We studied T-cell clones generated from grafts of rejecting and tolerant an
imals and investigated the regulatory function of Th2 clones in vitro and i
n vivo. To prevent allograft rejection, we treated LEW strain recipient rat
s of WF strain kidney grafts with CTLA4Ig to block CD28-B7 costimulation. W
e then isolated epitope-specific T-cell clones from the engrafted tissue, u
sing a donor-derived immunodominant class II MHC allopepride presented by r
ecipient antigen-presenting cells. Acutely rejected tissue from untreated a
nimals yielded self-restricted, allopeptide-specific T-cell clones that pro
duced IFN-gamma, whereas clones from tolerant animals produced IL-4 and IL-
10. Adoptive transfer into naive recipients of Th1 clones, but not Th2 clon
es, induced alloantigen-specific delayed-type hypersensitivity (DTH) respon
ses. In addition, Th2 clones suppressed DTH responses mediated by Th1 clone
s in vivo and blocked Th1 cell proliferation and IFN-gamma production in vi
tro, A pilot human study showed that HLA-DR allopeptide-specific T-cell clo
nes generated from patients with chronic rejection secrete Th1 cytokines, w
hereas those from patients with stable graft function produce Th2 cytokines
in response to donor-specific HLA-DR allopeptides. We suggest that self-re
stricted alloantigen-specific Th2 clones may regulate the alloimmune respon
ses and promote long-term allograft survival and tolerance.