Elsevier

Transplant Immunology

Volume 18, Issue 2, November 2007, Pages 101-107
Transplant Immunology

Effects of interleukin-12p40 gene transfer on rat corneal allograft survival

https://doi.org/10.1016/j.trim.2007.05.004Get rights and content

Abstract

Purpose

Despite the immunologically privileged nature of the cornea, graft rejection remains the major cause of human corneal allograft failure. Gene therapy is an interesting approach to introduce immunoregulatory molecules into the graft or the recipient to prevent rejection. In this study we investigated the immmunomodulatory effects of adenovirus-mediated gene transfer of a Th1 antagonist, interleukin-12p40 (IL-12p40), in vitro and on allogeneic graft survival in a rat experimental keratoplasty model.

Methods

Donor corneas were transduced with an E1/E3 deleted adenoviral (Ad) vector encoding the IL-12p40 gene (AdIL-12p40) and assayed for the expression of the therapeutic gene. Cell culture supernatants containing IL-12p40 protein were generated by transducing human corneal endothelial cells with AdIL-12p40 and analysed for their capacity to inhibit production of IFN-γ by naive T cells. The effect of both local (ex vivo Ad-mediated gene transfer) and systemic (i.p.-injection) over-expression of IL-12p40 was investigated by analysing the survival of corneal allografts transplanted from Wistar–Furth rats to fully MHC-class I/II incompatible Lewis rats. Moreover, the intra-graft mRNA-expression profile of cytokines and T cell markers was investigated at different time points after gene transfer.

Results

Adenovirus-mediated gene transfer in cultured corneas led to significant IL-12p40 protein expression as determined by specific ELISA. Moreover we could show that IL-12p40 protein containing supernatants significantly inhibited the production of IFN-γ by alloreactive naive T cells. Interestingly, neither ex vivo genetic modification of cultured corneas before transplantation nor systemic AdIL-12p40 treatment of recipients receiving allogeneic corneas did improve corneal allograft survival.

Real-time RT-PCR analysis of ex vivo modified cornea allografts on day 7 after transplantation showed significantly higher IL-4 mRNA-expression levels in the AdIL-12p40 group compared to the control group. Other significant differences in mRNA-expression levels of intra-graft CD3, CD25, IFN-γ, TNF-α, and IL-10 could not be detected, neither on day 7 nor on the day of rejection.

Conclusions

Despite the capacity of IL-12p40 protein to inhibit the production of IFN-γ of naive T cells in vitro and some Th1/Th2 shift in vivo, no prolongation of allogeneic graft survival of both AdIL-12p40 modified rat corneas and systemically treated rats could be obtained after transplantation. The possible binding of Ad-mediated IL-12p40 with ubiquitously expressed IL-12p35 in vivo might therefore limit the application of IL-12p40 for the prevention of transplant rejection.

Introduction

Despite the immunologically privileged nature of the cornea, immune mediated graft rejection remains the major cause of human corneal allograft failure. The activation of alloreactive T lymphocytes is considered to play a central role in this process [1], [2], [3]. Interleukin-12 (IL-12) is a key regulatory cytokine involved in the activation of T lymphocytes. IL-12 induces cellular immunity by promoting the proliferation of NK and T cells, the differentiation to Th1 cells and CTL- and NK-mediated cytolytic activity [4]. A significant IL-12 mRNA up-regulation was observed in rejected corneal allografts in rats [5]. In addition, the induction of immunity to intra-graft antigens in the draining lymph nodes (LN) after cornea transplantation occurs via an IL-12 and IFN-γ-dependent mechanism [6]. Therefore, IL-12 seems to be a potential target for intervention of corneal allograft rejection. The biologically active form of IL-12 is a 70 kDa heterodimer (IL-12p70), which consists of disulfide-bonded 40 kDa (p40) and 35 kDa (p35) subunits. It has been demonstrated that over-expression of IL-12p40 blocks the activities of IL-12p70 by competitively binding to the IL-12 receptor thereby reducing IL-12p70 mediated Th1 responses [7]. Moreover, it was shown that transfection of the IL-12p40 gene in myoblasts could prevent their rejection in allogeneic transplant recipients [8]. In addition, local expression of the immunoregulatory IL-12p40 gene also showed prolonged syngeneic islet graft survival in diabetic NOD mice [9].

