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Blood, 1 March 2001, Vol. 97, No. 5, pp. 1491-1497
TRANSPLANTATION
IL-7 increases both thymic-dependent and thymic-independent
T-cell regeneration after bone marrow transplantation
Crystal L. Mackall,
Terry
J. Fry,
Cathy Bare,
Paul Morgan,
Anne Galbraith, and
Ronald E. Gress
From the Pediatric Oncology Branch and Experimental
Immunology Branch, National Cancer Institute, Bethesda, MD.
Thymic-dependent differentiation of bone marrow (BM)-derived
progenitors and thymic-independent antigen-driven peripheral expansion
of mature T cells represent the 2 primary pathways for T-cell
regeneration. These pathways are interregulated such that peripheral
T-cell expansion is increased in thymectomized versus thymus-bearing
hosts after bone marrow transplantation (BMT). This study shows that
this interregulation is due to competition between progeny of these 2 pathways because depletion of thymic progeny leads to increased
peripheral expansion in thymus-bearing hosts. To test the hypothesis
that competition for growth factors modulates the magnitude of
antigen-driven peripheral expansion during immune reconstitution in
vivo, a variety of T-cell active cytokines were administered after BMT.
Of the cytokines (interleukins) tested (IL-3, IL-12, IL-6, IL-2, and
IL-7), IL-2 modestly increased peripheral expansion in the face of
increasing numbers of thymic emigrants, whereas IL-7 potently
accomplished this. This report also demonstrates that the beneficial
effect of IL-7 on immune reconstitution is related to both increases in
thymopoiesis as well as a direct increase in the magnitude of
antigen-driven peripheral expansion. Therefore, the administration of
exogenous IL-7, and to a lesser extent IL-2, abrogates the
down-regulation in antigen-driven peripheral expansion that occurs in
thymus-bearing hosts after BMT. These results suggest that one
mechanism by which T-cell-depleted hosts may support antigen-driven
T-cell expansion in vivo is via an increased availability of
T-cell-active cytokines to support clonal expansion.

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