- Borges, Thiago J;
- Murakami, Naoka;
- Machado, Felipe D;
- Murshid, Ayesha;
- Lang, Benjamin J;
- Lopes, Rafael L;
- Bellan, Laura M;
- Uehara, Mayuko;
- Antunes, Krist H;
- Pérez-Saéz, Maria José;
- Birrane, Gabriel;
- Vianna, Priscila;
- Gonçalves, João Ismael B;
- Zanin, Rafael F;
- Azzi, Jamil;
- Abdi, Reza;
- Ishido, Satoshi;
- Shin, Jeoung-Sook;
- Souza, Ana Paula D;
- Calderwood, Stuart K;
- Riella, Leonardo V;
- Bonorino, Cristina
In transplantation, donor dendritic cells (do-DCs) initiate the alloimmune response either by direct interaction with host T cells or by transferring intact donor MHC to host DCs. However, how do-DCs can be targeted for improving allograft survival is still unclear. Here we show CD103+ DCs are the major do-DC subset involved in the acute rejection of murine skin transplants. In the absence of CD103+ do-DCs, less donor MHC-II is carried to host lymph nodes, fewer allogenic T cells are primed and allograft survival is prolonged. Incubation of skin grafts with the anti-inflammatory mycobacterial protein DnaK reduces donor MHC-II on CD103+DCs and prolongs graft survival. This effect is mediated through IL-10-induced March1, which ubiquitinates and decreases MHC-II levels. Importantly, in vitro pre-treatment of human DCs with DnaK reduces their ability to prime alloreactive T cells. Our findings demonstrate a novel therapeutic approach to dampen alloimmunity by targeting donor MHC-II on CD103+DCs.