Myeloid-Derived Suppressor Cells in Kidney Transplant Recipients and the Effect of Maintenance Immunotherapy

Myeloid-derived suppressor cells (MDSC) represent a heterogeneous group of myeloid regulatory cells that were originally described in cancer. Several studies in animal models point to MDSC as important players in the induction of allograft tolerance due to their immune modulatory function. Most of t...

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Main Authors: María Iglesias-Escudero, David Sansegundo-Arribas, Paloma Riquelme, David Merino-Fernández, Sandra Guiral-Foz, Carmen Pérez, Rosalia Valero, Juan Carlos Ruiz, Emilio Rodrigo, Patricia Lamadrid-Perojo, James A. Hutchinson, Jordi Ochando, Marcos López-Hoyos
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-04-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2020.00643/full
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author María Iglesias-Escudero
David Sansegundo-Arribas
David Sansegundo-Arribas
Paloma Riquelme
David Merino-Fernández
Sandra Guiral-Foz
Sandra Guiral-Foz
Carmen Pérez
Rosalia Valero
Rosalia Valero
Juan Carlos Ruiz
Juan Carlos Ruiz
Emilio Rodrigo
Emilio Rodrigo
Patricia Lamadrid-Perojo
James A. Hutchinson
Jordi Ochando
Jordi Ochando
Marcos López-Hoyos
Marcos López-Hoyos
author_facet María Iglesias-Escudero
David Sansegundo-Arribas
David Sansegundo-Arribas
Paloma Riquelme
David Merino-Fernández
Sandra Guiral-Foz
Sandra Guiral-Foz
Carmen Pérez
Rosalia Valero
Rosalia Valero
Juan Carlos Ruiz
Juan Carlos Ruiz
Emilio Rodrigo
Emilio Rodrigo
Patricia Lamadrid-Perojo
James A. Hutchinson
Jordi Ochando
Jordi Ochando
Marcos López-Hoyos
Marcos López-Hoyos
author_sort María Iglesias-Escudero
collection DOAJ
description Myeloid-derived suppressor cells (MDSC) represent a heterogeneous group of myeloid regulatory cells that were originally described in cancer. Several studies in animal models point to MDSC as important players in the induction of allograft tolerance due to their immune modulatory function. Most of the published studies have been performed in animal models, and the data addressing MDSCs in human organ transplantation are scarce. We evaluated the phenotype and function of different MDSCs subsets in 38 kidney transplant recipients (KTRs) at different time points. Our data indicate that monocytic MDSCs (Mo-MDSC) increase in KTR at 6 and 12 months posttransplantation. On the contrary, the percentages of polymorphonuclear MDSC (PMN-MDSC) and early-stage MDSC (e-MDSC) are not significantly increased. We evaluated the immunosuppressive activity of Mo-MDSC in KTR and confirmed their ability to increase regulatory T cells (Treg) in vitro. Interestingly, when we compared the ability of Mo-MDSC to suppress T cell proliferation, we observed that tacrolimus, but not rapamycin-treated KTR, was able to inhibit CD4+ T cell proliferation in vitro. This indicates that, although mTOR inhibitors are widely regarded as supportive of regulatory responses, rapamycin may impair Mo-MDSC function, and suggests that the choice of immunosuppressive therapy may determine the tolerogenic pathway and participating immune cells that promote organ transplant acceptance in KTR.
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spelling doaj.art-af04e9aa6d044ea49755131b3716c4292022-12-21T23:34:38ZengFrontiers Media S.A.Frontiers in Immunology1664-32242020-04-011110.3389/fimmu.2020.00643488809Myeloid-Derived Suppressor Cells in Kidney Transplant Recipients and the Effect of Maintenance ImmunotherapyMaría Iglesias-Escudero0David Sansegundo-Arribas1David Sansegundo-Arribas2Paloma Riquelme3David Merino-Fernández4Sandra Guiral-Foz5Sandra Guiral-Foz6Carmen Pérez7Rosalia Valero8Rosalia Valero9Juan Carlos Ruiz10Juan Carlos Ruiz11Emilio Rodrigo12Emilio Rodrigo13Patricia Lamadrid-Perojo14James A. Hutchinson15Jordi Ochando16Jordi Ochando17Marcos López-Hoyos18Marcos López-Hoyos19Transplantation and Autoimmunity Group, Marqués de Valdecilla Health Research Institute (IDIVAL)Santander, SpainTransplantation and Autoimmunity Group, Marqués de Valdecilla Health Research Institute (IDIVAL)Santander, SpainDepartment of Immunology, University Hospital Marqués de Valdecilla, Santander, SpainSection of Experimental Surgery, Department of Surgery, University Hospital of Regensburg, Regensburg, GermanyTransplantation and Autoimmunity Group, Marqués de Valdecilla Health Research Institute (IDIVAL)Santander, SpainTransplantation and Autoimmunity Group, Marqués de Valdecilla Health Research Institute (IDIVAL)Santander, SpainDepartment