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Blood, 1 December 2005, Vol. 106, No. 12, pp. 3955-3957.
Prepublished online as a Blood First Edition Paper on August 11, 2005; DOI 10.1182/blood-2004-09-3749.


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Submitted September 28, 2004
Accepted June 19, 2005

Upregulated expression in non-hematopoietic tissues of the BCL2A1-derived minor histocompatibility antigens in response to inflammatory cytokines: relevance for allogeneic immunotherapy of leukemia

Freke M Kloosterboer*, Simone A van Luxemburg-Heijs, Ronald A van Soest, H.M. E van Egmond, Roel Willemze, and J.H. F Falkenburg

Department of Hematology, Leiden University Medical Center, Leiden, The Netherlands

* Corresponding author; email: F.M.Kloosterboer{at}lumc.nl.

T cells directed against hematopoietic-restricted minor histocompatibility antigens (mHags) may mediate graft-versus-leukemia (GVL) reactivity without graft-versus-host-disease. Recently, the HLA-A24 restricted mHag ACC-1 and the HLA-B44 restricted mHag ACC-2 encoded by separate polymorphisms within the BCL2A1 gene were characterized. Hematopoietic-restricted expression was suggested for these mHags. We demonstrate BCL2A1 expression in mesenchymal stromal cells (MSC), that was upregulated by inflammatory cytokines TNF{alpha} and/or IFN{gamma}. Analysis of cytotoxicity and IFN{gamma} production illustrated that ACC-2 specific T cells did not recognize untreated MSC or IFN{gamma}-treated MSC, but showed specific recognition and killing of TNF{alpha}+IFN{gamma}-treated MSC. We hypothesize that under steady-state circumstances BCL2A1 specific T cells may exhibit relative specificity for hematopoietic tissue but reactivity against non-hematopoietic cells may occur when inflammatory infiltrates are present. Thus, the role of BCL2A1 specific T cells in differential induction of GVL reactivity and graft-versus-host-disease may depend on the presence of inflammatory responses that may occur during graft-versus-host-disease.


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