Separation of antileukemic effects from graft-versus-host disease in MHC-haploidentical murine bone marrow transplantation: participation of host immune cells

Int J Hematol. 2010 Apr;91(3):485-97. doi: 10.1007/s12185-010-0545-5. Epub 2010 Mar 20.

Abstract

Allogeneic hematopoietic stem cell transplantation (HSCT) is associated with both graft-versus-host disease (GVHD) and graft-versus-leukemia (GVL) effects. In clinical studies of HLA-mismatched HSCT, strong GVL effects have been reported. In the present study, we addressed the mechanism of the GVL and GVH response using MHC-haploidentical murine bone marrow transplantation (BMT) models. Recipient BDF1 (H-2(b/d)) mice received T cell-depleted bone marrow and spleen cells from B6C3F1 (H-2(b/k)) or C57BL/6 (H-2(b)) mice with or without P815 mastocytoma cells (H-2(d)) after receiving lethal total body irradiation. B6C3F1 --> BDF1 (hetero-to-hetero type) recipients showed more powerful antileukemic effects with less severe GVHD than C57BL/6 --> BDF1 (parent-to-F1 type) recipients. Compared with C57BL/6 --> BDF1 recipients, significantly higher in vitro cytotoxic activity against P815 cells was observed in B6C3F1 --> BDF1 recipients. Significantly lower CXCR3 expression on donor T cells and higher interferon (IFN)-gamma expression were considered to be associated with strong antileukemic effects with less severe GVHD in B6C3F1 --> BDF1 recipients. Furthermore, host immune cells, especially natural killer cells and CD8(+) T cells, were found to contribute remarkably to high IFN-gamma production in B6C3F1 --> BDF1 recipients. Thus, in MHC-haploidentical HSCT, host immune cells may change the balance between GVH and GVL response through IFN-gamma production.

MeSH terms

  • Animals
  • Bone Marrow Transplantation / immunology*
  • CD8-Positive T-Lymphocytes / cytology
  • CD8-Positive T-Lymphocytes / immunology
  • CD8-Positive T-Lymphocytes / metabolism
  • Cells, Cultured
  • Female
  • Flow Cytometry
  • Graft vs Host Disease / immunology*
  • Graft vs Host Disease / pathology*
  • Graft vs Leukemia Effect / immunology*
  • Haplotypes
  • Histocompatibility / immunology
  • Interferon-gamma / immunology
  • Interferon-gamma / metabolism
  • Intestine, Large / immunology
  • Intestine, Large / pathology
  • Killer Cells, Natural / cytology
  • Killer Cells, Natural / immunology
  • Killer Cells, Natural / metabolism
  • Liver / immunology
  • Liver / pathology
  • Lymphocyte Culture Test, Mixed
  • Major Histocompatibility Complex / genetics
  • Major Histocompatibility Complex / immunology*
  • Mice
  • Mice, Inbred C3H
  • Mice, Inbred C57BL
  • Mice, Inbred DBA
  • Receptors, CXCR3 / immunology
  • Receptors, CXCR3 / metabolism
  • Spleen / cytology

Substances

  • Cxcr3 protein, mouse
  • Receptors, CXCR3
  • Interferon-gamma