CTLA4Ig基因修饰骨髓基质细胞诱导HLA单倍型供者T细胞的免疫耐受

背景：CTLA4Ig作为免疫耐受诱导剂是目前预防移植物抗宿主病很有潜力的策略之一。 目的：体外研究腺病毒介导CTLA4Ig基因修饰的骨髓基质细胞诱导HLA单倍型供者T细胞免疫耐受的有效性。 方法：自HLA单倍型相合供者骨髓分离培养骨髓基质细胞，用CTLA4Ig-重组腺病毒按感染复数50转染骨髓基质细胞72 h，免疫荧光法检测CTLA4Ig在骨髓基质细胞中的表达、定位。分别将2×10⁴，4×10⁴及8×10⁴ CTLA4Ig基因修饰的骨髓基质细胞与10⁵个HLA单倍型相合的供者外周血T细胞及10⁵个受者外周血单个核细胞行混合淋巴细胞培养，MTT法测定T细胞增殖抑制率，收集培养上清以ELISA法检测白细胞介素2水平。构建CTLA4Ig基因修饰的骨髓基质细胞层于6孔板，每孔接种骨髓单个核细胞1×10⁵，于培养第5天计数扩增后的单个核细胞数及CFU-GM集落数。 结果与结论：按感染复数50转染的骨髓基质细胞中CTLA4Ig表达阳性率为85%，荧光信号在细胞浆中呈不均匀分布。2×10⁴，4×10⁴及8×10⁴ CTLA4Ig基因修饰的骨髓基质细胞对供者T细胞增殖的抑制率高于未转染基质细胞组，而白细胞介素2水平低于未转染基质细胞组，差异均有显著性意义(P < 0.05)。培养第5天，CTLA4Ig基因修饰的骨髓基质细胞组单个核细胞数及CFU-GM集落数与未转染骨髓基质细胞组比较差异均无显著性意义(P > 0.05)。结果表明腺病毒介导CTLA4Ig基因修饰的骨髓基质细胞在体外能诱导HLA单倍型相合供者T细胞的免疫耐受。中国组织工程研究杂志出版内容重点：干细胞；骨髓干细胞；造血干细胞；脂肪干细胞；肿瘤干细胞；胚胎干细胞；脐带脐血干细胞；干细胞诱导；干细胞分化；组织工程全文链接：

T-cell immune tolerance of HLA haploidentical donor induced by CTLA4Ig-modified bone marrow stromal cells

BACKGROUND:CTLA-4Ig as a tolerance-induction agent is a potential strategy in graft-versus-host disease prevention. OBJECTIVE:To investigate the efficacy of CTLA4Ig-gene-modified bone marrow stromal cells mediated by adenovirus to induce T-cell tolerance of haploidentical donors. METHODS:The bone marrow stromal cells isolated culture from the bone marrow of HLA haploidentical donors were transfected by recombinant adenovirus encoding CTLA4IgcDNA (AdCTLA4Ig) at a multiplicity of infection=50 for 72 hours. The expression rate and the location of CTLA4Ig in the transfected cells were detected by fluorescence microscope after immunofluorescence staining. CTLA4Ig-modified bone marrow stromal cells (2×10⁴, 4×10⁴ and 8×10⁴) were respectively co-cultured with 10⁵ T cells from the peripheral blood of HLA haploidentical donors and 10⁵ peripheral blood mononuclear cells from recipients. The proliferative inhibition rate was determined by MTT assay, and the level of interleukin-2 in the supernatant was detected by ELISA. The bone marrow mononuclear cells (1×10⁵/well) were co-cultured with CTLA4Ig-modified bone marrow stromal cell layers  constructed in 6-well plates. The number of bone marrow mononuclear cells and colony-forming unit-granulocyte macrophages were calculated after 5-day culture. RESULTS AND CONCLUSION:The expression rate of CTLA4Ig at the multiplicity of infection=50 was as high as 85%, and the immunofluorescence signals of CTLA4Ig were distributed unevenly in the cytoplasm. The inhibition rates of 2×10⁴, 4×10⁴, and 8×10⁴ CTLA4Ig-modified bone marrow stromal cells on proliferation of T cells were higher than that of untransfected cells. The levels of interluekin-2 in the corresponding cell groups were significantly lower than that in the untransfected cells (P < 0.05). At 5 days of culture, there was no significant difference in the number of bone marrow mononuclear cells and colony-forming unit-granulocyte macrophages between the transfected and untransfected cell groups (P > 0.05). These findings indicate that CTLA4Ig-modified bone marrow stromal cells mediated by adenovirus can induce immune tolerance of T-lymphocyte from HLA haploidentical donors in vitro.