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The allogeneic T and B cell response is strongly dependent on complement components C3 and C4
J E Marsh1, C K Farmer, S Jurcevic
1Department of Nephrology and Transplantation, Guy's Hospital, King's College, London SE1 9RT, UK.
Transplantation
|October 17, 2001
Summary
Complement activation, particularly the classical pathway, is crucial for mounting effective antibody responses against histocompatibility antigens in organ transplantation. Deficiencies in complement components impair both T and B cell functions, impacting alloimmunity.
Area of Science:
- Immunology
- Transplantation Biology
- Complement System
Background:
- Antibody production against histocompatibility antigens is critical for organ transplant success.
- Understanding the mechanisms controlling these antibody responses is essential.
Purpose of the Study:
- To investigate the role of the complement system in the immune response to allogeneic stimulation.
- To dissect the functions of the alternative, classical, and terminal complement pathways in alloimmunity.
Main Methods:
- Utilized mice deficient in complement components C3, C4, and C5.
- Administered fully major histocompatibility complex disparate skin grafts.
- Assessed allospecific immunoglobulin G and M responses, IgG isotype repertoire, and T cell functions (proliferation, interferon-gamma secretion).
Main Results:
- Allospecific IgG response was significantly impaired in C3- and C4-deficient mice, but not C5-deficient mice, especially in second-set responses.
- C3-deficient mice showed a reduced range of IgG isotypes and impaired T cell proliferation and interferon-gamma secretion.
- No impairment of the allospecific IgM response was observed in complement-deficient mice.
Conclusions:
- Defective complement activation impairs both T and B cell functions in alloimmune responses.
- The classical complement pathway plays a predominant role in stimulating alloimmunity, while the terminal pathway appears less important.
- These findings have significant implications for preventing sensitization in transplant recipients.