute Antibody-Mediated Rejection in a Mouse Cardiac Transplantation Model
title_fullStr Blockade of IL-6/IL-6R Signaling Attenuates Acute Antibody-Mediated Rejection in a Mouse Cardiac Transplantation Model
title_full_unstemmed Blockade of IL-6/IL-6R Signaling Attenuates Acute Antibody-Mediated Rejection in a Mouse Cardiac Transplantation Model
title_sort blockade of il-6/il-6r signaling attenuates acute antibody-mediated rejection in a mouse cardiac transplantation model
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/6c72b2a0905a448894ce4f8dc24281b1
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