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Blood, 15 March 2001, Vol. 97, No. 6, pp. 1525-1533
PLENARY PAPER
Interleukin-7 restores immunity in athymic
T-cell-depleted hosts
Terry J. Fry,
Barbara L. Christensen,
Kristin L. Komschlies,
Ronald E. Gress, and
Crystal L. Mackall
From the Molecular Oncology Section, Pediatric Branch,
National Cancer Institute, National Institutes of Heath,
Bethesda, Maryland; Intramural Research Support Program, SAIC
Frederick, National Cancer Institute-Frederick, Frederick, Maryland;
and Experimental Immunology Branch, National Cancer Institute, National
Institutes of Health, Bethesda, Maryland.
Thymic-deficient hosts rely primarily on antigen-driven expansion
to restore the peripheral T-cell compartment following T-cell depletion
(TCD). The degree to which this thymic-independent pathway can restore
immune competence remains poorly understood but has important
implications for a number of clinical conditions including stem cell
transplantation and human immunodeficiency virus (HIV) infection. A
model of HY-mediated skin graft rejection by athymic, TCD mice was used
to show that restoration of naive and recall responses via peripheral
expansion requires transfer of only 25 × 106 lymph node
(LN) cells representing approximately 10% of the T-cell repertoire.
Consitutive expression of bcl-2 in the expanding inocula restored
recall responses to HY at a substantially lower LN cell dose
(1 × 106), which is normally insufficient to induce
HY-mediated graft rejection in athymic hosts. Interestingly, bcl-2 had
no effect on primary responses. Interleukin-7 (IL-7) potently enhanced
thymic-independent peripheral expansion and led to HY graft rejection
using an LN cell dose of 1 × 106 in both primary and
recall models. The restoration of immune competence by IL-7 appeared to
be mediated through a combination of programmed cell death inhibition,
improved costimulation, and modulation of antigen-presenting cell (APC)
function. These results show that immune competence for even stringent
antigens such as HY can be restored in the absence of thymic function
and identify IL-7 as a potent modulator of thymic-independent T-cell regeneration.

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