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Blood, 15 January 2005, Vol. 105, No. 2, pp. 865-873.
Prepublished online as a Blood First Edition Paper on July 27, 2004; DOI 10.1182/blood-2003-09-3344.


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TRANSPLANTATION

Interleukin-15 enhances immune reconstitution after allogeneic bone marrow transplantation

Onder Alpdogan, Jeffrey M. Eng, Stephanie J. Muriglan, Lucy M. Willis, Vanessa M. Hubbard, Kartono H. Tjoe, Theis H. Terwey, Adam Kochman, and Marcel R. M. van den Brink

From the Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY.

Interleukin-15 (IL-15) is a {gamma}-common cytokine that plays an important role in the development, survival, and proliferation of natural killer (NK), NK T, and CD8+ T-cells. We administered IL-15 to recipients of an allogeneic bone marrow transplantation (allo BMT) to determine its effects on immune reconstitution. Posttransplantation IL-15 administration significantly increased donor-derived CD8+ T (mostly CD122+CD44+CD8+ T-cells), NK, and NK T-cells at day +28 in young and old recipients of allo BMT. This was associated with enhanced T-cell and NK-cell function. IL-15 stimulated homeostatic proliferation of donor CD8+ T-cells in recipients of carboxyfluorescein diacetate succinimidyl ester–labeled donor T-cell infusions. Posttransplantation IL-15 administration also resulted in a decrease in apoptotic CD8+ T-cells, an increase in Bcl-2–expressing CD8+ T-cells, and an increase in the fraction of Ki67+ proliferative NK and CD8+ T-cells in recipients of allo BMT. IL-15 did not exacerbate graft-versus-host disease (GVHD) in recipients of T-cell–depleted BMT but could aggravate GVHD in some cases in recipients of a T-cell–repleted BMT. Finally, we found that IL-15 administration could enhance graft-versus-leukemia activity. In conclusion, IL-15 can be administered safely to recipients of a T-cell–depleted allo BMT to enhance CD8+ T, NK, and NK T-cell reconstitution.


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