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(American Journal of Pathology. 1998;153:1383-1392.)
© 1998 American Society for Investigative Pathology


Technical Advances

Interferon-{gamma}-Secreting T-Cell Populations in Rejecting Murine Cardiac Allografts

Assessment by Flow Cytometry

Jennifer L. Stinn* , Marta K. Taylor* , Gerold Becker* , Hiroaki Nagano{dagger} , Satoru Hasegawa{ddagger} , Yutaka Furakawa§ , Koichi Shimizu§ , Peter Libby§ and Richard N. Mitchell*

From the Department of Pathology,* Immunology Division, and Department of Medicine,§ Brigham and Women's Hospital, Boston, Massachusetts, the Department of Surgery,{dagger} Osaka University Medical School, Osaka, and Department of Cardiothoracic Surgery,{ddagger} Tokyo Medical and Dental University, Tokyo, Japan

Interplay between T-helper-1 (Th1) and T-helper-2 (Th2) cells is considered important in the development of acute allograft rejection and many other immune-mediated disease processes. Existing methods for evaluating expression of Th1 and Th2 cytokines, including reverse transcriptase polymerase chain reaction (RT-PCR), RNase protection assay (RPA), immunohistochemistry, and enzyme-linked immunosorbent assay (ELISA) all have limitations; alternate techniques to quantify cell populations expressing specific cytokine proteins, generate statistically analyzable data, and allow simultaneous identification of cytokine-secreting cell type are needed. To this end, we adapted a flow cytometric technique for intracellular cytokine immunofluorescence staining for use with cells isolated from solid tissue. To demonstrate the utility of the method, we determined the number of CD4+ and CD8+ cells secreting the prototypical Th1 and Th2 cytokines, interferon (IFN)-{gamma}, and interleukin (IL)-4 in acutely rejecting murine cardiac allografts. We also measured the cytokine production via ELISA, RPA, and semiquantitative competitive RT-PCR. The number of CD4+ cells producing IFN-{gamma} increased as rejection proceeded, in agreement with previous data; we detected no IL-4 production at any time, although relatively low numbers of IL-10-producing cells were identified. In addition, a high percentage of CD8+ cells, which outnumber CD4+ cells at day 6 after transplant, also produce IFN-{gamma}, suggesting that cytotoxic lymphocytes contribute significantly to the local cytokine milieu. This new application of intracellular cytokine staining provides a powerful methodology for studying transplantation immunology. The method may also be easily adapted to the study of other immune-mediated processes.





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