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  • Heterogeneity in allospecif...
    McIntosh, Christine M; Allocco, Jennifer B; Wang, Peter; McKeague, Michelle L; Cassano, Alexandra; Wang, Ying; Xie, Stephen Z; Hynes, Grace; Mora-Cartín, Ricardo; Abbondanza, Domenic; Chen, Luqiu; Sattar, Husain; Yin, Dengping; Zhang, Zheng J; Chong, Anita S; Alegre, Maria-Luisa

    The Journal of clinical investigation, 11/2023, Volume: 133, Issue: 21
    Journal Article

    Even when successfully induced, immunological tolerance to solid organs remains vulnerable to inflammatory insults, which can trigger rejection. In a mouse model of cardiac allograft tolerance in which infection with Listeria monocytogenes (Lm) precipitates rejection of previously accepted grafts, we showed that recipient CD4+ TCR75 cells reactive to a donor MHC class I-derived peptide become hypofunctional if the allograft is accepted for more than 3 weeks. Paradoxically, infection-induced transplant rejection was not associated with transcriptional or functional reinvigoration of TCR75 cells. We hypothesized that there is heterogeneity in the level of dysfunction of different allospecific T cells, depending on duration of their cognate antigen expression. Unlike CD4+ TCR75 cells, CD4+ TEa cells specific for a peptide derived from donor MHC class II, an alloantigen whose expression declines after transplantation but remains inducible in settings of inflammation, retained function in tolerant mice and expanded during Lm-induced rejection. Repeated injections of alloantigens drove hypofunction in TEa cells and rendered grafts resistant to Lm-dependent rejection. Our results uncover a functional heterogeneity in allospecific T cells of distinct specificities after tolerance induction and reveal a strategy to defunctionalize a greater repertoire of allospecific T cells, thereby mitigating a critical vulnerability of tolerance.