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Blood, 15 July 2005, Vol. 106, No. 2, pp. 749-755.
Prepublished online as a Blood First Edition Paper on March 29, 2005; DOI 10.1182/blood-2004-10-4087.
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TRANSPLANTATION
Critical role of host  T cells in experimental acute graft-versus-host disease
Yoshinobu Maeda,
Pavan Reddy,
Kathleen P. Lowler,
Chen Liu,
Dennis Keith Bishop, and
James L. M. Ferrara
From the Departments of Internal Medicine, General Surgery, and Pediatrics, University of Michigan Cancer Center, Ann Arbor, MI; and the Department of Pathology, University of Florida College of Medicine, Gainesville.
 T cells localize to target tissues of graft-versus-host disease (GVHD) and therefore we investigated the role of host  T cells in the pathogenesis of acute GVHD in several well-characterized allogeneic bone marrow transplantation (BMT) models. Depletion of host  T cells in wild-type (wt) B6 recipients by administration of anti-T-cell receptor (TCR)  monoclonal antibody reduced GVHD, and  T-cell-deficient ( -/-) BM transplant recipients experienced markedly improved survival compared with normal controls (63% vs 10%, P < .001).  T cells were responsible for this difference because reconstitution of  -/- recipients with  T cells restored GVHD mortality.  -/- recipients showed decreased serum levels of tumor necrosis factor (TNF- ), less GVHD histopathologic damage, and reduced donor T-cell expansion. Mechanistic analysis of this phenomenon demonstrated that dendritic cells (DCs) from  -/- recipients exhibited less allostimulatory capacity compared to wt DCs after irradiation. Normal DCs derived from BM caused greater allogeneic T-cell proliferation when cocultured with  T cells than DCs cocultured with medium alone. This enhancement did not depend on interferon (IFN- ), TNF- , or CD40 ligand but did depend on cell-to-cell contact. These data demonstrated that the host  T cells exacerbate GVHD by enhancing the allostimulatory capacity of host antigen-presenting cells. (Blood. 2005;106:749-755)

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