Gene therapy is an interesting approach to introduce therapeutic genes into transplanted cells or tissues. Intra-graft over-expression of an immunomodulatory gene product may influence the allograft response. In contrast to other tissues routinely transplanted, the cornea has an additional advantage as a target for gene therapy [10], [11], [12], [13]. The cornea can be maintained under standard culture conditions for prolonged periods of up to 1 month, which allows time for genetic modification prior to transplantation. In addition, corneal endothelial cells are of particular interest for gene therapy because they are the major target of allograft rejection [1], [2], [3] and have a critical function in the maintenance of corneal transparency. Thus, modification of the endothelial cell genome with immunoregulatory molecules may influence the survival of corneal allografts. Previously, the recombinant adenovirus (Ad) has been shown to be an effective vehicle for transferring genes into corneal endothelial cells [14], [15]. Recently it has been shown that local over-expression of IL-12p40 in cultured corneas lead to significant prolongation of graft survival in a sheep transplant model [16] however only few mechanistic insights have been provided. Therefore our strategy for local expression of IL-12p40 was designed to inhibit local IL-12 production and subsequent secretion of IFN-γ and to study the underlying mechanisms.

Here we demonstrate that although IL-12p40 protein significantly inhibits the activation of naive T cells in vitro, over-expression of IL-12p40 mediated by recombinant adenovirus either locally or systemically could not protect corneal grafts from rejection in a MHC-class I/II full mismatched rat keratoplasty model.

Section snippets

Objectives

The objectives of this work were the following:

  • To generate an adenoviral vector expressing the inhibitory subunit of interleukin-12, IL-12p40

  • To investigate if IL-12p40 containing cell culture supernatants can inhibit production of IFN-gamma of naïve T cells

  • To analyse if local and systemic over-expression of IL-12p40 can prevent allogeneic graft rejection in a rat corneal transplant model

  • To investigate if over-expression of IL-12p40 modulates intra-graft cytokine gene expression

Generation of recombinant Adenovirus encoding for rat IL-12p40

The generation of replication-defective recombinant Ad expressing therapeutic genes has been previously described [15]. Briefly, E1-, E3-deleted Ad Type 5 vector encoding full-length rat IL-12p40 (AdIL-12p40) under the transcriptional control of the hCMV-IE was used. To generate this construct, the cDNA encoding for rat IL-12p40 was cloned into the pACCMV-vector followed by co-transfection together with an adenovirus Type 5 plasmid (pJM17) into 911 cells [17]. The formation of recombinant

Expression of IL-12p40 protein by cultured rat corneas

In order to evaluate the ex vivo duration of therapeutic gene expression, cultured rat corneas (n = 6) were transduced with AdrIL-12p40 (1 × 108 pfu/cornea). Supernatants containing IL-12p40 were harvested every 48 h and analysed for IL-12p40 protein expression. As shown in Fig. 1, AdIL-12p40 gene transfer led to significant cytokine production by transduced corneas. The expression of the therapeutic gene in cultured corneas reached a peak value at day 8 after transduction and continued at least

Discussion

In the present study, we investigated the immunomodulatory effects of adenovirus-mediated gene transfer of IL-12p40 both in vitro and in vivo. Although we demonstrate that IL-12p40 protein significantly inhibits the production of IFN-γ by alloreactive T cells in vitro, neither local gene transfer to cultured corneas before transplantation nor systemic delivery of AdrIL-12p40 resulted in prolongation of allograft survival in a rat keratoplasty model.

Beside the report by Klebe et al. [16] showing

Acknowledgements

The authors thank Dr. Bengt Widegren, Department of Cell and Molecular Biology, Section of Tumor Immunology, University of Lund, Lund, Sweden, for providing the rat IL-12p40 cDNA and Dr. Jürgen Bednarz, Eye Clinic, University Hospital Hamburg-Eppendorf, Germany, for providing human corneal endothelial cells (HCEC). In addition, the authors are grateful to Ms Michaela Schmack for technical assistance. This work was funded in part by DFG Pl 150/10-1 and Ri 764/6-1. Jun Yang was supported in part

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  • Cited by (0)

    1

    Present address: Brigham and Women's Hospital, Renal Division, Laboratory of Immunogenetics and Transplantation, 75 Francis Street, Boston, MA 02115, USA.

    2

    Present address: Max-Delbrück-Centrum für Molekulare Medizin (MDC), Berlin-Buch, Robert-Rössle-Str. 10, 13092 Berlin (letters), 13125 Berlin (parcels), Germany.

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