Yale Cancer Center, Yale University School of Medicine, New Haven, CT 06620, USA.
Biol Blood Marrow Transplant. 2010 Sep;16(9):1222-30. doi: 10.1016/j.bbmt.2010.03.015. Epub 2010 Mar 23.
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.
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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