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Blood, 15 August 2006, Vol. 108, No. 4, pp. 1123-1128. Prepublished online as a Blood First Edition Paper on April 13, 2006; DOI 10.1182/blood-2006-01-0061.
PLENARY PAPERS Competition within the early B-cell compartment conditions B-cell reconstitution after hematopoietic stem cell transplantation in nonirradiated recipientsFrom the Développement normal et pathologique du système immunitaire, Institut National de la Santé et de la Recherche Médicale (INSERM) U768Site NeckerEnfants Malades, Paris; Faculté de Médecine Université René Descartes Paris V; Unité des Cytokines et Développement Lymphoïde, INSERM U668, Institut Pasteur, Paris; Biotherapy Department, Assistance PubliqueHopitaux de Paris, Hôpital NeckerEnfants Malades, Paris; Unité d'Immuno-Hématologie Pédiatrique, Département de Pédiatrie, Hôpital NeckerEnfants Malades, Paris, France.
Severe combined immunodeficiency (SCID) is characterized by a complete block in T-lymphocyte differentiation. Most SCID also affects B-cell development or function, although a normal pool of proB cells is detectable. Treatment of SCID consists of allogeneic hematopoietic stem cell transplantation (HSCT), but in the absence of a myeloablative conditioning regimen, only T cells, and in some cases, natural killer (NK) cells, are of donor origin, while all other leukocytes subsets are of host origin. We hypothesized that donor B-cell development success could be conditioned by the competitive ability of recipient B-cell precursors in the bone marrow. We therefore compared the outcome of unconditioned HSCT in mice that differed with respect to their proB-cell compartments. B-cell reconstitution was limited in recipient mice containing a normal proB-cell pool, whereas immature and mature B-cell numbers reached wild-type levels in mice with compromised early B-cell precursors. Interestingly, host NK cells did not modify the outcome of unconditioned HSCT as long as the early B-cell compartment was compromised. These observations suggest that recipient B-cell precursors condition the reconstitution of the donor B-cell pool and, if extrapolative to humans, suggest that conditioning regimens targeting host proB cells may help improve B-cell reconstitution after allogeneic HSCT.
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