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Blood, 15 February 2006, Vol. 107, No. 4, pp. 1703-1711.
Prepublished online as a Blood First Edition Paper on November 15, 2005; DOI 10.1182/blood-2005-08-3445.
Previous Article | Next Article 
Submitted August 25, 2005
Accepted September 23, 2005
Absence of the 7 integrin results in less graft-versus-host disease due to decreased homing of alloreactive T cells to intestine
Elisha Waldman, Sydney X Lu, Vanessa M Hubbard, Adam A Kochman, Jeffrey M Eng, Theis H Terwey, Stephanie J Muriglan, Theo D Kim, Glenn Heller, George F Murphy, Chen Liu, Onder Alpdogan, and Marcel R van den Brink*
Department of Pediatrics, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
Department of Medicine and Immunology, 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, Brigham and Women's Hospital, Boston, MA, USA
Department of Pathology, Immunology, and Laboratory Medicine, University of Florida College of Medicine, Gainesville, FL, USA
* Corresponding author; email: vandenbm{at}mskcc.org.
The 4 7 integrin plays a central role in the homing of T cells to the gut. We hypothesized that absence of the 7 subunit would result in reduction of intestinal graft-versus-host disease (GVHD) and improved overall GVHD morbidity and mortality in recipients of hematopoietic stem cell transplantation (HSCT).
Analysis of alloreactive 7-/- T cells showed intact activation, proliferation, cytokine production, and cytotoxicity. However, recipients of 7-/- donor T cells in murine HSCT models developed less GVHD morbidity and mortality than recipients of wild type (WT) T cells, which was associated with a decrease in donor T cell infiltration of the liver and intestine and with an overall significant decrease in hepatic and intestinal GVHD. In graft-versus-tumor (GVT) experiments, we demonstrated intact or even enhanced GVT activity of 7-/- donor T cells.
In conclusion, 7-/- donor T cells cause less GVHD morbidity and mortality than WT donor T cells due to selectively decreased T cell infiltration of liver and intestines. Our data suggest that strategies to target the 7 integrin have clinical potential to alleviate or prevent GVHD while sparing or potentiating GVT activity.

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