期刊
JOURNAL OF EXPERIMENTAL MEDICINE
卷 202, 期 7, 页码 913-918出版社
ROCKEFELLER UNIV PRESS
DOI: 10.1084/jem.20050448
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Pancreatic islet transplantation is a highly promising approach for the treatment of insulin-dependent diabetes mellitus. However, the procedure remains experimental for several reasons, including its low efficiency caused by the early graft loss of transplanted islets. We demonstrate that Gr-1(+) CD11b(+) cells generated by transplantation and their IFN-gamma production triggered by V alpha 14 NKT cells are an essential component and a major cause of early graft loss of pancreatic islet transplants. Gr-1(+) CD11b(+) cells from V alpha 14 NKT cell deficient (J alpha 281(-/-)) mice failed to produce IFN-gamma, resulting in efficient islet graft acceptance. Early graft loss was successfully prevented through the repeated administration of alpha-galactosylceramide, a specific ligand for V alpha 14 NKT cells, resulting in dramatically reduced IFN-gamma production by Gr-1(+) CD11b(+) cells, as well as V alpha 14 NKT cells. Our study elucidates, for the first time, the crucial role of Gr-1(+) CD11b(+) cells and the IFN-gamma they produce in islet graft rejection and suggests a novel approach to improving transplantation efficiency through the modulation of V alpha 14 NKT cell function.
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