4.7 Article

Successful treatment of murine autoimmune cholangitis by parabiosis: Implications for hematopoietic therapy

Journal

JOURNAL OF AUTOIMMUNITY
Volume 66, Issue -, Pages 108-117

Publisher

ACADEMIC PRESS LTD- ELSEVIER SCIENCE LTD
DOI: 10.1016/j.jaut.2015.09.002

Keywords

Primary biliary cirrhosis; Cholangitis; CD4(+) T cells; Regulatory T cells; Bone marrow chimeric mice; Parabiosis

Categories

Funding

  1. National Basic Research Program of China (973 Program) [2013CB944900]
  2. National Natural Science Foundation of China [81130058, 81430034]
  3. Research Fund for the Doctoral Program of Higher Education of China [RFDP 20133402110015]
  4. NIH [2R01DK090019-05]
  5. NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES [R01DK090019] Funding Source: NIH RePORTER

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There is a significant unmet need in the treatment of primary biliary cirrhosis (PBC) despite significant data on the effector pathways that lead to biliary duct damage. We focused attention on a murine model of PBC, the dominant negative transforming growth factor beta receptor II (Tg) mice. To further define the pathways that lead to biliary pathology in these mice, we developed Tg mice deleted of CD4 cells (CD4(-/-)Tg). Interestingly, these mice developed more severe cholangitis than control Tg mice. These mice, which lack CD4 cells, manifested increased levels of IFN-gamma produced by effector CD8 cells. It appears that increased cholangitis is due to the absence of CD4 Treg cells. Based on these data, we parabiosed CD4(-/-)Tg mice with established disease at 8-9 weeks of age with C57BL/6 control mice. Such parabiotic twins had a significant reduction in autoimmune cholangitis, even though they had established pathology at the time of surgery. We prepared mixed bone marrow chimera mice constructed from CD4(-/-)Tg and CD8(-/-) mice and not only was cholangitis improved, but a decrease in terminally differentiated CD8(+) T effector cells in the presence of wild type CD4 cells was noted. In conclusion, correcting the CD4 T cell subset, even in the presence of pathogenic CD8 T cells, is effective in treating autoimmune cholangitis. (C) 2015 Elsevier Ltd. All rights reserved.

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