Molecular Mechanisms of Rejection

 
In the CARGO study (Deng, 2006), several genes were found to be related to acute cellular cardiac allograft rejection, but interestingly, in this genomic era, very little is known about many of them. Furthermore, most of them has never been implicated in the acute cellular rejection process. We are currently focusing on the study of some of those genes and try to understand which is the real connection between the molecular classifier that has been developed by the CARGO investigators (AllomapTM Molecular Test) and the rejection process.

The Inhibitory Receptor G6b-B in Peripheral CD4+ Lymphocytes 

The human G6b-B gene, located in the class III region of MHC, encodes a cell surface receptor of the Ig superfamily. This receptor potentially interacts with SHP-1/SHP-2 by the ITIMs in its cytoplasmic domain, triggering inhibitory signaling pathways. Our previous studies, have identified that the expression of the G6b-B gene in peripheral blood monocytes (PBMC) is impaired during acute cell-mediated allograft rejection. To further understand a biological role of this molecule, we investigated its expression in the different populations of human PBMC using RT-PCR analysis. G6b-B is predominantly expressed in CD4+ T cells as compared with CD8+ T cells (>3.1 fold), B cells (>3.5 fold) and monocytes (>2.1 folds). On a 1.9 kb upstream sequence of the translation start site of the gene, we found a putative cis-acting element for the transcriptional factor STAT6 and SMAD3/4. The response of the gene expression to the human cytokines IL-4, TNF-a, IL-10 or IL-2, showed that G6b-B mRNA level is significantly increased by IL-4, but not altered by other cytokines.

Based on our current results, the G6b-B gene expression would be restricted to peripheral CD4+ T cells, and potentially regulated by Th2 cells to mediate an inhibitory role in inflammatory reaction. 

 
 
 

 

 

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Cardiac Transplantation Research - Division of Cardiology - Department of Medicine - CUMC - NYPH - Columbia University - New York City

This site was last updated 06/29/06