Antagonistic effect of toll-like receptor signaling and bacterial infections on transplantation tolerance

Transplantation. 2009 May 15;87(9 Suppl):S77-9. doi: 10.1097/TP.0b013e3181a2b90f.

Abstract

The induction of donor-specific tolerance remains a major goal in the field of transplantation immunology. Therapies that target costimulatory molecules can induce tolerance to heart and pancreatic islet allografts in mouse models, but fail to do so after transplantation of skin or intestinal allografts. We have proposed that organs colonized by commensal bacteria such as skin, lung, and intestine may be resistant to such therapies as a result of bacterial translocation at the time of transplantation, which may promote antigen-presenting cell maturation and the production of proinflammatory cytokines, consequently enhancing responses of alloreactive T cells. Our results indicate that the inability to sense signaling by most toll-like receptors (TLRs), as well as by interleukin-1R and -18R, as a result of genetic ablation of myeloid differentiation factor 88 promotes the acceptance of skin allografts. Conversely, TLR signals and infections by a model bacterium, Listeria monocytogenes (LM), at the time of transplantation can prevent the induction of transplantation tolerance. The effects of the TLR9 agonist CpG are myeloid differentiation factor 88-dependent, whereas the prorejection capacity of LM depends on the intracellular sensing of LM and the production of type I interferon. Therefore, transiently targeting these innate, proinflammatory pathways may have therapeutic value to promote transplantation tolerance.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigens / immunology
  • Bacterial Infections / complications
  • Bacterial Infections / immunology*
  • Bacterial Infections / prevention & control
  • Cross Infection / complications
  • Cross Infection / immunology
  • Cross Infection / prevention & control
  • Graft Survival / immunology*
  • Heart Transplantation / immunology
  • Humans
  • Myeloid Differentiation Factor 88 / immunology
  • Myeloid Differentiation Factor 88 / physiology
  • Signal Transduction / immunology*
  • Toll-Like Receptors / immunology
  • Toll-Like Receptors / physiology*
  • Transplantation Immunology
  • Transplantation Tolerance / immunology*
  • Transplantation, Homologous / immunology

Substances

  • Antigens
  • Myeloid Differentiation Factor 88
  • Toll-Like Receptors