Intragraft cytokine expression in tolerant rat renal allografts with rapamycin and cyclosporin immunosuppression

Clin Transplant. 1999 Feb;13(1 Pt 2):90-7. doi: 10.1034/j.1399-0012.1999.130105.x.

Abstract

The Th-1/Th-2 paradigm proposes clonal expansion of Th-2 lymphocytes as the basis of tolerance towards allografts. Intragraft cytokine expression was evaluated in a highly stringent model of renal transplantation. ACI and Lewis rats were used as donors and recipients, respectively, for heterotopic renal transplantation. Group A (n = 8) received a single dose of rapamycin and cyclosporin 12 h prior to engraftment, followed by 7 d of cyclosporin post-operatively. Isografts (Group B, n = 5) and control allografts (Group C, n = 4) received no immunosuppression. Sacrifice was performed after 120 d. Intragraft expression of IL-10, IL-4, and IFN-gamma was determined using qualitative reverse transcriptase-polymerase chain reaction (RT-PCR). All groups had functionally normal grafts at sacrifice, with 50% histological tolerance among Group A animals. No isografts showed evidence of cellular infiltrate, and all control allografts showed severe rejection. IL-10 was only detected in the tolerant animals (p < 0.001). Similarly, IL-4 was detected predominantly in the tolerant allografts (p < 0.05). IFN-gamma was only isolated in rejected allografts, whether treated or untreated (p < 0.001). We conclude that the expansion of Th-2 cells is associated with tolerance, while the expansion of Th-1 cell is associated with acute cellular rejection.

MeSH terms

  • Animals
  • Cyclosporine / therapeutic use*
  • Immunosuppression Therapy*
  • Immunosuppressive Agents / therapeutic use*
  • Interferon-gamma / metabolism*
  • Interleukin-10 / metabolism*
  • Interleukin-4 / metabolism*
  • Kidney / metabolism*
  • Kidney Transplantation / immunology*
  • Male
  • Polymerase Chain Reaction
  • Rats
  • Rats, Inbred ACI
  • Rats, Inbred Lew
  • Sirolimus / therapeutic use*
  • Th1 Cells / immunology
  • Th2 Cells / immunology

Substances

  • Immunosuppressive Agents
  • Interleukin-10
  • Interleukin-4
  • Interferon-gamma
  • Cyclosporine
  • Sirolimus