Extracorporeal photopheresis attenuates murine graft-versus-host disease via bone marrow-derived interleukin-10 and preserves responses to dendritic cell vaccination.

Extracorporeal photopheresis attenuates murine graft-versus-host disease via bone marrow-derived interleukin-10 and preserves responses to dendritic cell vaccination.
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DOI:
10.1016/j.bbmt.2010.12.712
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发表时间:
2011-06
影响因子:
4.3
通讯作者:
Fry, Terry J.
Fry, Terry J.
中科院分区:
医学2区
文献类型:
--
作者:
Capitini, Christian M.;Davis, Jessica P. E.;Larabee, Shannon M.;Herby, Sarah;Nasholm, Nicole M.;Fry, Terry J.

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体外光采术 (ECP) 正在成为移植物抗宿主病 (GVHD) 的一种治疗方法,但其完整的作用机制和对免疫的影响尚未完全确定。小鼠轻微组织相容性抗原不匹配骨髓移植 (alloBMT) 后,无论 ECP 处理的脾细胞的供体菌株如何,将 ECP 处理的脾细胞与充满 T 细胞的骨髓共输注都会减弱 GVHD,并且与调节性 T 细胞数量增加相关。骨髓树突状细胞 (mDC) 与 ECP 处理的脾细胞共培养,在脂多糖次最大刺激后,白细胞介素 (IL)-10 的产生增加。此外,当用作体内疫苗时,暴露于 ECP 处理的脾细胞的雄性 mDC 诱导 CD8+ HY 反应的能力较差。在 T 细胞耗尽的 alloBMT 后延迟供体淋巴细胞输注 (DLI) 之前施用 ECP 处理的脾细胞的功效得到增强,从而允许在没有胸腺的情况下施用足够数量的 T 细胞对 mDC 疫苗接种做出反应。最后,ECP 处理的脾细胞的治疗效果在 IL-10 缺乏的骨髓受者中消失。我们证明,无论 ECP 处理的细胞来源如何,ECP 处理的脾细胞都会通过一种可能涉及 DC 调节的机制来减弱 GVHD,并且需要骨髓来源细胞产生的 IL-10。重要的是,ECP 处理的脾细胞对 GVHD 的减弱允许在 alloBMT 后对 DC 疫苗产生 DLI 依赖性反应。
Extracorporeal photopheresis (ECP) is emerging as a therapy for graft-versus-host-disease (GVHD), but the full mechanism of action and the impact on immunity have not been fully established. After murine minor histocompatibility antigen-mismatched bone marrow transplant (alloBMT), co-infusion of ECP-treated splenocytes with T cell-replete bone marrow attenuated GVHD irrespective of the donor strain of the ECP-treated splenocytes, and was associated with increased numbers of regulatory T cells. Co-culture of myeloid dendritic cells (mDC) with ECP-treated splenocytes resulted in increased interleukin (IL)-10 production after sub-maximal stimulation with lipopolysaccharide. Furthermore, male mDCs exposed to ECP-treated splenocytes were less potent at inducing CD8+ HY-responses when used as a vaccine in vivo. The efficacy of ECP-treated splenocytes was enhanced when administered just prior to delayed donor lymphocyte infusion (DLI) following T cell depleted alloBMT, allowing for the administration of sufficient numbers of T cells to respond to mDC vaccination in the absence of a thymus. Finally, the therapeutic effect of ECP-treated splenocytes were lost in recipients of IL-10 deficient bone marrow. We demonstrate that ECP-treated splenocytes attenuate GVHD irrespective of the source of ECP-treated cells via a mechanism that likely involves modulation of DCs, and requires IL-10 produced by bone marrow-derived cells. Importantly, attenuation of GVHD by ECP-treated splenocytes permits DLI-dependent responses to DC vaccines following alloBMT.
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