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Blood, 15 December 2000, Vol. 96, No. 13, pp. 4350-4356
TRANSPLANTATION
Keratinocyte growth factor facilitates alloengraftment and
ameliorates graft-versus-host disease in mice by a mechanism
independent of repair of conditioning-induced tissue
injury
Angela Panoskaltsis-Mortari,
Patricia A. Taylor,
Jeffrey S. Rubin,
Aykut Uren,
Lisbeth A. Welniak,
William J. Murphy,
Catherine L. Farrell,
David L. Lacey, and
Bruce R. Blazar
From the Department of Pediatrics, Heme/Onc/BMT
Division, and Cancer Center, University of Minnesota, Minneapolis;
National Cancer Institute (NCI), Bethesda, MD; Science Applications
International Corporation Frederick, NCI-Frederick Cancer Research & Development Center, Frederick, MD; and Amgen Inc, Thousand Oaks, CA.
We have previously shown that pretreatment of mice with
keratinocyte growth factor (KGF), an epithelial tissue repair factor, can ameliorate graft-versus-host disease (GVHD) after intensive chemoradiotherapeutic conditioning and allogeneic bone marrow transplantation (BMT). To determine whether this effect was dependent on a KGF-mediated mechanism affecting repair of conditioning-induced epithelial cell injury, we studied GVHD in the absence of conditioning using BALB/c severe combined immune-deficient (SCID) recipients given
C57BL/6 T cells. KGF (5 mg/kg per day, subcutaneously) given either
before or after T-cell transfer enhanced body weights and extended
survival. KGF-treated recipients had elevated serum levels of the Th2
cytokine interleukin 13 (IL-13) on day 6 after T-cell transfer
concomitant with reduced levels of the inflammatory cytokines tumor
necrosis factor- (TNF- ) and interferon gamma (IFN- ). A 3-day
KGF pretreatment also depressed the secondary in vitro mixed lymphocyte
response (MLR) of C57BL/6 splenocytes taken 7 days after in vivo
alloimmunization with irradiated BALB/c spleen cells. To determine
whether KGF would inhibit host-antidonor-mediated BM rejection,
pan-T-cell-depleted BALB/c BM cells were infused into sublethally
irradiated C57BL/6 mice and administered KGF either before or before
and after BMT. Surprisingly, all KGF schedules tested actually resulted
in enhanced alloengraftment. The presence of KGF receptor on donor
antihost alloreactive T cells could not be detected by binding studies
with radiolabeled KGF, reverse transcriptase-polymerase chain
reaction, and Western blotting. Therefore, the mechanism of action of
KGF on inhibiting T-cell-mediated immune effects may not be
due to a direct effect of KGF on T cells. These studies demonstrate
that KGF, by mechanisms independent of repair of
conditioning-induced injury, has great potential as an anti-GVHD
therapeutic agent with the added benefit of inhibiting the
rejection of pan-T-cell-depleted donor BM allografts.

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