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Diabetes 51:2489-2495, 2002
© 2002 by the American Diabetes Association, Inc.

The Role of CC Chemokine Receptor 5 (CCR5) in Islet Allograft Rejection

Reza Abdi1, R. Neal Smith2, Leila Makhlouf1, Nader Najafian1, Andrew D. Luster3, Hugh Auchincloss, Jr.4, and Mohamed H. Sayegh1

1 Laboratory of Immunogenetics and Transplantation, Renal Division, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
2 Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
3 Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
4 Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts

Chemokines are important regulators in the development, differentiation, and anatomic location of leukocytes. CC chemokine receptor 5 (CCR5) is expressed preferentially by CD4+ T helper 1 (Th1) cells. We sought to determine the role of CCR5 in islet allograft rejection in a streptozotocin-induced diabetic mouse model. BALB/c islet allografts transplanted into CCR5-/- (C57BL/6) recipients survived significantly longer (mean survival time, 38 ± 8 days) compared with those transplanted into wild-type control mice (10 ± 2 days; P < 0.0001). Twenty percent of islet allografts in CCR5-/- animals without other treatment survived >90 days. In CCR5-/- mice, intragraft mRNA expression of interleukin-4 and -5 was increased, whereas that of interferon-{gamma} was decreased, corresponding to a Th2 pattern of T-cell activation in the target tissues compared with a Th1 pattern observed in controls. A similar Th2 response pattern was also observed in the periphery (splenocytes responding to donor cells) by enzyme-linked immunosorbent spot assay. We conclude that CCR5 plays an important role in orchestrating the Th1 immune response leading to islet allograft rejection. Targeting this chemokine receptor, therefore, may provide a clinically useful strategy to prevent islet allograft rejection.



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