An inflammatory checkpoint regulates recruitment of graft-versus-host reactive T cells to peripheral tissues

0301 basic medicine T-Lymphocytes T cells Graft vs Host Disease CD8-Positive T-Lymphocytes ALLOGENEIC CHIMERAS Graft versus host disease DENDRITIC CELLS Medical and Health Sciences TARGET ORGANS Animal tissue ANTIGEN-PRESENTING CELLS Graft vs Host Reaction Mice 03 medical and health sciences Cross-Priming TOTAL-BODY IRRADIATION Animals AUTOIMMUNE-DISEASE IN-VIVO TUMOR-NECROSIS-FACTOR Skin Inflammation CUTTING EDGE graft versus host reaction Toll-Like Receptors Basic Medicine Articles BONE-MARROW-TRANSPLANTATION Radiation Chimera Animal experimentation
DOI: 10.1084/jem.20060376 Publication Date: 2006-08-02T07:47:53Z
ABSTRACT
Transfer of T cells to freshly irradiated allogeneic recipients leads to their rapid recruitment to nonlymphoid tissues, where they induce graft-versus-host disease (GVHD). In contrast, when donor T cells are transferred to established mixed chimeras (MCs), GVHD is not induced despite a robust graft-versus-host (GVH) reaction that eliminates normal and malignant host hematopoietic cells. We demonstrate here that donor GVH-reactive T cells transferred to MCs or freshly irradiated mice undergo similar expansion and activation, with similar up-regulation of homing molecules required for entry to nonlymphoid tissues. Using dynamic two-photon in vivo microscopy, we show that these activated T cells do not enter GVHD target tissues in established MCs, contrary to the dogma that activated T cells inevitably traffic to nonlymphoid tissues. Instead, we show that the presence of inflammation within a nonlymphoid tissue is a prerequisite for the trafficking of activated T cells to that site. Our studies help to explain the paradox whereby GVH-reactive T cells can mediate graft-versus-leukemia responses without inducing GVHD in established MCs.
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