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LD Fast, CR Valeri and JP Crowley
Department of Medicine, Rhode Island Hospital, Providence 02903, USA.
Graft-versus-host disease (GVHD) is currently encountered after bone marrow
transplantation and transfusion. GVHD associated with transfusion (TA-GVHD)
in apparently immunocompetent recipients has been recently reported with
increasing frequency. A consistent finding in many of these cases is that
the recipient received blood from a donor homozygous for one of the
recipient's HLA haplotypes. However, the observed frequency of TA-GVHD is
much lower than the estimated probability of this donor/recipient
combination. The potential role of recipient immune responses in
controlling TA-GVHD was investigated using an analogous murine model in
which GVHD is induced by the injection of parental lymphoid cells into
unirradiated F1 hybrid recipients. The effect of various immune
manipulations of the recipient of GVHD induction was assessed by
determining the number of donor lymphoid cells required to induce GVHD
responses. Whereas depletion of recipient CD4+ cells increased the number
of donor cells needed to induce GVHD, depletion of recipient CD8+ and
natural killer cells resulted in fewer donor cells being needed to induce a
GVHD response. These studies suggest a central role for functioning
recipient CD8 and natural killer cells in the down-regulation of TA-GVHD
development in recipients.
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| Copyright © 1995 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||