[PDF][PDF] Inhibiting inflammation with myeloid cell-specific nanobiologics promotes organ transplant acceptance

MS Braza, MMT van Leent, M Lameijer… - Immunity, 2018 - cell.com
MS Braza, MMT van Leent, M Lameijer, BL Sanchez-Gaytan, RJW Arts, C Perez-Medina
Immunity, 2018cell.com
Inducing graft acceptance without chronic immunosuppression remains an elusive goal in
organ transplantation. Using an experimental transplantation mouse model, we demonstrate
that local macrophage activation through dectin-1 and toll-like receptor 4 (TLR4) drives
trained immunity-associated cytokine production during allograft rejection. We conducted
nanoimmunotherapeutic studies and found that a short-term mTOR-specific high-density
lipoprotein (HDL) nanobiologic treatment (mTORi-HDL) averted macrophage aerobic …
Summary
Inducing graft acceptance without chronic immunosuppression remains an elusive goal in organ transplantation. Using an experimental transplantation mouse model, we demonstrate that local macrophage activation through dectin-1 and toll-like receptor 4 (TLR4) drives trained immunity-associated cytokine production during allograft rejection. We conducted nanoimmunotherapeutic studies and found that a short-term mTOR-specific high-density lipoprotein (HDL) nanobiologic treatment (mTORi-HDL) averted macrophage aerobic glycolysis and the epigenetic modifications underlying inflammatory cytokine production. The resulting regulatory macrophages prevented alloreactive CD8+ T cell-mediated immunity and promoted tolerogenic CD4+ regulatory T (Treg) cell expansion. To enhance therapeutic efficacy, we complemented the mTORi-HDL treatment with a CD40-TRAF6-specific nanobiologic (TRAF6i-HDL) that inhibits co-stimulation. This synergistic nanoimmunotherapy resulted in indefinite allograft survival. Together, we show that HDL-based nanoimmunotherapy can be employed to control macrophage function in vivo. Our strategy, focused on preventing inflammatory innate immune responses, provides a framework for developing targeted therapies that promote immunological tolerance.
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