The effect of mammalian target of rapamycin inhibition on T helper type 17 and regulatory T cell differentiation in vitro and in vivo in kidney transplant recipients

Sirolimus ( SRL ) is a promising alternative to calcineurin inhibitors, such as tacrolimus ( TAC ), in kidney transplant recipients ( KTR s), but the immunological benefits of conversion from calcineurin inhibitors to SRL are not fully investigated. In the present study, we evaluated the effect of conversion from TAC to SRL on the T helper type 17/regulatory T (Th17/Treg) axis in three separate studies. First, the effect of SRL on the Th17/Treg axis was evaluated in vitro using peripheral blood mononuclear cells ( PBMC s). Second, the effect of conversion from TAC to SRL on the Th17/Treg axis was studied in KTR s. Finally, the effect of SRL on CD 8 + Treg cells was evaluated. In vitro analysis of PBMC s isolated from KTR s showed that SRL suppressed Th17 cell differentiation but TAC did not. Conversion from TAC to SRL markedly decreased the number of effector memory CD 8 + T cells and significantly increased the proportion of CD 4 + and CD 8 + Treg cells compared with TAC in KTR s. SRL treatment induced the CD 8 + Treg cells, and these cells inhibited the proliferation of allogeneic CD 4 + T cells and Th17 cells. In conclusion, conversion from TAC to SRL favourably regulates Th17 and Treg cell differentiation in KTR s. These findings provide a rationale for conversion from TAC to SRL in KTR s..

Medienart:

Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:144

Enthalten in:

Immunology - 144(2015), 1, Seite 68-78

Sprache:

Englisch

Beteiligte Personen:

Kim, Kyoung Woon [VerfasserIn]
Chung, Byung Ha [Sonstige Person]
Kim, Bo‐Mi [Sonstige Person]
Cho, Mi‐La [Sonstige Person]
Yang, Chul Woo [Sonstige Person]

Links:

Volltext
onlinelibrary.wiley.com
www.ncbi.nlm.nih.gov
search.proquest.com

BKL:

44.45

Themen:

CD8-Positive T-Lymphocytes - cytology
CD8-Positive T-Lymphocytes - immunology
Calcineurin Inhibitors - administration & dosage
Calcineurin Inhibitors - pharmacokinetics
Cell Differentiation - drug effects
Cell Differentiation - immunology
Cytokines
MTOR
Regulatory T cells
Sirolimus - pharmacokinetics
T cell receptors
T cells
T-Lymphocytes, Regulatory - cytology
T-Lymphocytes, Regulatory - immunology
TOR Serine-Threonine Kinases - antagonists & inhibitors
TOR Serine-Threonine Kinases - immunology
Tacrolimus - administration & dosage
Tacrolimus - pharmacokinetics
Th17 Cells - cytology
Th17 Cells - immunology
Transplantation
Transplants & implants

RVK:

RVK Klassifikation

doi:

10.1111/imm.12351

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC1964045134