The term tissue damage represents a spectrum of diseases involving more than CD4
+ Th1/2 or Th17 cells, and involves Neu, Mps, and DCs, even in the presence of DTH.
32 The process of graft rejection is very much an inflammatory one infiltrated with massive MNCs.
41 The ocular infiltrates in GKO-deficient mice under the pathologic progression of experimental autoimmune uveitis was dominated by Neu and Eos, suggesting that Th1-associated chemokines play a pivotal role in the attraction of MNCs to the eyes in the presence of IFN-γ, whereas in the absence of IFN-γ, Th2-, and Th17-related chemokines may be the key elements for the influx of granulocytes.
37 42 Minor H–only disparate corneal graft rejection in GKO mice was reportedly characterized by an intensive Eos infiltration compared with a preponderant MNC infiltration in WT BALB/c mice.
2 This finding is in contrast with the recent findings of Flynn et al.
43 that the increased rate of allograft rejection was attributable to aggravated local inflammation rather than to Th2 responses. Many Eos infiltrates were observed in the MHC-disparate corneal allograft in GKO C57BL/6 mice, indicating a Th2-type immune rejection. In contrast, regardless of the upregulated IL-6 and -17 gene expression, no histologic difference was observed in the minor H–only disparate allografts from GKO and WT C57BL/6 hosts. The Neu and Mps infiltrates in rejected grafts were evident in both hosts. It is remarkable that almost no significant infiltration of Eos was detected. The present results coincide well with the previous finding that pointed to a critical role for IFN-γ in regulating Neu infiltration of allografts.
44 45 To clarify the role of IFN-γ in this rejection, the influence on the chemokine expression should be examined. In cardiac allograft transplantation, it is suggested that IFN-γ–independent induction of intense Neu infiltration is accompanied by extensive graft parenchymal necrosis.
46 In acute rejection of MHC-disparate skin grafts by C57BL/6 mice, infiltrated minor Neu play a direct causal role in the rejection.
47 IL-17 is known to develop a Neu-rich inflammatory response
33 and to mediate granulopoiesis.
20 48 49 Our results reveal that both IFN-γ– and IL-17–deficient mice elicited similar pathologic features in the rejected MHC-matched allografts, indicating the presence of either an IFN-γ/IL-17–independent Th1/Th17 response or a more subtle rejection mechanism over acquired immunity.