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Prepublished online as a Blood First Edition Paper on April 3, 2003; DOI 10.1182/blood-2002-06-1833.

Submitted June 21, 2002
Accepted March 10, 2003
Transient expansion of Mac1+ Ly6-G+ Ly6-C+ early myeloid cells with suppressor activity in spleens of murine radiation marrow chimeras. Possible implications for the graft-versus-host and graft-versus-leukemia reactivity of donor lymphocyte infusions
An D Billiau, Sabine Fevery, Omer Rutgeerts, Willy Landuyt, and Mark Waer*
Laboratory of Experimental Transplantation, University of Leuven, Leuven, Belgium
Laboratory of Experimental Radiobiology, University of Leuven, Leuven, Belgium
* Corresponding author; email: mark.waer{at}med.kuleuven.ac.be.
A murine model of miHCag-mismatched bone marrow transplantation (BMT) was used to study the development of immunoregulatory cells in the posttransplant period and their possible involvement in the dissociated graft-versus-host (GVH) and graft-versus-leukemia (GVL) reactivity of posttransplant donor lymphocyte infusions (DLIs). DLI, applied immediately after BMT, induced GVH disease (GVHD), but when DLI was delayed for 3 weeks, GVHD was avoided while a distinct GVL response was allowed to develop. A population of Mac-1+Ly-6G+Ly-6C+ immature myeloid cells, found in small numbers in normal mice, strongly expanded in spleens of chimeras, reaching a maximum level at week 3 and returning to base level by week 12. Upon isolation, these cells exhibited IFN- -dependent, NO-mediated suppressor activity towards in vitro alloresponses, suggesting that, after in vivo DLI, they are activated by IFN- to produce NO and suppress GVH reactivity. As not only alloactivated T cell proliferation, but also leukemia cell-growth was found susceptible to inhibition by exogenous NO, in vivo activation of these cells after DLI may explain the occurrence of a GVL effect despite suppression of GVHD. This suggested sequence of events was supported by the finding that the ex vivo anti-host proliferative response of spleen cells, recovered shortly after in vivo DLI, was characterized by strong mRNA production of the monokines IL-1, IL-6, TNF- and of iNOS. Our data suggest that transiently expanding Mac-1+Ly-6G+Ly-6C+ immature myeloid cells (probably as a result of extramedullary myelopoiesis) may play a role in controlling GVH while promoting GVL reactivity of DLI after allogeneic BMT.

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