of Immunology, University Hospital Marqués de Valdecilla, Santander, SpainTransplantation and Autoimmunity Group, Marqués de Valdecilla Health Research Institute (IDIVAL)Santander, SpainTransplantation and Autoimmunity Group, Marqués de Valdecilla Health Research Institute (IDIVAL)Santander, SpainDepartment of Nephrology, University Hospital Marqués de Valdecilla, Santander, SpainTransplantation and Autoimmunity Group, Marqués de Valdecilla Health Research Institute (IDIVAL)Santander, SpainDepartment of Nephrology, University Hospital Marqués de Valdecilla, Santander, SpainTransplantation and Autoimmunity Group, Marqués de Valdecilla Health Research Institute (IDIVAL)Santander, SpainDepartment of Nephrology, University Hospital Marqués de Valdecilla, Santander, SpainTransplantation and Autoimmunity Group, Marqués de Valdecilla Health Research Institute (IDIVAL)Santander, SpainSection of Experimental Surgery, Department of Surgery, University Hospital of Regensburg, Regensburg, GermanyDepartment of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesImmunología de Trasplantes, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Madrid, SpainTransplantation and Autoimmunity Group, Marqués de Valdecilla Health Research Institute (IDIVAL)Santander, SpainDepartment of Immunology, University Hospital Marqués de Valdecilla, Santander, SpainMyeloid-derived suppressor cells (MDSC) represent a heterogeneous group of myeloid regulatory cells that were originally described in cancer. Several studies in animal models point to MDSC as important players in the induction of allograft tolerance due to their immune modulatory function. Most of the published studies have been performed in animal models, and the data addressing MDSCs in human organ transplantation are scarce. We evaluated the phenotype and function of different MDSCs subsets in 38 kidney transplant recipients (KTRs) at different time points. Our data indicate that monocytic MDSCs (Mo-MDSC) increase in KTR at 6 and 12 months posttransplantation. On the contrary, the percentages of polymorphonuclear MDSC (PMN-MDSC) and early-stage MDSC (e-MDSC) are not significantly increased. We evaluated the immunosuppressive activity of Mo-MDSC in KTR and confirmed their ability to increase regulatory T cells (Treg) in vitro. Interestingly, when we compared the ability of Mo-MDSC to suppress T cell proliferation, we observed that tacrolimus, but not rapamycin-treated KTR, was able to inhibit CD4+ T cell proliferation in vitro. This indicates that, although mTOR inhibitors are widely regarded as supportive of regulatory responses, rapamycin may impair Mo-MDSC function, and suggests that the choice of immunosuppressive therapy may determine the tolerogenic pathway and participating immune cells that promote organ transplant acceptance in KTR.https://www.frontiersin.org/article/10.3389/fimmu.2020.00643/fullkidney transplantationmTOR inhibitionmyeloid-derived suppressor cellstacrolimusimmunosuppression
spellingShingle María Iglesias-Escudero
David Sansegundo-Arribas
David Sansegundo-Arribas
Paloma Riquelme
David Merino-Fernández
Sandra Guiral-Foz
Sandra Guiral-Foz
Carmen Pérez
Rosalia Valero
Rosalia Valero
Juan Carlos Ruiz
Juan Carlos Ruiz
Emilio Rodrigo
Emilio Rodrigo
Patricia Lamadrid-Perojo
James A. Hutchinson
Jordi Ochando
Jordi Ochando
Marcos López-Hoyos
Marcos López-Hoyos
Myeloid-Derived Suppressor Cells in Kidney Transplant Recipients and the Effect of Maintenance Immunotherapy
Frontiers in Immunology
kidney transplantation
mTOR inhibition
myeloid-derived suppressor cells
tacrolimus
immunosuppression
title Myeloid-Derived Suppressor Cells in Kidney Transplant Recipients and the Effect of Maintenance Immunotherapy
title_full Myeloid-Derived Suppressor Cells in Kidney Transplant Recipients and the Effect of Maintenance Immunotherapy
title_fullStr Myeloid-Derived Suppressor Cells in Kidney Transplant Recipients and the Effect of Maintenance Immunotherapy
title_full_unstemmed Myeloid-Derived Suppressor Cells in Kidney Transplant Recipients and the Effect of Maintenance Immunotherapy
title_short Myeloid-Derived Suppressor Cells in Kidney Transplant Recipients and the Effect of Maintenance Immunotherapy
title_sort myeloid derived suppressor cells in kidney transplant recipients and the effect of maintenance immunotherapy
topic kidney transplantation
mTOR inhibition
myeloid-derived suppressor cells
tacrolimus
immunosuppression
url https://www.frontiersin.org/article/10.3389/fimmu.2020.00643/full
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