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HEV-Targeted Antibody-Drug Conjugate Promotes Long-Term Cardiac Allograft Acceptance - PubMed

2 days ago
  • #regulatory T cells
  • #heart transplantation
  • #antibody-drug conjugate
  • HEV-targeted antibody-drug conjugate (ADC) promotes long-term cardiac allograft acceptance.
  • CHST4 plays a critical role in high endothelial venules (HEVs) for naive T cell entry into lymph nodes (LNs), essential for transplant acceptance.
  • CHST4 knockout impairs regulatory T cell formation, disrupting heart transplant acceptance under costimulatory blockade.
  • A novel ADC targeting CHST4/HEV delivers rapamycin and tubastatin A, enhancing regulatory T cells and suppressing rejection.
  • The ADC reduces proinflammatory T cells in LNs and immune cell infiltration in allografts, using lower drug doses.
  • CHST4-based ADC therapy shows promise in suppressing heart transplant rejection and improving long-term graft survival.