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Blood, 1 May 2007, Vol. 109, No. 9, pp. 4097-4104.
Prepublished online as a Blood First Edition Paper on December 19, 2006; DOI 10.1182/blood-2006-09-047332.
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Submitted September 15, 2006
Accepted December 12, 2006
Selective targeting of the LIGHT-HVEM co-stimulatory system for the treatment of graft-versus-host disease
Yanhui Xu, Andrew S. Flies, Dallas B. Flies, Gefeng Zhu, Sudarshan Anand, Sarah J. Flies, Haiying Xu, Robert A. Anders, Wayne W. Hancock, Lieping Chen, and Koji Tamada*
Department of Molecular Biology and Biochemistry, Mayo Clinic College of Medicine, Rochester, MN
The Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD
Department of Pathology, University of Pennsylvania School of Medicine, Philadelphia, PA
* Corresponding author; email: ktamada1{at}jhmi.edu.
Decoy lymphotoxin receptor (LT R) has potent immune inhibitory activities, and thus represents a promising biologic for the treatment of inflammation, autoimmune diseases and graft-versus-host disease (GVHD). As this reagent interrupts multiple molecular interactions, including LT -LT R and LIGHT-HVEM/LT R, underlying molecular mechanisms have yet to be fully understood. In this study, we demonstrate that blockade of LIGHT-HVEM pathway is sufficient to induce amelioration of GVHD in mouse models. Anti-host CTL activity following in vivo transfer of allogeneic lymphocytes was completely abrogated when LIGHT- or HVEM-deficient (KO) T cells were used as donor cells. Accordingly, survival of the recipient mice following the transfer of allogeneic bone marrow cells plus LIGHT-KO or HVEM-KO T cells was significantly prolonged. In the absence of LIGHT-HVEM co-stimulation, allo-reactive donor T cells undergo vigorous apoptosis while their proliferative potential remains intact. Furthermore, we prepared a neutralizing monoclonal antibody (mAb) specific to HVEM and showed that administration of anti-HVEM mAb profoundly ameliorates GVHD and leads to complete hematopoietic chimerism with donor cells. Collectively, our results demonstrate an indispensable role of LIGHT-HVEM co-stimulation in the pathogenesis of GVHD and illustrate a novel target for selective immunotherapy in allogeneic bone marrow transplantation.

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