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Blood, 15 April 2002, Vol. 99, No. 8, pp. 3041-3049
TRANSPLANTATION
Murine acute graft-versus-host disease can be prevented by
depletion of alloreactive T lymphocytes using activation-induced cell
death
Udo F. Hartwig,
Michael Robbers,
Claudia Wickenhauser, and
Christoph Huber
From the Division of Hematology, III Department of
Medicine, University Medical School Mainz, Germany; and Institute of
Pathology, University of Cologne, Germany.
Depletion of T lymphocytes from allogeneic bone marrow transplants
successfully prevents the development of graft-versus-host disease
(GvHD) but is associated with impaired engraftment, immunosuppression, and abrogation of the graft-versus-leukemia effect. We therefore explored the possibility of selectively eliminating alloreactive T
cells by CD95/CD95L-mediated activation-induced cell death (AICD) in a
major histocompatibility complex allogeneic murine model system.
Activation of resting or preactivated T lymphocytes from C3H/HeJ
(H-2k) mice was induced with irradiated BALB/cJ
(H-2d) mouse-derived stimulators. Substantial decrease
( 80%) of proliferative and lytic responses by activated
alloreactive T cells was subsequently achieved by incubating the mixed
lymphocyte culture with an agonistic monoclonal antibody to CD95, and
residual T cells recovered did not elicit alloreactivity upon challenge
to H-2d. Depletion of alloreactive T lymphocytes by AICD
was specific because reactivity to an I-Ad-restricted
ovalbumin (OVA) peptide by OVA-specific CD4+ T cells mixed
into the allogeneic T-cell pool and subjected to induction of
AICD in the absence of OVA peptide could be preserved. Adoptive
transfer of donor-derived allogeneic T lymphocytes, depleted from alloreactive T cells by AICD in vitro, in the parent (C3H/He) to
F1 (C3H/He × BALB/c) GvHD model prevented lethal
GvHD. The results presented suggest that alloreactive T cells can
effectively be depleted from allogeneic T cells by induction of AICD to
prevent GvHD and might introduce a new strategy for the separation of GvH-reactive T cells and T cells mediating antiviral and possibly graft-versus-leukemia effects.

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