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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-A24–restricted mHag ACC-1 and the HLA-B44–restricted 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 {alpha} (TNF-{alpha}) and/or interferon {gamma} (IFN-{gamma}). Analysis of cytotoxicity and IFN-{gamma} production illustrated that ACC-2–specific T cells did not recognize untreated MSCs or IFN-{gamma}–treated MSCs but showed specific recognition and killing of MSCs treated with TNF-{alpha} plus IFN-{gamma}. 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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