Graft-versus-host disease impairs vaccine responses through decreased CD4+ and CD8+ T cell proliferation and increased perforin-mediated CD8+ T cell apoptosis.

Graft-versus-host disease impairs vaccine responses through decreased CD4+ and CD8+ T cell proliferation and increased perforin-mediated CD8+ T cell apoptosis.
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DOI:
10.4049/jimmunol.1200391
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发表时间:
2013-02-01
期刊:
Journal of immunology (Baltimore, Md. : 1950)
影响因子:
--
通讯作者:
Fry TJ
Fry TJ
中科院分区:
其他
文献类型:
--
作者:
Capitini CM;Nasholm NM;Duncan BB;Guimond M;Fry TJ

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肿瘤靶向疫苗代表了增强异基因血液或骨髓移植(alloBMT)后移植物抗白血病效应的策略。我们以前已经表明,GVHD可以对疫苗的定量反应产生负面影响。我们使用次要组织相容性抗原(mHA)错配的BMT(B6 → B6 × C3H.SW),然后过继转移HY特异性T细胞和表达HY的树突状细胞,评估供体淋巴细胞输注(DLI)诱导的GVHD是否影响疫苗应答的非同种抗原反应性T细胞的持续性、增殖和存活。CD 8+和CD 4 + HY特异性T细胞在具有GVHD的同种异体受体中经历较少的疫苗驱动的增殖。虽然疫苗应答性CD 8 + T细胞显示γ干扰素和CD 107 a产生减少,但CD 4 + T细胞表现出PD-1和TIM 3表达增加。此外,在存在GVHD的情况下,疫苗应答的CD 8 + T细胞的凋亡程度更高,但CD 4 + T细胞凋亡没有差异。使用Fas配体缺陷或TRAIL缺陷的DLI对HY特异性T细胞的凋亡没有影响。然而,穿孔素缺陷的同种异体反应性DLI诱导的疫苗应答性CD 8 + T细胞凋亡显著减少,并导致增强的肿瘤保护。因此,GVHD期间疫苗应答减弱是由于响应于疫苗接种的CD 8+和CD 4 + T细胞增殖受损,以及穿孔素介导的CD 8 + T细胞凋亡的额外贡献。这些结果为优化alloBMT后的疫苗应答提供了重要的见解。
Tumor-targeted vaccines represent a strategy to enhance the graft-versus-leukemia effect following allogeneic blood or marrow transplantation (alloBMT). We have previously shown that GVHD can negatively impact quantitative responses to vaccines. Using a minor histocompatibility antigen (mHA)-mismatched BMT (B6 → B6 × C3H.SW) followed by adoptive transfer of HY-specific T cells and HY-expressing dendritic cells we assessed whether GVHD induced by donor lymphocyte infusion (DLI) affects the persistence, proliferation and survival of vaccine-responding, nonalloantigen reactive T cells. Both CD8+ and CD4+ HY-specific T cells undergo less vaccine-driven proliferation in allogeneic recipients with GVHD. While vaccine responding CD8+ T cells show decreased gamma interferon and CD107a production, CD4+ T cells exhibit increased PD-1 and TIM3 expression. In addition, the degree of apoptosis in vaccine-responding CD8+ T cells was higher in the presence of GVHD, but there was no difference in CD4+ T cell apoptosis. Using Fas ligand-deficient or TRAIL-deficient DLI had no impact on apoptosis of HY-specific T cells. However, perforin-deficient alloreactive DLI induced significantly less apoptosis of vaccine-responding CD8+ T cells, and resulted in enhanced tumor protection. Thus, diminished vaccine responses during GVHD result from impaired proliferation of CD8+ and CD4+ T cells responding to vaccination, with an additional contribution from perforin-mediated CD8+ T cell apoptosis. These results provide important insights towards optimizing vaccine responses after alloBMT.
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