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Prepublished online as a Blood First Edition Paper on June 5, 2003; DOI 10.1182/blood-2002-12-3949.

Submitted December 31, 2002
Accepted May 25, 2003
Anti-tumor effect of donor marrow graft rejection induced by recipient leukocyte infusions in mixed chimeras prepared with nonmyeloablative conditioning: critical role for recipient-derived IFN-
Marie-Therese Rubio, Yong-Mi Kim, Teviah Sachs, Markus Mapara, Guiling Zhao, and Megan Sykes*
Bone Marrow Transplantation Section, Transplantation Biology Research Center, Boston, MA, USA
Department of Hematology, Humboldt University, Berlin, Germany
* Corresponding author; email: megan.sykes{at}tbrc.mgh.harvard.edu.
Some patients lose chimerism following non-myeloablative hematopoietic cell transplantation (HCT), yet, surprisingly, enjoy sustained tumor remissions. We hypothesized that host-vs-graft (HVG) alloresponses might induce anti-tumor effects against recipient tumors. We explored this question in mice by administering recipient leukocyte infusions (RLI) to mixed chimeras established with non-myeloablative conditioning. Mixed chimeras were prepared in the B10.A (H2a) B6 (H2b) strain combination using depleting anti-T cell mAbs, cyclophosphamide, and thymic irradiation. B6 myeloid leukemia cells (MMB3.19) were administered 7 days following donor lymphocyte infusion (DLI) or RLI on Day 35. Conversion to full donor chimerism occurred without graft-versus-host-disease (GVHD) following DLI, whereas RLI led to loss of chimerism. Both RLI and DLI significantly delayed tumor mortality. In another strain combination (B10.BR [H2k] BALB/c [H2d]), RLI-induced or spontaneous loss of chimerism was associated with anti-tumor effects against the host-type B-cell lymphoma A20. HCT was essential for the anti-tumor effect of RLI. RLI-induced elevated serum IFN- levels, and recipient-derived IFN- was critical for their anti-tumor effects. Thus, HVG reactions (spontaneous or induced by RLI) mediate anti-tumor effects against hematologic malignancies via a recipient-derived IFN- -mediated mechanism. A novel approach to achieving anti-tumor effects without the risk of GVHD is suggested.

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