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Sanz RB, Hitz A, Chichelnitskiy E, Wiegmann B, Blaesing K, Sommer W, Ius F, Kuehne J, Knoefel A, Horn L, Tudorache I, Haverich A, Jonigk D, Greer M, Kapellos T, Bassler K, Schultze J, Warnecke G, Falk C. Donor T and NK Cells with a Special Tissue-Resident Memory Phenotype Migrate into the Periphery of Lung Transplant Recipients - A Potential Feature for Tolerance Development. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Knoefel A, Siemeni T, Ius F, Avsar M, Hacker K, Salman J, Haverich A, Falk C, Warnecke G. Regulatory T Cells and the Effect of Ex Vivo Preservation on the Development of Transplant Arteriosclerosis in a Humanized Mouse Model. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Ius F, Salman J, Knoefel A, Nakagiri T, Sommer W, Siemeni T, Kühn C, Avsar M, Falk C, Haverich A, Tudorache I, Warnecke G. Increased Frequency of Regulatory CD127low T Cells Early after Lung Transplant is Associated with Improved Graft Survival: 10-Year Single-Center Experience. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Siemeni T, Knoefel A, Ius F, Salman J, Sommer W, Avsar M, Kuehn C, Maus U, Falk C, Tudorache I, Haverich A, Warnecke G. Correlation of CLAD in Lung Transplant Recipients with Transplant Arteriosclerosis in Humanized Mice: A 5-years Follow Up Analysis. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Ius F, Knoefel A, Salman J, Sommer W, Nakagiri T, Siemeni T, Kuehn C, Avsar M, Bobylev D, Poyanmehr R, Boethig D, Welte T, Haverich A, Tudorache I, Warnecke G. Increasing Frequency of CD127 low Regulatory Cells Early After Lung Transplantation Improves Freedom From Chronic Lung Allograft Rejection and Graft Survival in 673 Patients. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Salman J, Knoefel A, Siemeni T, Lus F, Sommer W, Avsar M, Kuehn C, Haverich A, Lehner F, Igor T, Warnecke. G. High Frequencies of Regulatory T Cells Are Associated with Less Chronic Lung Allograft Dysfunction in Cystic Fibrosis Patients After Combined Lung and Liver Transplantation. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Ius F, Sommer W, Knoefel A, Salman J, Nakagiri T, Siemeni T, Kuehn C, Avsar M, Bobylev D, Poyanmehr R, Welte T, Haverich A, Tudorache I, Warnecke G. Influence of an IgM-enriched Intravenous Immunoglobulin-based Treatment on Regulatory T Cells in Patients with Donor Specific Antibodies After Lung Transplantation. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Ius F, Salman J, Knoefel A, Nakagiri T, Sommer W, Siemeni T, Kuehn C, Avsar M, Boethig D, Haverich A, Tudorache I, Warnecke G. Increasing Frequency of CD127low Regulatory Cells Early after Lung Transplantation is Associated with Improved Freedom from Chronic Lung Allograft Rejection and Survival. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- F. Ius
- Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - J. Salman
- Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - A. Knoefel
- Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - T. Nakagiri
- Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - W. Sommer
- Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - T. Siemeni
- Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - C. Kuehn
- Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - M. Avsar
- Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - D. Boethig
- Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - A. Haverich
- Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - I. Tudorache
- Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - G. Warnecke
- Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany
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Noyan F, Zimmermann K, Hardtke-Wolenski M, Knoefel A, Schulde E, Geffers R, Hust M, Huehn J, Galla M, Morgan M, Jokuszies A, Manns MP, Jaeckel E. Prevention of Allograft Rejection by Use of Regulatory T Cells With an MHC-Specific Chimeric Antigen Receptor. Am J Transplant 2017; 17:917-930. [PMID: 27997080 DOI: 10.1111/ajt.14175] [Citation(s) in RCA: 195] [Impact Index Per Article: 27.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2016] [Revised: 12/02/2016] [Accepted: 12/07/2016] [Indexed: 01/25/2023]
Abstract
CD4+ CD25high FOXP3+ regulatory T cells (Tregs) are involved in graft-specific tolerance after solid organ transplantation. However, adoptive transfer of polyspecific Tregs alone is insufficient to prevent graft rejection even in rodent models, indicating that graft-specific Tregs are required. We developed a highly specific chimeric antigen receptor that recognizes the HLA molecule A*02 (referred to as A2-CAR). Transduction into natural regulatory T cells (nTregs) changes the specificity of the nTregs without alteration of their regulatory phenotype and epigenetic stability. Activation of nTregs via the A2-CAR induced proliferation and enhanced the suppressor function of modified nTregs. Compared with nTregs, A2-CAR Tregs exhibited superior control of strong allospecific immune responses in vitro and in humanized mouse models. A2-CAR Tregs completely prevented rejection of allogeneic target cells and tissues in immune reconstituted humanized mice in the absence of any immunosuppression. Therefore, these modified cells have great potential for incorporation into clinical trials of Treg-supported weaning after allogeneic transplantation.
