Donor T-cell alloreactivity against host thymic epithelium limits T-cell development after bone marrow transplantation

MM Hauri-Hohl, MP Keller, J Gill, K Hafen, E Pachlatko… - Blood, 2007 - ashpublications.org
MM Hauri-Hohl, MP Keller, J Gill, K Hafen, E Pachlatko, T Boulay, A Peter, GA Holländer
Blood, 2007ashpublications.org
Acute graft-versus-host disease (aGVHD) impairs thymus-dependent T-cell regeneration in
recipients of allogeneic bone marrow transplants through yet to be defined mechanisms.
Here, we demonstrate in mice that MHC-mismatched donor T cells home into the thymus of
unconditioned recipients. There, activated donor T cells secrete IFN-γ, which in turn
stimulates the programmed cell death of thymic epithelial cells (TECs). Because TECs
themselves are competent and sufficient to prime naive allospecific T cells and to elicit their …
Abstract
Acute graft-versus-host disease (aGVHD) impairs thymus-dependent T-cell regeneration in recipients of allogeneic bone marrow transplants through yet to be defined mechanisms. Here, we demonstrate in mice that MHC-mismatched donor T cells home into the thymus of unconditioned recipients. There, activated donor T cells secrete IFN-γ, which in turn stimulates the programmed cell death of thymic epithelial cells (TECs). Because TECs themselves are competent and sufficient to prime naive allospecific T cells and to elicit their effector function, the elimination of host-type professional antigen-presenting cells (APCs) does not prevent donor T-cell activation and TEC apoptosis, thus precluding normal thymopoiesis in transplant recipients. Hence, strategies that protect TECs may be necessary to improve immune reconstitution following allogeneic bone marrow transplantation.
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