2020
DOI: 10.1111/ajt.15707
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Extracellular vesicles derived from injured vascular tissue promote the formation of tertiary lymphoid structures in vascular allografts

Abstract: Tertiary lymphoid structures (TLS) accumulate at sites of chronic injury where they function as an ectopic germinal center, fostering local autoimmune responses. Vascular injury leads to the release of endothelial‐derived apoptotic exosome‐like vesicles (ApoExo) that contribute to rejection in transplanted organs. The purpose of the study was to evaluate the impact of ApoExo on TLS formation in a model of vascular allograft rejection. Mice transplanted with an allogeneic aortic transplant were injected with Ap… Show more

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Cited by 27 publications
(35 citation statements)
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“…Endothelial cells are the guardians of vascular homeostasis, they regulate leukocyte trafficking, coagulation, and vascular tone and different vascular beds display important functional differences and stress response. However, we determined previously that ApoExo are released not only by HUVECs, our model system but also by murine aortic endothelial cells as well as other cellular constituents of the vessel wall 13,20 . The present results suggest that the release of ApoExo by damaged endothelial cells can have important and broad repercussions on vascular functions due to their capacity to access the bloodstream, resist degradation and impact endothelial cells throughout the vascular tree.…”
Section: Discussionmentioning
confidence: 93%
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“…Endothelial cells are the guardians of vascular homeostasis, they regulate leukocyte trafficking, coagulation, and vascular tone and different vascular beds display important functional differences and stress response. However, we determined previously that ApoExo are released not only by HUVECs, our model system but also by murine aortic endothelial cells as well as other cellular constituents of the vessel wall 13,20 . The present results suggest that the release of ApoExo by damaged endothelial cells can have important and broad repercussions on vascular functions due to their capacity to access the bloodstream, resist degradation and impact endothelial cells throughout the vascular tree.…”
Section: Discussionmentioning
confidence: 93%
“…ApoExo are known to foster inflammation in naïve and transplanted mice in addition to promoting the production of autoantibodies through a proteasome-dependent mechanism 13,20 . However, inhibiting the proteasome activity of ApoExo did not alleviate the endothelial phenotype induced by ApoExo suggesting that mediators other than the proteasome are responsible for this effect (Fig.…”
Section: Discussionmentioning
confidence: 99%
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“…Overtime, the chronic antibody‐medicated rejection can develop and cause gradual deterioration, leading to renal failure, and proteinuria. The rejection process could be mediated by various EVs (Cardinal et al, 2018; Dieude et al, 2020; Jung et al, 2020), which are released from the dead cells of the donor tissue. The EVs from donor tissue may carry autoantigens that trigger the production of autoantibodies, called donor specific antibody, by B cells of the recipients, thus contributing to the antibody‐mediated rejection.…”
Section: Evs In Transplantation Rejectionmentioning
confidence: 99%
“…Production of autoantibodies may relate to viral infections, molecular mimicry, cryptic antigen exposure, [27][28][29][30][31][32] or as yet unrecognized mechanisms. Autoantibodies produced post-transplant could result from immunotherapy-induced loss of regulatory T-cell proliferation and loss of tolerance to self-antigens.…”
Section: Introductionmentioning
confidence: 99%