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Blood, 15 May 2007, Vol. 109, No. 10, pp. 4564-4574.
Prepublished online as a Blood First Edition Paper on January 16, 2007; DOI 10.1182/blood-2006-09-048124.
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Submitted September 27, 2006
Accepted January 6, 2007
Factors governing the activation of adoptively transferred donor T-cells infused after allogeneic bone marrow transplantation in the mouse
Nadira Durakovic, Vedran Radojcic, Mario Skarica, Karl B Bezak, Jonathan D. Powell, Ephraim J. Fuchs, and Leo Luznik*
Divisions of Hematologic Malignancies, and Cancer Immunology, and Hematopoiesis, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD, United States
* Corresponding author; email: luznile{at}jhmi.edu.
Murine models of bone marrow transplantation were used to study the mechanisms governing the activation of donor lymphocyte infusions (DLIs) manifesting as lymphohematopoietic-graft-versus-host (LH-GVH) and graft-versus-leukemia (GVL) reactivities. We demonstrate here that established mixed chimerism influences the potency of DLI-mediated alloreactivity only in MHC-mismatched but not -matched setting. In the MHC-matched setting, high levels ( 40%) of residual host chimerism correlated negatively with DLI-mediated alloreactivity irrespective of the timing of their administration, the donor's previous sensitization to host antigens, or the level of residual host APCs. In vivo administration of Toll-like receptor (TLR) ligands was required to maximize DLI-mediated LH-GVH and GVL reactivities in chimeras with low levels ( 15%) of residual host chimerism. In contrast, coadministration of DLI with APC activators was insufficient to augment their LH-GVH response in the presence of high levels of host chimerism unless the host's T-cells were transiently depleted. Together, these results show the cardinal influence of donor-host incompatibility on DLI-mediated GVH responses, and suggest that in MHC-matched chimeras, the induction of optimal alloreactivity requires not only donor T-cells and host APCs but also TLR ligands and in the presence of high levels of host chimerism depletion of host T-cells

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