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Affiliation(s)
- F Noyan
- Department of Gastroenterology, Hepatology & Endocrinology, Hannover Medical School, Hannover, Germany.,Integrated Research and Treatment Center, Transplantation (IFB-Tx), Hannover Medical School, Hannover, Germany
| | - K Zimmermann
- Department of Gastroenterology, Hepatology & Endocrinology, Hannover Medical School, Hannover, Germany
| | - M Hardtke-Wolenski
- Department of Gastroenterology, Hepatology & Endocrinology, Hannover Medical School, Hannover, Germany
| | - A Knoefel
- Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany
| | - E Schulde
- Department of Gastroenterology, Hepatology & Endocrinology, Hannover Medical School, Hannover, Germany
| | - R Geffers
- RG of Genome Analytics, Helmholtz Centre for Infection Research, Braunschweig, Germany
| | - M Hust
- Department of Biotechnology, Institute for Biochemistry, Biotechnology and Bioinformatics, Technische Universität Braunschweig, Braunschweig, Germany
| | - J Huehn
- Department of Experimental Immunology, Helmholtz Centre for Infection Research, Braunschweig, Germany
| | - M Galla
- Institute of Experimental Haematology, Hannover Medical School, Hannover, Germany
| | - M Morgan
- Institute of Experimental Haematology, Hannover Medical School, Hannover, Germany
| | - A Jokuszies
- Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, Germany
| | - M P Manns
- Department of Gastroenterology, Hepatology & Endocrinology, Hannover Medical School, Hannover, Germany
| | - E Jaeckel
- Department of Gastroenterology, Hepatology & Endocrinology, Hannover Medical School, Hannover, Germany.,Integrated Research and Treatment Center, Transplantation (IFB-Tx), Hannover Medical School, Hannover, Germany
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Pauksch L, Sommer W, Jansson K, Knoefel A, Nakagiri T, Haverich A, Warnecke G. Alternatively Activated Naive Human T Cells Exhibit Strong Suppressive Capacity in a Humanized Transplant Arteriosclerosis Model. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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11
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Pauksch L, Sommer W, Jansson K, Knoefel A, Nakagiri T, Haverich A, Warnecke G. Ex Vivo Expanded Human Regulatory T Cells Suppress Allograft Induced Immune Responses in a Humanized Mouse Mode. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Knoefel A, Siemeni T, Frank N, Madrahimov N, Jonigk D, Salman J, Sommer W, Jansson K, Avsar M, Haverich A, Warnecke G. Elevated Peripheral Blood Counts of CD127 Low, FoxP3+ CD4+CD25 High T Cells in Lung Transplant Recipients Leads to Less Severe Donor-Specific Transplant Arteriosclerosis in Humanized Mice. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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13
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Salman J, Ius F, Knoefel A, Sommer W, Kuehn C, Tudorache I, Avsar M, Gottlieb J, Welte T, Falk C, Haverich A, Warnecke G. Early Donor Specific Antibodies After Lung Transplantation Lead to an Increase of CD56+CD16+ NK Cells in Peripheral Blood. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Siemeni T, Knoefel A, Madrahimov N, Sommer W, Frank N, Jansson K, Ius F, Salman J, Avsar M, Tudorache I, Kuehn C, Haverich A, Warnecke G. In Vivo Development of Transplant Arteriosclerosis in Humanized Mice Reflects Alloantigen Recognition of Lung Transplant Recipients and Is Controlled By Autologous Regulatory T Cells. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Hahn J, Jansson K, Sommer W, Avsar M, Siemeni T, Salman J, Knoefel A, Schröder B, Haverich A, Warnecke G. Treatment With Donor Specific Alloantigen and Anti-CD4 mAb 3 Days After Lung Transplantation Differentially Affects Putative Effector and Regulatory T Cell Populations. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Salman J, Knoefel A, Sommer W, Boethig D, Kuehn C, Tudorache I, Avsar M, Ius F, Jansson K, Gottlieb J, Welte T, Haverich A, Warnecke G. Developing a Score of Early Postoperative Regulatory T Cell Frequency To Predict Bronchiolitis Obliterans Syndrome-Free Survival at Two Years After Lung Transplantation. J Heart Lung Transplant 2014. [DOI: 10.1016/j.healun.2014.01.139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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