Abstract
Purpose
To explore outflow from the eye and to determine and modulate the influence of lymphatic drainage on corneal graft survival in mice.
Methods
Tracer experiments were conducted in BALB/c mice using the 99mTc colloidal albumin Nanocoll. Count rates were determined in the eyes, submandibular lymph nodes, spleen, liver and blood 24 h after subconjunctival, intracorneal, intracameral (anterior chamber), intravenous and subcutaneous lower-lid or upper-lid injections (n=6 each). Four groups of BALB/c mice (n=8) received corneal transplants from C3H mice; two of them were treated ballistically with vector CTLA4+IL-4 onto the leg or the lower lid, one group was untreated and the other control group was treated with an empty minimalistic, immunologically defined, gene expression (MIDGE) vector.
Results
Radioactivity was detected in the liver, spleen and ipsilateral submandibular lymph node after intracameral injection as follows: 91.9%, 6.6% and 1.2% respectively. Radioactivity uptake of the ipsilateral submandibular lymph node was also low after intravenous injection (0.1%) but high after intracorneal (33.8%), lower-lid (62.0%) and subconjunctival (71.2%) injection. Vector CTLA4+IL-4 treatment of the lower lid but not of the leg prolonged graft survival (P=0.004).
Conclusion
These tracer studies confirmed for the first time identical lymphatic drainage from the cornea and the lower lid. Logically, lymphatic drainage could be manipulated and graft survival improved by gene transfer to the lower lid.
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References
Ayliffe W, McLeod D, Hutchinson IV (1992) The effect of blood transfusions on rat corneal graft survival. Invest Ophthalmol Vis Sci 33:1974–1978
Bell D, Young JW, Banchereau J (1999) Dendritic cells. Adv Immunol 72:255–324
Bill A (1965) Movement of albumin and dextran through the sclera. Arch Ophthalmol 74:248–252
Chargui J, Hase T, Wada S, Naganuma T, Yoshimura R (2001) NKT cells as nonspecific immune-regulator inducing tolerance in mouse model transplantation. Transplant Proc 33:3833–3834
Comer RM, King WJ, Ardjomand N, Theoharis S, George AJ, Larkin DF (2002) Effect of administration of CTLA4-Ig as protein or cDNA on corneal allograft survival. Invest Ophthalmol Vis Sci 43:1095–1103
Greenfield EA, Nguyen KA, Kuchroo VK (1998) CD28/B7 costimulation: a review. Crit Rev Immunol 18:389–418
Hoffmann F, Zhang EP, Pohl T, Kunzendorf U, Wachtlin J, Bulfone-Paus S (1997) Inhibition of corneal allograft reaction by CTLA4-Ig. Graefes Arch Clin Exp Ophthalmol 235:535–540
Hoffmann F, Zhang EP, Mueller A, Schulte F, Foss HD, Franke J, Coupland SE (2001) Contribution of lymphatic drainage system in corneal allograft rejection in mice. Graefes Arch Clin Exp Ophthalmol 239:850–858
Ishii N, Aoki I, Ishii T, Mizuki N, Okuda K, Nakajima H (1988) Suppressor T cells in mice made unresponsive to skin allografts. J Invest Dermatol 91:333–335
Kagaya F, Hori J, Kamiya K, Kaji Y, Oshika T, Amano S, Yamagami S, Tsuru T, Tanaka S, Matsuda H, Yagita H, Okumura K (2002) Inhibition of murine corneal allograft rejection by treatment with antibodies to CD80 and CD86. Exp Eye Res 74:131–139
Konig Merediz SA, Zhang EP, Wittig B, Hoffmann F (2000) Ballistic transfer of minimalistic immunologically defined expression constructs for IL4 and CTLA4 into the corneal epithelium in mice after orthotopic corneal allograft transplantation. Graefes Arch Clin Exp Ophthalmol 238:701–707
Kuffova L, Lumsden L, Vesela V, Taylor JA, Filipec M, Holan V, Dick AD, Forrester JV (2001) Kinetics of leukocyte and myeloid cell traffic in the murine corneal allograft response. Transplantation 72:1292–1298
