- Palchevskiy, Vyacheslav;
- Xue, Ying Ying;
- Kern, Rita;
- Weigt, Stephen S;
- Gregson, Aric L;
- Song, Sophie X;
- Fishbein, Michael C;
- Hogaboam, Cory M;
- Sayah, David M;
- Lynch, Joseph P;
- Keane, Michael P;
- Brooks, David G;
- Belperio, John A
Despite current immunosuppressive strategies, long-term lung transplant outcomes remain poor due to rapid allogenic responses. Using a stringent mouse model of allo-airway transplantation, we identify the CCR4-ligand axis as a central node driving secondary lymphoid tissue homing and activation of the allogeneic T cells that prevent long-term allograft survival. CCR4 deficiency on transplant recipient T cells diminishes allograft injury and when combined with CTLA4-Ig leads to an unprecedented long-term lung allograft accommodation. Thus, we identify CCR4-ligand interactions as a central mechanism driving allogeneic transplant rejection and suggest it as a potential target to enhance long-term lung transplant survival.