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Prepublished online as a Blood First Edition Paper on June 5, 2003; DOI 10.1182/blood-2002-10-3241.

Submitted October 25, 2002
Accepted May 27, 2003
A new xenograft model for graft-versus-host disease by intravenous transfer of human peripheral blood mononuclear cells in RAG2-/- c-/- double mutant mice
Rozemarijn S van Rijn, Elles R Simonetti, Anton Hagenbeek, Marieke C H Hogenes, Roel A de Weger, Marijke R Canninga-van Dijk, Kees Weijer, Hergen Spits, Gert Storm, Louis van Bloois, Ger Rijkers, Anton C M Martens, and Saskia B Ebeling*
Department of Hematology, University Medical Center Utrecht, Utrecht, The Netherlands
Department of Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands
Department of Pharmaceutics, Utrecht Institute for Pharmaceutical Sciences, Utrecht, The Netherlands
Department of Cell Biology and Histology, Academic Medical Center, Amsterdam, The Netherlands
* Corresponding author; email: s.ebeling{at}azu.nl.
The safe application of new strategies for the treatment of graft-versus-host disease is hampered by the lack of a clinically relevant model for preclinical testing. Current models are based on intraperitoneal transfer of human peripheral blood mononuclear cells (huPBMC) into (NOD-)SCID mice. Intravenous transfer would be preferred, but this has always been ineffective. We developed a new model for xenogeneic GVHD (X-GVHD) by intravenous transfer of huPBMC into RAG2-/- c-/- mice. Our results show a high human T cell chimerism of >20% (up to 98%) in >90% of mice, associated with a consistent development of X-GVHD within 14-28 days and a total mortality rate of 85% <2 months. After murine macrophage depletion, engraftment was earlier and equally high with lower doses of huPBMC. Human macrophages were also absent in these mice. Purified huCD3+ cells showed a similar X-GVH effect, with contribution of both CD4 and CD8 phenotypes. Human immunoglobulins and cytokines were produced in diseased mice. 1/30 mice developed chronic X-GVHD with skin histology similar to human GVHD. In conclusion, we present a new model for X-GVHD by intravenous transfer of huPBMC in RAG2-/- c-/- mice. Murine and human macrophages do not seem to be necessary for acute X-GVHD in this model.

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