Lechler R, Ng WF, Steinman RM (2001) Dendritic cells in transplantation—friend or foe? Immunity 14:357–368
Lenschow DJ, Zeng Y, Thistlethwaite JR, Montag A, Brady W, Gibson MG, Linsley PS, Bluestone JA (1992) Long-term survival of xenogeneic pancreatic islet grafts induced by CTLA4lg. Science 257:789–792
Lin H, Bolling SF, Linsley PS, Wei RQ, Gordon D, Thompson CB, Turka LA (1993) Long-term acceptance of major histocompatibility complex mismatched cardiac allografts induced by CTLA4Ig plus donor-specific transfusion. J Exp Med 178:1801–1806
Matsumura Y, Zuo XJ, Prehn J, Linsley PS, Marchevsky A, Kass RM, Matloff JM, Jordan SC (1995) Soluble CTLA4Ig modifies parameters of acute inflammation in rat lung allograft rejection without altering lymphocytic infiltration or transcription of key cytokines. Transplantation 59:551–558
Plskova J, Duncan L, Holan V, Filipec M, Kraal G, Forrester JV (2002) The immune response to corneal allograft requires a site-specific draining lymph node. Transplantation 73:210–215
Polack FM, Gonzales CE (1968) The response of lymphoid tissue to corneal heterografts. Arch Ophthalmol 80:321–324
Sayegh MH, Akalin E, Hancock WW, Russell ME, Carpenter CB, Linsley PS, Turka LA (1995) CD28-B7 blockade after alloantigenic challenge in vivo inhibits Th1 cytokines but spares Th2. J Exp Med 181:1869–1874
Sonoda Y, Streilein JW (1992) Orthotopic corneal transplantation in mice—evidence that the immunogenic rules of rejection do not apply. Transplantation 54:694–704
Steinman RM, Nussenzweig MC (2002) Inaugural Article: Avoiding horror autotoxicus: the importance of dendritic cells in peripheral T cell tolerance. Proc Natl Acad Sci U S A 99:351–358.
Strand SE, Bergqvist L (1989) Radiolabeled colloids and macromolecules in the lymphatic system. Crit Rev Ther Drug Carrier Syst 6:211–238
Streilein JW (1995) Immunological non-responsiveness and acquisition of tolerance in relation to immune privilege in the eye. Eye 9:236–240
Wilbanks GA, Streilein JW (1989) The differing patterns of antigen release and local retention following anterior chamber and intravenous inoculation of soluble antigen. Evidence that the eye acts as an antigen depot. Reg Immunol 2:390–398
Wilhelm AJ, Mijnhout GS, Franssen EJ (1999) Radiopharmaceuticals in sentinel lymph-node detection—an overview. Eur J Nucl Med 26:36–42
Yamagami S, Dana MR, Tsuru T (2002) Draining lymph nodes play an essential role in alloimmunity generated in response to high-risk corneal transplantation. Cornea 21:405–409
Zhang E-P, Schründer S, Hoffmann F (1996) Orthotopic corneal transplantation in the mouse—a new technique with minimal endothelial cell loss. Graefes Arch Clin Exp Ophthalmol 234:714–719
Zhang EP, Bulfone-Paus S, Hoffmann F (2002) [Immunomodulation after keratoplasty by CTL4-Ig and anti-CD154 antibodies]. Ophthalmologe 99:183–187
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Supported by DFG grant Ho 674/9-3.
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Presented in part at the 101st meeting of the German Ophthalmologic Society (DOG), Berlin, Germany, September 2003
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Zhang, EP., Franke, J., Schroff, M. et al. Ballistic CTLA4 and IL-4 gene transfer into the lower lid prolongs orthotopic corneal graft survival in mice. Graefe's Arch Clin Exp Ophthalmol 241, 921–926 (2003). https://doi.org/10.1007/s00417-003-0763-0
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DOI: https://doi.org/10.1007/s00417-003-0763-0