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Blood, 15 April 2001, Vol. 97, No. 8, pp. 2506-2513
TRANSPLANTATION
Protection from lethal murine graft-versus-host disease without
compromise of alloengraftment using transgenic donor T cells
expressing a thymidine kinase suicide gene
William R. Drobyski,
Herbert C. Morse III,
William H. Burns,
James T. Casper, and
Gordon Sandford
From the Departments of Medicine and Pediatrics, and
the Bone Marrow Transplant Program, Medical College of Wisconsin,
Milwaukee, Wisconsin, and the Laboratory of Immunopathology, National
Institute of Allergy and Infectious Diseases, National Institutes of
Health, Bethesda, Maryland.
Donor T cells play a pivotal role in facilitating alloengraftment
but also cause graft-versus-host disease (GVHD). Ex vivo T-cell
depletion (TCD) of donor marrow is the most effective strategy for
reducing GVHD but can compromise engraftment. This study examined an
approach whereby donor T cells are selectively eliminated in vivo after
transplantation using transgenic mice in which a thymidine kinase
(TK) suicide gene is targeted to the T cell using a CD3 promoter/enhancer construct. Lethally irradiated B10.BR mice
transplanted with major histocompatibility complex (MHC)-incompatible
TCD C57BL/6 (B6) bone marrow (BM) plus TK+ T cells
were protected from GVHD after treatment with ganciclovir (GCV) in a
schedule-dependent fashion. To examine the effect of GCV treatment on
alloengraftment, sublethally irradiated AKR mice underwent
transplantation with TCD B6 BM plus limiting numbers (5 × 105) of B6 TK+ T cells. Animals treated
with GCV had comparable donor engraftment but significantly reduced
GVHD when compared with untreated mice. These mice also had a
significantly increased number of donor splenic T cells when assessed 4 weeks after bone marrow transplantation. Thus, the administration of
GCV did not render recipients T-cell deficient, but rather enhanced
lymphocyte recovery. Adoptive transfer of spleen cells from GCV-treated
chimeric mice into secondary AKR recipients failed to cause GVHD
indicating that donor T cells were tolerant of recipient alloantigens.
These studies demonstrate that administration of TK
gene-modified donor T cells can be used as an approach to mitigate
GVHD without compromising alloengraftment.

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