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Blood, 15 February 2008, Vol. 111, No. 4, pp. 2112-2121.
Prepublished online as a Blood First Edition Paper on December 6, 2007; DOI 10.1182/blood-2007-06-096586.
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IMMUNOBIOLOGY
Escape from suppression: tumor-specific effector cells outcompete regulatory T cells following stem-cell transplantation
Paria Mirmonsef1,
Gladys Tan1,2,
Gang Zhou1,
Tricia Morino1,
Kimberly Noonan1,
Ivan Borrello1, and
Hyam I. Levitsky1
1 Department of Oncology, Johns Hopkins School of Medicine, Baltimore, MD; and
2 Defense Medical and Environmental Research Institute, Singapore
Immune reconstitution of autologous hematopoietic stem-cell transplant recipients with the progeny of mature T cells in the graft leads to profound changes in the emerging functional T-cell repertoire. In the steady state, the host is frequently tolerant to tumor antigens, reflecting dominant suppression of naive and effector T cells by regulatory T cells (Tregs). We examined the relative frequency and function of these 3 components within the tumor-specific T-cell compartment during immune reconstitution. Grafts from tumor-bearing donors exerted a significant antitumor effect in irradiated, syngeneic tumor-bearing recipients. This was associated with dramatic clonal expansion and interferon- (IFN) production by previously tolerant tumor-specific T cells. While donor-derived Tregs expanded in recipients, they did not inhibit the antigen-driven expansion of effector T cells in the early posttransplantation period. Indeed, the repopulation of tumor-specific effector T cells significantly exceeded that of Tregs, the expansion of which was limited by IL-2 availability. Although the intrinsic suppressive capacity of Tregs remained intact, their diminished frequency was insufficient to suppress effector cell function. These findings provide an explanation for the reversal of tolerance leading to tumor rejection in transplant recipients and likely contribute to the efficacy of adoptive T-cell therapies in lymphopenic hosts.
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