High-Fat Diet-Induced Obesity Enhances Allograft Rejection

高脂饮食引起的肥胖会增强同种异体移植排斥

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作者:Luciana L Molinero, Dengping Yin, Yuk Man Lei, Luqiu Chen, Ying Wang, Anita S Chong, Maria-Luisa Alegre

Background

Obesity promotes a state of low-grade inflammation that exacerbates chronic inflammatory diseases, such as asthma and inflammatory bowel disease. In transplantation, the survival of organs transplanted into obese patients is reduced compared with allografts in lean recipients. However, whether this is due to increased alloimmunity remains to be addressed conclusively.

Conclusions

Our results highlight the increased alloresponse triggered by HFD-induced obesity and its negative impact on transplant outcome.

Methods

We used a mouse model of high-fat diet (HFD)-induced obesity and assessed immune responses to allogeneic stimulation in vitro, allogeneic splenocyte immunization in vivo, and allogeneic heart transplantation.

Results

Our results indicate that HFD altered the composition and phenotype of splenic antigen-presenting cells that led to their enhanced capacity to stimulate T cells. Immunization with allogeneic splenocytes in vivo resulted in increased alloreactivity, as determined by IFNγ production. Moreover, cardiac allograft rejection in HFD mice was modestly accelerated compared to aged-matched control animals fed a low-fat diet, correlating with enhanced alloreactive T cell function. Conclusions: Our results highlight the increased alloresponse triggered by HFD-induced obesity and its negative impact on transplant outcome.

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