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Blood, 15 September 2004, Vol. 104, No. 6, pp. 1671-1678.
Prepublished online as a Blood First Edition Paper on May 27, 2004; DOI 10.1182/blood-2004-03-1115.


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Submitted March 24, 2004
Accepted May 10, 2004

Bystander destruction of hematopoietic progenitor and stem cells in a mouse model of infusion-induced bone marrow failure

Jichun Chen*, Karen Lipovsky, Felicia M Ellison, Rodrigo T Calado, and Neal S Young

Hematology Branch, National Heart, Lung, and Blood Institute, Bethesda, MD, USA

* Corresponding author; email: chenji{at}nhlbi.nih.gov.

Infusion of parental lymph node (LN) cells into sublethally-irradiated hybrid F1 recipients created a murine model for bone marrow (BM) failure. Affected animals developed fetal pancytopenia within 2-3 weeks accompanied by BM oligo-clonal T cell infiltration and severe marrow hypoplasia: approximately 10-fold declines in total BM cellularity, 15-fold declines in BM Lin-Sca1+c-Kit+ cells, 100-fold declines in spleen colony-forming units, and 100-fold declines in hematopoietic progenitor/stem cells as estimated by irradiation protection in vivo. LN cells of both H2b/b and H2d/d haplotypes are effectors. Serum gamma-interferon concentration increased 2-3-fold.Marrow cells were severely apoptotic with high proportion of Fas+ and annexin V+ cells. Co-transplantation of 5 x 105 BM cells from clinically affected donors and 106 BM cells from H2 identical normal mice could not rescue lethally-irradiated recipients and recipients had significantly lower cellularity in peripheral blood and BM; the cell mixtures also failed to produce a stromal feeder layer to support marrow cell growth in vitro. Pathogenic T cells from BM failure donors appear capable of destroying hematopoietic progenitor, stem, and stromal cells from fully compatible normal donors as innocent bystanders. This effect can be partially abrogated by anti-{gamma}-interferon antibody.


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