Immunology Department, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia; School of Medicine, University of Queensland, Herston, QLD, Australia;
Immunology Department, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia;
Blood. 2015 Sep 24;126(13):1609-20. doi: 10.1182/blood-2015-01-622662. Epub 2015 Jul 23.
IL-17-producing cells are important mediators of graft-versus-host disease (GVHD) after allogeneic stem cell transplantation (SCT). Here we demonstrate that a distinct CD8(+) Tc17 population develops rapidly after SCT but fails to maintain lineage fidelity such that they are unrecognizable in the absence of a fate reporter. Tc17 differentiation is dependent on alloantigen presentation by host dendritic cells (DCs) together with IL-6. Tc17 cells express high levels of multiple prototypic lineage-defining transcription factors (eg, RORγt, T-bet) and cytokines (eg, IL-17A, IL-22, interferon-γ, granulocyte macrophage colony-stimulating factor, IL-13). Targeted depletion of Tc17 early after transplant protects from lethal acute GVHD; however, Tc17 cells are noncytolytic and fail to mediate graft-versus-leukemia (GVL) effects. Thus, the Tc17 differentiation program during GVHD culminates in a highly plastic, hyperinflammatory, poorly cytolytic effector population, which we term "inflammatory iTc17" (iTc17). Because iTc17 cells mediate GVHD without contributing to GVL, therapeutic inhibition of iTc17 development in a clinical setting represents an attractive approach for separating GVHD and GVL.
IL-17 产生细胞是同种异体干细胞移植 (SCT) 后移植物抗宿主病 (GVHD) 的重要介质。在这里,我们证明,在 SCT 后,一种独特的 CD8(+)Tc17 群体迅速发展,但未能保持谱系保真度,以至于在没有命运报告者的情况下无法识别它们。Tc17 分化依赖于宿主树突状细胞 (DC) 对同种异体抗原的呈递以及 IL-6。Tc17 细胞表达高水平的多种原型谱系定义转录因子(例如,RORγt、T-bet)和细胞因子(例如,IL-17A、IL-22、干扰素-γ、粒细胞巨噬细胞集落刺激因子、IL-13)。移植后早期靶向耗尽 Tc17 可防止致命性急性 GVHD;然而,Tc17 细胞是非细胞毒性的,无法介导移植物抗白血病 (GVL) 效应。因此,GVHD 期间的 Tc17 分化程序最终导致高度可塑性、高炎症、低细胞毒性效应细胞群体,我们将其称为“炎症性 iTc17”(iTc17)。由于 iTc17 细胞介导 GVHD 而不促进 GVL,因此在临床环境中抑制 iTc17 发育是一种有吸引力的方法,可以将 GVHD 和 GVL 分开。