Allograft immune response with sCR1 intervention

Transpl Immunol. 1996 Mar;4(1):72-5. doi: 10.1016/s0966-3274(96)80041-4.

Abstract

The deposition of complement (C) components on tissues of transplanted organs may induce many proinflammatory responses. The role of such C activation in allograft rejection is uncertain. We addressed this question by inhibiting C at the level of the C3 and C5 convertases, preventing C activation and progression of its cascade, using recombinant human soluble complement receptor 1 (sCR1) in an unsensitized rat renal allograft model. Fully MHC disparate Lewis to DA rat renal allograft recipients given 25 mg/kg sCR1 daily, with saline-treated allograft recipients as controls (n = 15 in each group), were sacrificed from day 1 to day 5 post-transplant, and examined histopathologically, and for the deposition of C3 and C5b-9 membrane attack complex (MAC), and for the presence of leucocyte antigen markers. Treated animals demonstrated a reduction in vascular injury and cellular infiltration, coincident with reduced C deposition. Flow cytometric analysis of leucocyte subpopulations in the spleen showed a reduction in activated (CD25 positive) B and T cells in treated animals, compared to saline treated controls. The results suggest that C inhibition with sCR1, in an unsensitized model of allograft rejection, was able to suppress the vascular and cell mediated components of tissue injury. The data support not only a role for C in antibody and possibly cell mediated cytotoxicity in the graft, but also suggest a role in the primary immune response leading to both T cell and B cell activation.

MeSH terms

  • Animals
  • Flow Cytometry
  • Graft Rejection / immunology
  • Graft Rejection / pathology*
  • Humans
  • Kidney / pathology
  • Kidney Transplantation / immunology*
  • Rats
  • Rats, Inbred Lew
  • Receptors, Complement / immunology*
  • Recombinant Proteins / immunology*
  • Spleen / pathology
  • T-Lymphocyte Subsets / cytology

Substances

  • Receptors, Complement
  • Recombinant Proteins
  • soluble complement inhibitor 1