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Blood, 15 February 2004, Vol. 103, No. 4, pp. 1542-1547.
Prepublished online as a Blood First Edition Paper on October 16, 2003; DOI 10.1182/blood-2003-03-0957.

Submitted March 31, 2003
Accepted October 6, 2003
LPAM ( 4 7 integrin) is an important homing integrin on alloreactive T cells in the development of intestinal Graft-Versus-Host Disease
Aleksandra Petrovic, Onder Alpdogan, Lucy M Willis, Jeffrey M Eng, Andrew S Greenberg, Barry J Kappel, Chen Liu, George Murphy, Glenn Heller, and Marcel R M van den Brink*
Department of Pediatrics and Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
Department of Pathology, University of Florida, Gainesville, FL, USA
Department of Pathology, Thomas Jefferson Medical Center, Philadelphia, PA, USA
* Corresponding author; email: vandenbm{at}mskcc.org.
Lymphocyte Peyer's patch adhesion molecule (LPAM) or 4 7 integrin is expressed on lymphocytes and is responsible for T cell homing into gut associated lymphoid tissues through its binding to mucosal addressing cell adhesion molecule (MAdCAM), which is present on high endothelial venules of mucosal lymphoid organs. We found in murine allogeneic bone marrow transplantation (BMT) models that recipients of 4 7- donor T cells had significantly less GVHD morbidity and mortality compared to recipients of 4 7+ donor T cells. A kinetic posttransplant analysis of lymphocytes in the intestines and mesenteric lymph nodes demonstrated a delayed invasion of lower numbers of 4 7+ T cells in recipients of 4 7- T cells compared to recipients of 4 7+ T cells.
Histopathologic analysis of GVHD target organs revealed that recipients of 4 7- T cells developed less GVHD of the intestines and liver, whereas there was no difference in cutaneous and thymic GVHD between recipients of 4 7- or 4 7+ T cells. Finally, we found that in vivo GVT activity of 4 7- donor T cells was preserved. We conclude that the 4 7 integrin is important for the invasion of alloreactive donor T cells into the gut and the subsequent development of intestinal GVHD and overall GVHD morbidity and mortality.

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