Preventing alloimmune rejection using circular RNA FSCN1-silenced dendritic cells in heart transplantation

Bowen Wang1, Qinfeng Zhou2, Toni Li3

  • 1Department of Cardiovascular Surgery, The Second Affiliated Hospital, Jilin University, Changchun, China; Department of Pathology and Laboratory Medicine, Western University, London, Ontario Canada.

Abstract

Insights

Silencing circular RNA FSCN1 (circFSCN1) in dendritic cells (DCs) creates tolerogenic DCs. These cells prevent heart transplant rejection and improve graft survival, offering a new therapeutic strategy.

Area of Science:

  • Immunology
  • Molecular Biology
  • Transplantation Science

Background:

  • Heart transplantation is a standard treatment for heart failure, but transplant rejection remains a significant clinical challenge.
  • Circular RNAs (circRNAs) are emerging as key regulators of cellular development and immune responses.
  • Investigating novel therapeutic targets for preventing transplant rejection is crucial.

Purpose of the Study:

  • To investigate the role of circular RNA FSCN1 (circFSCN1) in dendritic cell (DC) function.
  • To determine if silencing circFSCN1 in DCs can generate tolerogenic DCs (Tol-DCs).
  • To evaluate the efficacy of circFSCN1-silenced Tol-DCs in preventing allogeneic heart transplant rejection and prolonging graft survival.

Main Methods:

  • Dendritic cells (DCs) were treated with circFSCN1 siRNA to assess circFSCN1 levels and DC maturation.
  • Mixed lymphocyte reactions (MLRs) were used to evaluate DC-mediated T cell activation and regulatory T cell (Treg) generation.
  • A murine heterotopic heart transplantation model was employed, with recipients pre-treated with circFSCN1-silenced Tol-DCs.

Main Results:

  • circFSCN1 knockdown resulted in immature DCs with impaired T cell activation but enhanced Treg generation.
  • Treatment with circFSCN1-silenced Tol-DCs significantly prevented alloimmune rejection in heart transplant recipients.
  • Allograft survival was prolonged, fibrosis was reduced, and Tregs were induced in vivo following Tol-DC treatment.

Conclusions:

  • Silencing circFSCN1 effectively induces tolerogenic DCs (Tol-DCs).
  • Treatment with these Tol-DCs is a promising strategy to prevent allograft rejection and extend graft survival in heart transplantation.
  • This study highlights the potential of circRNAs as therapeutic targets in transplantation immunology.