The Journal of Heart and Lung Transplantation
Volume 29, Issue 4 , Pages 401-409, April 2010

The role of recipient mast cells in acute and chronic cardiac allograft rejection in C57BL/6-KitW-sh/W-sh mice

  • Satoshi Itoh, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California
  • ,
  • Susumu Nakae, PhD

      Affiliations

    • Frontier Research Initiative, The Institute of Medical Science, The University of Tokyo, Tokyo
  • ,
  • Jeffrey B. Velotta, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California
  • ,
  • Hisanori Kosuge, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California
  • ,
  • Andrew Connolly, MD

      Affiliations

    • Department of Pathology and Microbiology, and Immunology, Stanford University School of Medicine, Stanford, California
  • ,
  • Mindy Tsai, DMSc

      Affiliations

    • Department of Pathology and Microbiology, and Immunology, Stanford University School of Medicine, Stanford, California
  • ,
  • Hideo Adachi, MD

      Affiliations

    • Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan
  • ,
  • Stephen J. Galli, MD

      Affiliations

    • Department of Pathology and Microbiology, and Immunology, Stanford University School of Medicine, Stanford, California
  • ,
  • Robert C. Robbins, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California
  • ,
  • Michael P. Fischbein, MD, PhD

      Affiliations

    • Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California
    • Corresponding Author InformationReprint requests: Michael P. Fischbein, MD, PhD, Department of Cardiothoracic Surgery, Stanford University School of Medicine, 300 Pasteur Dr, CVRB MC 5407, Stanford, CA 94305. Telephone: 650-725-3828. Fax: 650-725-3846

published online 09 October 2009.

Background

Mast cells are hypothesized to promote rejection and adverse remodeling in cardiac allografts. In contrast, it has been reported that mast cells may enhance cardiac allograft survival in rats. We used C57BL/6-KitW-sh/W-sh mast cell-deficient and corresponding wild-type mice to investigate possible contributions of recipient mast cells to acute or chronic cardiac allograft rejection.

Methods

FVB (H-2q; acute rejection), or C-H-2bm12KhEg (H-2bm12; chronic rejection) donor hearts were heterotopically transplanted into C57BL/6-KitW-sh/W-sh (H-2b) or C57BL/6-Kit+/+ (H-2b) mice. The degree of acute rejection was assessed at 5 days and chronic rejection, at 52 days.

Results

In the acute rejection model, donor heart vascular cell adhesion molecule-1 (VCAM-1) expression was significantly lower in C57BL/6-KitW-sh/W-sh than in wild-type recipients; however, acute rejection scores, graft survival, inflammatory cells, or cytokine expression did not differ significantly. In the chronic rejection model, the number of mast cells/mm2 of allograft tissue was significantly increased 52 days after transplantation in allografts transplanted into C57BL/6-Kit+/+ but not C57BL/6-KitW-sh/W-sh mice; however, no substantial differences were noted in graft coronary artery disease, graft inflammatory cells, or levels of graft tissue expression of cytokines or adhesion molecules.

Conclusions

Cardiac allografts undergoing chronic rejection in wild-type C57BL/6-Kit+/+ mice exhibit increased numbers of mast cells, but acute or chronic cardiac allograft rejection can develop in C57BL/6-KitW-sh/W-sh mice even though these recipients virtually lack mast cells. These findings indicate that recipient mast cells are not required for acute or chronic cardiac allograft rejection in the models examined.

Keywords: mast cells, acute rejection, chronic rejection

 

PII: S1053-2498(09)00681-0

doi:10.1016/j.healun.2009.08.019

The Journal of Heart and Lung Transplantation
Volume 29, Issue 4 , Pages 401-409, April 2010