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受者 B 细胞对于移植物抗宿主病的诱导不是必需的。

Recipient B cells are not required for graft-versus-host disease induction.

机构信息

Yale Cancer Center, Yale University School of Medicine, New Haven, CT 06620, USA.

出版信息

Biol Blood Marrow Transplant. 2010 Sep;16(9):1222-30. doi: 10.1016/j.bbmt.2010.03.015. Epub 2010 Mar 23.


DOI:10.1016/j.bbmt.2010.03.015
PMID:20338255
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3135976/
Abstract

Recipient antigen presenting cells (APCs) are required for CD8-mediated graft-versus-host disease (GVHD), and have an important and nonredundant role in CD4-mediated GVHD in mouse major histocompatibility complex-matched allogeneic bone marrow transplantation (alloBMT). However, the precise roles of specific recipient APCs-dendritic cells, macrophages, and B cells-are not well defined. If recipient B cells are important APCs they could be depleted with rituximab, an anti-CD20 monoclonal antibody. On the other hand, B cells can downregulate T cell responses, and consequently, B cell depletion could exacerbate GVHD. Patients with B cell lymphomas undergo allogeneic hematopoietic stem cell transplantation (alloSCT) and many are B-cell-deficient because of prior rituximab. We therefore studied the role of recipient B cells in major histocompatibility complex-matched murine models of CD8- and CD4-mediated GVHD by using recipients genetically deficient in B cells and with antibody-mediated depletion of host B cells. In both CD4- and CD8-dependent models, B cell-deficient recipients developed clinical and pathologic GVHD. However, although CD8-mediated GVHD was clinically less severe in hosts genetically deficient in B cells, it was unaffected in anti-CD20-treated recipients. These data indicate that recipient B cells are not important initiators of GVHD, and that efforts to prevent GVHD by APC depletion should focus on other APC subsets.

摘要

受者抗原呈递细胞(APCs)是 CD8 介导的移植物抗宿主病(GVHD)所必需的,并且在小鼠主要组织相容性复合物匹配的同种异体骨髓移植(alloBMT)中 CD4 介导的 GVHD 中具有重要且非冗余的作用。然而,特定受者 APC(树突状细胞、巨噬细胞和 B 细胞)的确切作用尚未明确定义。如果受者 B 细胞是重要的 APC,则可以用利妥昔单抗(一种抗 CD20 单克隆抗体)耗竭它们。另一方面,B 细胞可以下调 T 细胞反应,因此,B 细胞耗竭可能会加重 GVHD。患有 B 细胞淋巴瘤的患者接受同种异体造血干细胞移植(alloSCT),并且由于先前使用利妥昔单抗,许多患者缺乏 B 细胞。因此,我们通过使用在 B 细胞上遗传缺陷的受者和用抗体介导的宿主 B 细胞耗竭,在 CD8 和 CD4 依赖性的 GVHD 小鼠模型中研究了受者 B 细胞的作用。在 CD4 和 CD8 依赖性模型中,B 细胞缺陷型受者均发生临床和病理 GVHD。然而,尽管在 B 细胞遗传缺陷的宿主中 CD8 介导的 GVHD 临床严重程度较轻,但在抗 CD20 处理的受者中无影响。这些数据表明,受者 B 细胞不是 GVHD 的重要启动子,并且通过 APC 耗竭预防 GVHD 的努力应集中在其他 APC 亚群上。

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引用本文的文献

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Front Immunol. 2023-9-6

[2]
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J Immunol. 2023-2-15

[3]
Dendritic Cell Expression of Retinal Aldehyde Dehydrogenase-2 Controls Graft-versus-Host Disease Lethality.

J Immunol. 2019-3-18

[4]
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[5]
Chronic graft-versus-host disease: biological insights from preclinical and clinical studies.

Blood. 2017-1-5

[6]
Inflammation Causes Resistance to Anti-CD20-Mediated B Cell Depletion.

Am J Transplant. 2016-11

[7]
Acute graft-versus-host disease: a bench-to-bedside update.

Blood. 2014-7-17

[8]
Biology of graft-versus-host responses: recent insights.

Biol Blood Marrow Transplant. 2013-1

[9]
Profound depletion of host conventional dendritic cells, plasmacytoid dendritic cells, and B cells does not prevent graft-versus-host disease induction.

J Immunol. 2012-3-14

[10]
GVHD prevention: an ounce is better than a pound.

Biol Blood Marrow Transplant. 2012-1

本文引用的文献

[1]
Rituximab treatment before reduced-intensity conditioning transplantation associates with a decreased incidence of extensive chronic GVHD.

Biol Blood Marrow Transplant. 2009-6

[2]
Effects of donor T-cell trafficking and priming site on graft-versus-host disease induction by naive and memory phenotype CD4 T cells.

Blood. 2008-5-15

[3]
CD8+ but not CD4+ T cells require cognate interactions with target tissues to mediate GVHD across only minor H antigens, whereas both CD4+ and CD8+ T cells require direct leukemic contact to mediate GVL.

Blood. 2008-4-1

[4]
Treatment with CD20-specific antibody prevents and reverses autoimmune diabetes in mice.

J Clin Invest. 2007-12

[5]
Prevention of acute graft-versus-host disease by blocking T-cell entry to secondary lymphoid organs.

Blood. 2008-3-1

[6]
Depletion of B cells in murine lupus: efficacy and resistance.

J Immunol. 2007-9-1

[7]
Allogeneic hematopoietic stem cell transplantation after rituximab-containing myeloablative preparative regimen for acute lymphoblastic leukemia.

Bone Marrow Transplant. 2006-8

[8]
Host B cells produce IL-10 following TBI and attenuate acute GVHD after allogeneic bone marrow transplantation.

Blood. 2006-10-1

[9]
B-cell targeting in rheumatoid arthritis and other autoimmune diseases.

Nat Rev Immunol. 2006-5

[10]
Rituximab for steroid-refractory chronic graft-versus-host disease.

Blood. 2006-7-15

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