2005
DOI: 10.1073/pnas.0505688102
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Modulation of surgical fibrosis by microbial zwitterionic polysaccharides

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Cited by 38 publications
(34 citation statements)
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“…In mouse models of abscess formation and surgical adhesion development, the immunostimulatory activity of PSA and related zwitterionic polysaccharides depends on co-stimulatory molecules of the B7 family (Stephen et al, 2005). Immunoprotection by PSA in those models also depends on ICOS–ICOSL interaction (Ruiz-Perez et al, 2005), although a specific APC mediating these interactions with T cells was not identified. Antigen presentation and co-stimulation alone are not sufficient for PSA-induced immunoprotection; innate immune pathways, particularly those mediated through TLR2, are also required.…”
Section: Discussionmentioning
confidence: 99%
“…In mouse models of abscess formation and surgical adhesion development, the immunostimulatory activity of PSA and related zwitterionic polysaccharides depends on co-stimulatory molecules of the B7 family (Stephen et al, 2005). Immunoprotection by PSA in those models also depends on ICOS–ICOSL interaction (Ruiz-Perez et al, 2005), although a specific APC mediating these interactions with T cells was not identified. Antigen presentation and co-stimulation alone are not sufficient for PSA-induced immunoprotection; innate immune pathways, particularly those mediated through TLR2, are also required.…”
Section: Discussionmentioning
confidence: 99%
“…Detection of not only IgG3, the predominant isotype produced in response to T-cell-independent TI-2 polysaccharide antigens (19), but also a significant IgG1 titer promotes our hypothesis of T-cell-mediated isotype switching and suggests a humoral memory response. Subcutaneous ZPS application without adjuvant has been shown to induce regulatory IL-10-secreting CD4 ϩ CD45Rb low CD25 Ϫ T cells that protect from disease (20). Thus, it is conceivable that subcutaneous Sp1 administration in the presence of adjuvant induces regulatory CD4 ϩ T cells that contribute to the low IgG titer and the shift to a predominant IgG1 (TH2) isotype.…”
Section: Discussionmentioning
confidence: 99%
“…Yet ZPS-specific clones in mice have not been established. The difficulties observed so far in obtaining and culturing polysaccharide-reactive T cells might be explained by complex immunomodulatory features, such as the polysaccharide-mediated T-cell anergy and the induction of IL-10-producing regulatory T cells, which may inhibit clonal expansion (20,23). In light of these difficulties, clonotype mapping, which is a highly sensitive method to detect clonotypic TCR transcripts making up as little as 0.1% of a mixed T-cell population, seems to be a suitable method for analysis of the clonality of in vitro ZPS-activated CD4 ϩ T cells without the need for long-term expansion (21,26).…”
Section: Discussionmentioning
confidence: 99%
“…Mice deficient in IL-12, but not in IL-4, signaling show fewer adhesions compared with wild-type mice (13), underscoring the Th1-type nature of the adhesion-forming process. Microbial zwitterionic polysaccharides can prevent adhesion formation, and this protective effect can be transferred through transfer of CD4 ϩ CD45RB low IL-10-producing T cells (118). Injections of IL-10 alone can also prevent adhesion formation in mice (46).…”
Section: Postoperative Fibrosismentioning
confidence: 99%