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Blood, 28 May 2009, Vol. 113, No. 22, pp. 5644-5649. Prepublished online as a Blood First Edition Paper on March 31, 2009; DOI 10.1182/blood-2008-12-191833.
TRANSPLANTATION Conventional dendritic cells are the critical donor APC presenting alloantigen after experimental bone marrow transplantation1 Bone Marrow Transplantation Laboratory, Queensland Institute of Medical Research, Brisbane, Australia; 2 University of Queensland School of Medicine, Brisbane, Australia; 3 Centre for Clinical Research, University of Queensland, Brisbane, Australia; and 4 Mount Sinai School of Medicine, New York, NY We have quantified the relative contribution of donor antigen-presenting cell populations to alloantigen presentation after bone marrow transplantation (BMT) by using transgenic T cells that can respond to host-derived alloantigen presented within the donor major histocompatibility complex. We also used additional transgenic/knockout donor mice and/or monoclonal antibodies that allowed conditional depletion of conventional dendritic cells (cDCs), plasmacytoid DC (pDCs), macrophages, or B cells. Using these systems, we demonstrate that donor cDCs are the critical population presenting alloantigen after BMT, whereas pDCs and macrophages do not make a significant contribution in isolation. In addition, alloantigen presentation was significantly enhanced in the absence of donor B cells, confirming a regulatory role for these cells early after transplantation. These data have major implications for the design of therapeutic strategies post-BMT, and suggest that cDC depletion and the promotion of B-cell reconstitution may be beneficial tools for the control of alloreactivity.
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