Establishing a comprehensive and dynamic map of the alloimmune response in solid organ transplantation

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Abstract/Contents

Abstract
The dynamic and multi-dimensional properties of our immune system that makes it so remarkable are the same properties that cause us problems in solid-organ transplantation and causes acute rejection. Our immune system views genetically different tissue of the transplanted organ as a dangerous foreign substance similar to a pathogen and attacks it. The ongoing challenge is to determine how we can circumvent the natural defense mechanisms of the immune system without sacrificing its numerous regulatory functions. The datasets described in this thesis address this challenge by applying high-dimensional cytometry analysis to deep profile the peripheral immune cells involved in acute rejection using a murine model of transplantation. More than 40 different markers are used to obtain a highly granular and multi-parametric proteomic overview of the immune signature that defines acute rejection. This analysis is performed in spleen and lymph node over multiple days post-transplant from day 1 to day 7. T cells, NK cells, monocytes, macrophages, and dendritic cells are expansively profiled to ascertain the differences in protein composition that associate with acute rejection. This high resolution characterization of the immune response reveals a unique phenotypic signature of rejection that is evident by day 5 post-transplantation, and clearly distinguishes rejecting from non-rejecting grafts. This alloimmune phenotype is furthermore conserved across two distinct models of acute rejection. Lastly, strategies to prolong allograft survival are investigated with the use of plasmacytoid dendritic cells (pDC). The results reported here reveal tolerogenic properties that are unique to pDC when compared to conventional dendritic cells. The molecular profile of these pDC points to a potential mechanism of harnessing the immune system's natural immune suppressive capabilities to prolong graft survival. Taken together, these data provide a comprehensive and dynamic map of the alloimmune response in solid organ transplant and provides a foundation for unveiling new therapeutic strategies that can effectively delay graft rejection.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2022; ©2022
Publication date 2022; 2022
Issuance monographic
Language English

Creators/Contributors

Author Harden, James Terrell
Degree supervisor Krams, Sheri Michele
Thesis advisor Krams, Sheri Michele
Thesis advisor Bendall, Sean, 1979-
Thesis advisor Idoyaga, Juliana
Degree committee member Bendall, Sean, 1979-
Degree committee member Idoyaga, Juliana
Associated with Stanford University, Department of Microbiology and Immunology

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility James Harden.
Note Submitted to the Department of Microbiology and Immunology.
Thesis Thesis Ph.D. Stanford University 2022.
Location https://purl.stanford.edu/ct259fz7496

Access conditions

Copyright
© 2022 by James Terrell Harden
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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