Indirect recognition of donor MHC Class II antigens in human transplantation

Clin Immunol Immunopathol. 1996 Mar;78(3):228-35. doi: 10.1006/clin.1996.0034.

Abstract

To investigate the role of the indirect pathway of recognition in human allograft rejection, we have mapped the dominant T cell determinant of the HLA-DRbeta1*0101 molecule presented by the DRbeta1*1101 antigen. A synthetic peptide (pp 22-35) corresponding to the sequence of the dominant peptide determinant was used for testing the frequency of in vivo activated T cells in the graft and in the periphery. DRbeta1*1101-positive patients carrying a heart allograft mismatched for the HLA-DR1 antigen showed no reactivity to pp 22-35 during quiescence. However, interleukin-2-responsive T cells, which were pp 22-35 specific, were found in the circulation prior to and at the time of acute and chronic rejection. The response of in vivo and in vitro activated T cells was inhibited at high concentrations of peptide 22-35. This data suggests that indirect recognition plays an important role in allograft rejection and that it can be abolished by high zone tolerance induction.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acute Disease
  • Amino Acid Sequence
  • Chronic Disease
  • Epitope Mapping
  • Graft Rejection / immunology*
  • HLA-DR Antigens / immunology
  • HLA-DR Serological Subtypes
  • HLA-DR1 Antigen / immunology*
  • Heart Transplantation / immunology*
  • Histocompatibility Testing
  • Humans
  • Immune Tolerance
  • Immunodominant Epitopes
  • Male
  • Molecular Sequence Data
  • Peptide Fragments / immunology*
  • T-Lymphocytes / immunology
  • Transplantation, Homologous

Substances

  • HLA-DR Antigens
  • HLA-DR Serological Subtypes
  • HLA-DR1 Antigen
  • HLA-DR11 antigen
  • Immunodominant Epitopes
  • Peptide Fragments