Interleukin-7 receptor blockade by an anti-CD127 monoclonal antibody in nonhuman primate kidney transplantation

Am J Transplant. 2020 Jan;20(1):101-111. doi: 10.1111/ajt.15543. Epub 2019 Aug 14.

Abstract

IL-7 is an important cytokine for T cell lymphopoiesis. Blockade of the IL-7 signaling pathway has been shown to induce long-term graft survival or graft tolerance in murine transplant models through inhibiting T cell homeostasis and favoring immunoregulation. In this study, we assessed for the first time the effects of a blocking anti-human cluster of differentiation 127 (CD127) mAb administered in combination with low-dose tacrolimus or thymoglobulin in a life-sustaining kidney allograft model in baboons. Contrary to our expectation, the addition of an anti-CD127 mAb to the treatment protocols did not prolong graft survival compared to low-dose tacrolimus alone or thymoglobulin alone. Anti-CD127 mAb administration led to full CD127 receptor occupancy during the follow-up period. However, all treated animals lost their kidney graft between 1 week and 2 weeks after transplantation. Unlike in rodents, in nonhuman primates, anti-CD127 mAb treatment does not decrease the absolute numbers of lymphocyte and lymphocyte subsets and does not effectively inhibit postdepletional T cell proliferation and homeostasis, suggesting that IL-7 is not a limiting factor for T cell homeostasis in primates.

Keywords: animal models: nonhuman primate; basic (laboratory) research/science; cytokines/cytokine receptors; immunobiology; immunosuppressant - fusion proteins and monoclonal antibodies: T cell specific; immunosuppression/immune modulation; kidney (allograft) function/dysfunction; kidney transplantation/nephrology; lymphocyte biology; translational research/science.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Monoclonal / pharmacology*
  • Graft Rejection / drug therapy*
  • Graft Rejection / etiology
  • Graft Rejection / pathology
  • Graft Survival / drug effects*
  • Graft Survival / immunology
  • Interleukin-7 Receptor alpha Subunit / immunology*
  • Kidney Transplantation / adverse effects*
  • Lymphocyte Depletion / methods*
  • Papio
  • Postoperative Complications
  • Receptors, Interleukin-7 / antagonists & inhibitors*

Substances

  • Antibodies, Monoclonal
  • Interleukin-7 Receptor alpha Subunit
  • Receptors, Interleukin-7