T regulatory cells and dendritic cells protect against transfusion-related acute lung injury via IL-10.

Abstract:

:Transfusion-related acute lung injury (TRALI) is the leading cause of transfusion-related fatalities and is characterized by acute respiratory distress following blood transfusion. Donor antibodies are frequently involved; however, the pathogenesis and protective mechanisms in the recipient are poorly understood, and specific therapies are lacking. Using newly developed murine TRALI models based on injection of anti-major histocompatibility complex class I antibodies, we found CD4+CD25+FoxP3+ T regulatory cells (Tregs) and CD11c+ dendritic cells (DCs) to be critical effectors that protect against TRALI. Treg or DC depletion in vivo resulted in aggravated antibody-mediated acute lung injury within 90 minutes with 60% mortality upon DC depletion. In addition, resistance to antibody-mediated TRALI was associated with increased interleukin-10 (IL-10) levels, and IL-10 levels were found to be decreased in mice suffering from TRALI. Importantly, IL-10 injection completely prevented and rescued the development of TRALI in mice and may prove to be a promising new therapeutic approach for alleviating lung injury in this serious complication of transfusion.

journal_name

Blood

journal_title

Blood

authors

Kapur R,Kim M,Aslam R,McVey MJ,Tabuchi A,Luo A,Liu J,Li Y,Shanmugabhavananthan S,Speck ER,Zufferey A,Yousef G,Zhang H,Rondina MT,Weyrich AS,Porcelijn L,Kuebler WM,Slutsky AS,Semple JW

doi

10.1182/blood-2016-12-758185

subject

Has Abstract

pub_date

2017-05-04 00:00:00

pages

2557-2569

issue

18

eissn

0006-4971

issn

1528-0020

pii

blood-2016-12-758185

journal_volume

129

pub_type

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