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Blood, 22 January 2009, Vol. 113, No. 4, pp. 953-962.
Prepublished online as a Blood First Edition Paper on October 15, 2008; DOI 10.1182/blood-2008-06-165522.


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Submitted June 30, 2008
Accepted September 19, 2008

Anti-CD3 preconditioning separates GVL from GVHD via modulating host dendritic and donor T cell migration in TBI-conditioned recipients

Nainong Li, Ying Chen, Wei He, Tangsheng Yi, Dongchang Zhao, Chunyan Zhang, Chia-Lei Lin, Ivan Todorov, Fouad Kandeel, Stephen Forman, and Defu Zeng*

Department of Hematology, Fujian Medical University Union Hospital, Fujian Institute of Hematology, China
Division of Hematology & Hematopoietic Cell Transplantation, The Beckman Research Institute, City of Hope National Medical Center, Duarte, CA, United States
Department of Diabetes & Endocrinology, The Beckman Research Institute, City of Hope National Medical Center, Duarte, CA, United States

* Corresponding author; email: dzeng{at}coh.org.

Host dendritic cells (DCs) play a critical role in initiating graft versus host disease (GVHD) and graft versus leukemia (GVL), and separation of GVL from GVHD remains a major challenge in the treatment of hematological malignancies by allogeneic hematopoietic cell transplantation (HCT). Here, we show that preconditioning with anti-CD3 mAb before conditioning with total body irradiation prevents GVHD but retains GVL in a HCT model of MHC-mismatched C57BL/6 donor to BALB/c host. Prevention of GVHD is associated with inhibition of donor T expression of homing and chemokine receptors and inhibition of GVHD target tissue expression of chemokines. Furthermore, inhibition of donor T expression of gut homing {alpha}4{beta}7 and chemokine receptor CCR9 by anti-CD3 preconditioning results from reduction of CD103+ DCs in draining mesenteric lymph nodes, which is associated with downregulation of DC expression of CCR7, a receptor required for tissue DC migration to draining LN. These results indicate that anti-CD3 preconditioning reduces not only tissue release of chemokines but also prevents tissue DC migration to draining LN and subsequently reduces draining LN DC's capacity in imprinting donor T tissue tropism. Therefore, modulation of host DCs by anti-CD3 preconditioning before HCT represents a new approach for separating GVL from GVHD.


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T. Yi, Y. Chen, L. Wang, G. Du, D. Huang, D. Zhao, H. Johnston, J. Young, I. Todorov, D. T. Umetsu, et al.
Reciprocal differentiation and tissue-specific pathogenesis of Th1, Th2, and Th17 cells in graft-versus-host disease
Blood, October 1, 2009; 114(14): 3101 - 3112.
[Abstract] [Full Text] [PDF]



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