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供者 T 细胞 IL-21 信号的缺失导致免疫的组织特异性调节以及移植物抗宿主病与移植物抗肿瘤效应的分离。

Abrogation of donor T-cell IL-21 signaling leads to tissue-specific modulation of immunity and separation of GVHD from GVL.

机构信息

Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.

出版信息

Blood. 2011 Jul 14;118(2):446-55. doi: 10.1182/blood-2010-07-294785. Epub 2011 May 19.

Abstract

IL-21 is a proinflammatory cytokine produced by Th17 cells. Abrogation of IL-21 signaling has recently been shown to reduce GVHD while retaining graft-versus-leukemia/lymphoma (GVL) responses. However, the mechanisms by which IL-21 may lead to a separation of GVHD and GVL remain incompletely understood. In a murine MHC-mismatched BM transplantation model, we observed that IL-21 receptor knockout (IL-21R KO) donor T cells mediate decreased systemic and gastrointestinal GVHD in recipients of a transplant. This reduction in GVHD was associated with expansion of transplanted donor regulatory T cells and with tissue-specific modulation of Th-cell function. IL-21R KO and wild-type donor T cells showed equivalent alloactivation, but IL-21R KO T cells showed decreased infiltration and inflammatory cytokine production within the mesenteric lymph nodes. However, Th-cell cytokine production was maintained peripherally, and IL-21R KO T cells mediated equivalent immunity against A20 and P815 hematopoietic tumors. In summary, abrogation of IL-21 signaling in donor T cells leads to tissue-specific modulation of immunity, such that gastrointestinal GVHD is reduced, but peripheral T-cell function and GVL capacity are retained. IL-21 is thus an exciting target for therapeutic intervention and improvement of clinical transplantation outcomes.

摘要

IL-21 是一种由 Th17 细胞产生的促炎细胞因子。最近的研究表明,阻断 IL-21 信号通路可以减少移植物抗宿主病(GVHD),同时保留移植物抗白血病/淋巴瘤(GVL)反应。然而,IL-21 如何导致 GVHD 和 GVL 的分离机制仍不完全清楚。在 MHC 错配的 BM 移植模型中,我们观察到 IL-21 受体敲除(IL-21R KO)供体 T 细胞在接受移植的受体中介导全身性和胃肠道 GVHD 减少。这种 GVHD 的减少与移植供体调节性 T 细胞的扩增以及 Th 细胞功能的组织特异性调节有关。IL-21R KO 和野生型供体 T 细胞表现出等效的同种异体激活,但 IL-21R KO T 细胞在肠系膜淋巴结内的浸润和炎症细胞因子产生减少。然而,Th 细胞细胞因子的产生在周围得到维持,并且 IL-21R KO T 细胞介导对 A20 和 P815 造血肿瘤的等效免疫。总之,阻断供体 T 细胞中的 IL-21 信号通路会导致免疫的组织特异性调节,从而减少胃肠道 GVHD,但保留外周 T 细胞功能和 GVL 能力。因此,IL-21 是治疗干预和改善临床移植结果的一个令人兴奋的靶点。

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