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Blood, 15 October 2008, Vol. 112, No. 8, pp. 3508-3516.
Prepublished online as a Blood First Edition Paper on July 9, 2008; DOI 10.1182/blood-2007-09-113670.
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TRANSPLANTATION
TLR agonists regulate alloresponses and uncover a critical role for donor APCs in allogeneic bone marrow rejection
Patricia A. Taylor1,
Michael J. Ehrhardt1,
Christopher J. Lees1,
Angela Panoskaltsis-Mortari1,
Arthur M. Krieg2,
Arlene H. Sharpe3,
William J. Murphy4,
Jonathan S. Serody5,
Hiroaki Hemmi6,
Shizuo Akira6,
Robert B. Levy7, and
Bruce R. Blazar1
1 Cancer Center and the Department of Pediatrics, Division of BMT, University of Minnesota, Minneapolis;
2 Pfizer, Cambridge, MA;
3 Harvard Medical School and Brigham and Women's Hospital, Boston, MA;
4 Department of Microbiology and Immunology, University of Nevada School of Medicine, Reno;
5 Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill;
6 Department of Host Defense, Research Institute for Microbial Diseases, Osaka University, Osaka, Japan; and
7 Department of Microbiology and Immunology, University of Miami, FL
Cytosine-phosphorothioate-guanine oligodeoxynucleotides (CpG ODNs) are synthetic ODNs with unmethylated DNA sequences that mimic viral and bacterial DNA and protect against infectious agents and tumor challenge. We show that CpG ODNs markedly accelerated graft-versus-host disease (GVHD) lethality by Toll-like receptor 9 (TLR9) ligation of host antigen-presenting cells (APCs), dependent upon host IFN but independent of host IL-12, IL-6, or natural killer (NK) cells. Imaging studies showed significantly more green fluorescent protein–positive (GFP+) effector T cells in lymphoid and nonlymphoid organs. In engraftment studies, CpG ODNs promoted allogeneic donor bone marrow (BM) rejection independent of host IFN , IL-12, or IL-6. During the course of these studies, we uncovered a previously unknown and critical role of donor BM APCs in modulating the rejection response. CpG ODNs promoted BM rejection by ligation of donor BM, but not host, TLR9. CpG ODNs did not impair engraftment of TLR9–/– BM unless wild-type myeloid (CD11b+) but not B-lineage (CD19+) BM cells were added to the donor inoculum. The importance of donor BM APCs in modulating the strength of the host antidonor rejection response was underscored by the finding that B7-1/B7-2–/– BM was less likely than wild-type BM to be rejected. Collectively, these data offer new insight into the mechanism of alloresponses regulating GVHD and BM rejection.

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