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Blood, 1 March 2002, Vol. 99, No. 5, pp. 1825-1832

TRANSPLANTATION

Flt3 ligand therapy for recipients of allogeneic bone marrow transplants expands host CD8alpha + dendritic cells and reduces experimental acute graft-versus-host disease

Takanori Teshima, Pavan Reddy, Kathleen P. Lowler, Mark A. KuKuruga, Chen Liu, Kenneth R. Cooke, and James L. M. Ferrara

From the Departments of Internal Medicine and Pediatrics, University of Michigan Cancer Center, Ann Arbor; and the Department of Pathology, Immunology, and Laboratory Medicine, University of Florida, Gainesville.

Recent evidence suggests that dendritic cells (DCs) can regulate and amplify immune responses. Flt3 ligand (FL)-derived DC function was tested as a stimulator of allogeneic lymphocytes in vitro and in vivo. Treatment of mice with FL dramatically expanded DC number, but DCs isolated from FL-treated mice (FL DCs) were poor stimulators of allogeneic T-cell responses in vitro. Further activation of FL DCs did not restore their stimulatory ability, and FL DCs did not suppress the stimulation of the allogeneic T cells by normal DCs. FL treatment significantly increased the CD8alpha + DC subset, which appeared to be the reason for their poor stimulatory capacity. These observations were confirmed in vivo using a mouse model of acute graft-versus-host disease (GVHD) wherein host DCs play a critical role. FL treatment of recipients before allogeneic bone marrow transplantation dramatically suppressed donor T-cell responses to host antigens, thereby reducing GVHD mortality (P < .01). These data represent a novel strategy that alters host DCs and reduces acute GVHD.

© 2002 by The American Society of Hematology.
 

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