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Prepublished online as a Blood First Edition Paper on January 2, 2003; DOI 10.1182/blood-2002-08-2465.
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Blood, 1 May 2003, Vol. 101, No. 9, pp. 3714-3721
TRANSPLANTATION
Acceleration of idiopathic pneumonia syndrome (IPS) in the
absence of donor MIP-1 (CCL3) after allogeneic BMT in
mice
Angela Panoskaltsis-Mortari,
John
R. Hermanson,
Elizabeth Taras,
O. Douglas Wangensteen,
Jonathan S. Serody, and
Bruce R. Blazar
From the Department of Pediatrics, Division of
Hematology-Oncology, Blood and Marrow Transplant Program, University of
Minnesota, Minneapolis; the Department of Physiology, University of
Minnesota, Minneapolis; and the Lineberger Comprehensive Cancer Center,
University of North Carolina, Chapel Hill.
Idiopathic pneumonia syndrome (IPS) is a significant
cause of morbidity and mortality after bone marrow transplantation
(BMT) in humans. We developed a murine IPS model in which lethal
pre-BMT conditioning and allogeneic T cells results in the recruitment of host monocytes and then donor T cells into the lung by day 7 after
BMT, concomitant with development of severe lung dysfunction. We
reported the T cell-dependent production of the T
cell-attracting chemokine macrophage inflammatory protein-1
(MIP-1 ) in the lungs of such recipient mice. We reasoned that
MIP-1 might be a critical mediator of IPS. Lethally conditioned mice
received transplants of major histocompatibility
complex-disparate marrow and either wild-type
(MIP-1 +/+) or knockout (MIP-1 / )
spleen cells. Recipients of MIP-1 / cells exhibited
accelerated mortality and a decrease in specific compliance that
appeared earlier than in recipients of MIP-1 +/+ cells.
Donor CD4+ and CD8+ T cell expansion was
increased in the spleens of recipients of MIP-1 /
cells. Lungs of recipients of MIP-1 / cells had
earlier recruitment of both T-cell subsets by day 3 after BMT,
concomitant with the influx of cells expressing the cytolysins
granzymes A and B. Monocyte recruitment was not altered. Levels of
inflammatory cytokines were not increased and levels of T
cell-attracting chemokines were decreased. The level of the anti-inflammatory cytokine interleukin 13 (IL-13) was lower in the
serum and lungs of recipients of MIP-1 / cells,
indicating a skewing toward a more inflammatory T helper cell type 1 (Th1) cytokine milieu. Donor-derived MIP-1 may play a role in
allogeneic-induced IPS by limiting aggressive expansion of
CD4+ and CD8+ T cells.

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