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雷帕霉素而非环孢素能使CD4+ CD25+ FoxP3+ T细胞在胸腺中生成并在外周得以保存。

Rapamycin, not cyclosporine, permits thymic generation and peripheral preservation of CD4+ CD25+ FoxP3+ T cells.

作者信息

Coenen J J A, Koenen H J P M, van Rijssen E, Kasran A, Boon L, Hilbrands L B, Joosten I

机构信息

Department of Bloodtransfusion and Transplantation Immunology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.

出版信息

Bone Marrow Transplant. 2007 May;39(9):537-45. doi: 10.1038/sj.bmt.1705628. Epub 2007 Mar 12.


DOI:10.1038/sj.bmt.1705628
PMID:17351648
Abstract

Graft-versus-host-disease (GVHD) is the most common cause of poor outcome after allogeneic stem cell transplantation (SCT). Of late, exploitation of FOXP3(+) regulatory T-cell (T(REG)) function is emerging as a promising strategy in suppression of GVHD, while preserving graft-versus-leukemia (GVL). Cyclosporine and rapamycin reduce the expansion of effector T cells by blocking interleukin (IL)-2, but signaling by IL-2 is pivotal for T(REG) homeostasis. The resolution of GVHD is critically dependent on thymus-dependent reconstitution of the immunoregulatory system. Thus, there has been concern about the impact of blocking IL-2 signaling by immunosuppressive agents on T(REG) homeostasis. Here we demonstrate in a mouse model that in contrast to rapamycin, cyclosporine compromises not only the thymic generation of CD4(+)CD25(+)FoxP3(+) T cells but also their homeostatic behavior in peripheral immune compartments. Treatment with cyclosporine resulted in a sharp reduction of peripheral CD25(+)FoxP3(+) T cells in all immune compartments studied. Prolonged rapamycin treatment allowed for thymic generation of CD4(+)FoxP3(+) T cells, whereas treatment with cyclosporine led to a reduced generation of these cells. In conclusion, cyclosporine and rapamycin differentially affect homeostasis of CD4(+)FoxP3(+) T(REG) in vivo. As peripheral tolerance induction is a prerequisite for successful treatment outcome after allogeneic SCT, these findings are of potential clinical relevance.

摘要

移植物抗宿主病(GVHD)是异基因干细胞移植(SCT)后预后不良的最常见原因。最近,利用FOXP3(+)调节性T细胞(T(REG))功能正成为一种有前景的策略,可在保留移植物抗白血病(GVL)作用的同时抑制GVHD。环孢素和雷帕霉素通过阻断白细胞介素(IL)-2来减少效应T细胞的扩增,但IL-2信号传导对于T(REG)的稳态至关重要。GVHD的解决严重依赖于免疫调节系统的胸腺依赖性重建。因此,人们一直担心免疫抑制剂阻断IL-2信号传导对T(REG)稳态的影响。在此,我们在小鼠模型中证明,与雷帕霉素不同,环孢素不仅损害胸腺中CD4(+)CD25(+)FoxP3(+)T细胞的生成,还损害它们在外周免疫区室中的稳态行为。用环孢素治疗导致所研究的所有免疫区室中外周CD25(+)FoxP3(+)T细胞急剧减少。长期使用雷帕霉素治疗可使胸腺生成CD4(+)FoxP3(+)T细胞,而用环孢素治疗则导致这些细胞生成减少。总之,环孢素和雷帕霉素在体内对CD4(+)FoxP3(+)T(REG)的稳态有不同影响。由于外周耐受诱导是异基因SCT后成功治疗结果的先决条件,这些发现具有潜在的临床意义。

相似文献

[1]
Rapamycin, not cyclosporine, permits thymic generation and peripheral preservation of CD4+ CD25+ FoxP3+ T cells.

Bone Marrow Transplant. 2007-5

[2]
Blockade of chronic graft-versus-host disease by alloantigen-induced CD4+CD25+Foxp3+ regulatory T cells in nonlymphopenic hosts.

J Leukoc Biol. 2007-11

[3]
Vasoactive intestinal peptide generates CD4+CD25+ regulatory T cells in vivo.

J Leukoc Biol. 2005-12

[4]
CD4+CD25+ regulatory T cells in human hematopoietic cell transplantation.

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[5]
TGF-beta1 modulates Foxp3 expression and regulatory activity in distinct CD4+ T cell subsets.

J Leukoc Biol. 2007-8

[6]
Extracorporeal photochemotherapy is accompanied by increasing levels of circulating CD4+CD25+GITR+Foxp3+CD62L+ functional regulatory T-cells in patients with graft-versus-host disease.

Transplantation. 2007-7-15

[7]
Modulation of graft-versus-host disease: role of regulatory T lymphocytes.

Biol Blood Marrow Transplant. 2006-1

[8]
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Liver Transpl. 2010-3

[9]
Rapamycin promotes the expansion of CD4(+) Foxp3(+) regulatory T cells after liver transplantation.

Transplant Proc. 2010-6

[10]
Development of mouse CD4(+)CD25(+)Foxp3(+) regulatory T cells in xenogeneic pig thymic grafts.

Transpl Immunol. 2009-1

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[3]
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[4]
Donor HLA mismatch promotes full donor T-cell chimerism in the allogeneic stem cell transplant with reduced-intensity conditioning and post-transplant cyclophosphamide GVHD prophylaxis.

Ann Hematol. 2023-3

[5]
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[6]
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[7]
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[8]
Rapamycin attenuates gene expression of programmed cell death protein-ligand 1 and Foxp3 in the brain; a novel mechanism proposed for immunotherapy in the brain.

Res Pharm Sci. 2021-3-5

[9]
Selective involution of thymic medulla by cyclosporine A with a decrease of mature thymic epithelia, XCR1 dendritic cells, and epithelium-free areas containing Foxp3 thymic regulatory T cells.

Histochem Cell Biol. 2021-8

[10]
First-in-human phase 1 trial of induced regulatory T cells for graft-versus-host disease prophylaxis in HLA-matched siblings.

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