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Prepublished online as a Blood First Edition Paper on August 22, 2002; DOI 10.1182/blood-2002-05-1299.

Submitted May 2, 2002
Accepted July 22, 2002
Real-time T cell profiling identifies H60 as a major minor histocompatibility antigen in murine graft-vs-host disease
Eun Young Choi, Gregory J Christianson, Toshitaka Yoshimura, Nadja Jung, Thomas J Sproule, Subramaniam Malarkannan, Sebastian Joyce, and Derry C Roopenian*
The Jackson Laboratory, Bar Harbor, ME, USA
Department of Microbiology and Immunology, Vanderbilt University, Nashville, TN, USA
* Corresponding author; email: dcr{at}jax.org.
Although CD8 T cells are thought to be a principal effector population of graft-versus-host (GVHD) disease, their dynamics and specificity remain a mystery. Using a mouse model in which donor and recipient were incompatible at many minor histocompatibility antigens (minor H Ags), the CD8 T cell response was tracked temporally and spatially through the course of GVHD. Donor CD8 T cells in the circulation, spleen, lung and liver demonstrated virtually identical kinetics: rapid expansion and then decline prior to morbidity. Remarkably, up to 1/4 of the CD8 T cells were directed against a single minor antigen, H60. Extreme H60 immunodominance occurred regardless of sampling time, site and genetic background and matching for H60 delayed onset of morbidity. This study is the first to analyze the T cells participating in GVHD in "real-time", demonstrates the exceptional degree to which immunodominance of H60 can occur, and suggests that such superdominant minor H Ags could be risk factors for GVHD.

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