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Blood, 1 December 2005, Vol. 106, No. 12, pp. 3955-3957.
Prepublished online as a Blood First Edition Paper on August 11, 2005; DOI 10.1182/blood-2004-09-3749.
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NEOPLASIA Brief report
Up-regulated expression in nonhematopoietic tissues of the BCL2A1-derived minor histocompatibility antigens in response to inflammatory cytokines: relevance for allogeneic immunotherapy of leukemia
Freke M. Kloosterboer,
Simone A. P. van Luxemburg-Heijs,
Ronald A. van Soest,
H. M. Esther van Egmond,
Roel Willemze, and
J. H. Frederik Falkenburg
From the Department of Hematology, Leiden University Medical Center, Leiden, The Netherlands.
T cells directed against hematopoietic-restricted minor histocompatibility antigens (mHags) may mediate graft-versus-leukemia (GVL) reactivity without graft-versus-host disease (GVHD). Recently, the HLA-A24restricted mHag ACC-1 and the HLA-B44restricted mHag ACC-2 encoded by separate polymorphisms within the BCL2A1 gene were characterized. Hematopoietic-restricted expression was suggested for these mHags. We demonstrate BCL2-related protein A1 (BCL2A1) mRNA expression in mesenchymal stromal cells (MSCs) that was up-regulated by the inflammatory cytokines tumor necrosis factor (TNF- ) and/or interferon (IFN- ). Analysis of cytotoxicity and IFN- production illustrated that ACC-2specific T cells did not recognize untreated MSCs or IFN- treated MSCs but showed specific recognition and killing of MSCs treated with TNF- plus IFN- . We hypothesize that under steady-state circumstances BCL2A1-specific T cells may exhibit relative specificity for hematopoietic tissue, but reactivity against nonhematopoietic cells may occur when inflammatory infiltrates are present. Thus, the role of BCL2A1-specific T cells in differential induction of GVL reactivity and GVHD may depend on the presence of inflammatory responses that may occur during GVHD.

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