University Medical Center Ulm, Department of Pediatrics and Adolescent Medicine, Ulm, Germany.
University Ulm, Institute of Pathology, Ulm, Germany.
Methods Cell Biol. 2022;168:19-39. doi: 10.1016/bs.mcb.2021.12.007. Epub 2022 Jan 10.
For more than 50years, hematopoietic stem cell transplantation (HSCT) has been the major curative therapy for hematological malignancies and genetic disorders, but its success is limited by the development of graft-versus-host disease (GVHD). GVHD represents a post-transplantation disorder representing the immune-mediated attack of transplant-derived T cells against recipient tissue finally leading to increased morbidity and mortality of the recipient. GVHD develops if donor and recipient are disparate in major or minor histocompatibility antigens (MHC, miHA). Most of the initial knowledge about the biology of GVHD is derived from murine bone marrow transplantation (BMT) models. Of course, GVHD mouse models do not reflect one to one the human situation, but they contribute significantly to our understanding how conditioning and danger signals activate the immune system, enlighten the role of individual molecules, e.g., cytokines, chemokines, death-inducing ligands, define the function of lymphocytes subpopulations for GVHD development and have significant impact on establishing new treatment and prevention strategies used in clinical HSCT. This chapter describes in detail the procedure of allogeneic BMT and the development of GVHD in two commonly used allogeneic murine BMT models (B6→B6.bm1, B6→B6D2F1) with different MHC disparities, which can be used as a basis for advanced studies of GVHD pathology or the development of new treatment strategies.
50 多年来,造血干细胞移植(HSCT)一直是治疗血液系统恶性肿瘤和遗传疾病的主要方法,但由于移植物抗宿主病(GVHD)的发展,其成功率受到限制。GVHD 是一种移植后疾病,代表移植来源的 T 细胞对受者组织的免疫介导攻击,最终导致受者发病率和死亡率增加。如果供体和受体在主要或次要组织相容性抗原(MHC、miHA)上存在差异,则会发生 GVHD。关于 GVHD 生物学的大部分初始知识来自于小鼠骨髓移植(BMT)模型。当然,GVHD 小鼠模型不能一一反映人类的情况,但它们极大地促进了我们对如何调节和危险信号激活免疫系统的理解,阐明了单个分子(例如细胞因子、趋化因子、诱导死亡配体)的作用,定义了淋巴细胞亚群在 GVHD 发展中的功能,并对建立用于临床 HSCT 的新治疗和预防策略产生了重大影响。本章详细描述了两种常用的异基因小鼠 BMT 模型(B6→B6.bm1、B6→B6D2F1)中异基因 BMT 和 GVHD 发展的过程,这些模型具有不同的 MHC 差异,可以作为 GVHD 病理学的高级研究或新治疗策略的发展的基础。