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Blood, 1 March 2008, Vol. 111, No. 5, pp. 2929-2940.
Prepublished online as a Blood First Edition Paper on January 4, 2008; DOI 10.1182/blood-2007-06-096602.


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TRANSPLANTATION

Organ-derived dendritic cells have differential effects on alloreactive T cells

Theo D. Kim1, Theis H. Terwey1, Johannes L. Zakrzewski1, David Suh1, Adam A. Kochman1, Megan E. Chen1, Chris G. King1, Chiara Borsotti1, Jeremy Grubin1, Odette M. Smith1, Glenn Heller2, Chen Liu3, George F. Murphy4, Onder Alpdogan1, and Marcel R. M. van den Brink1

1 Department of Medicine and Immunology, and 2 Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY; 3 Department of Pathology, Immunology, and Laboratory Medicine, University of Florida College of Medicine, Gainesville; and 4 Department of Pathology, Brigham and Women's Hospital, Boston, MA

Dendritic cells (DCs) are considered critical for the induction of graft-versus-host disease (GVHD) after bone marrow transplantation (BMT). In addition to their priming function, dendritic cells have been shown to induce organ-tropism through induction of specific homing molecules on T cells. Using adoptive transfer of CFSE-labeled cells, we first demonstrated that alloreactive T cells differentially up-regulate specific homing molecules in vivo. Host-type dendritic cells from the GVHD target organs liver and spleen or skin- and gut-draining lymph nodes effectively primed naive allogeneic T cells in vitro with the exception of liver-derived dendritic cells, which showed less stimulatory capacity. Gut-derived dendritic cells induced alloreactive donor T cells with a gut-homing phenotype that caused increased GVHD mortality and morbidity compared with T cells stimulated with dendritic cells from spleen, liver, and peripheral lymph nodes in an MHC-mismatched murine BMT model. However, in vivo analysis demonstrated that the in vitro imprinting of homing molecules on alloreactive T cells was only transient. In conclusion, organ-derived dendritic cells can efficiently induce specific homing molecules on alloreactive T cells. A gut-homing phenotype correlates with increased GVHD mortality and morbidity after murine BMT, underlining the importance of the gut in the pathophysiology of GVHD.


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