Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, IA.
Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA.
Immunohorizons. 2023 Jun 1;7(6):442-455. doi: 10.4049/immunohorizons.2300021.
Recipient T cells can aggravate or regulate lethal and devastating graft-versus-host disease (GVHD) after bone marrow transplantation (BMT). In this context, we have shown before that intestinal immune conditioning with helminths is associated with survival of recipient T cells and Th2 pathway-dependent regulation of GVHD. We investigated the mechanism of survival of recipient T cells and their contribution to GVHD pathogenesis in this helminth infection and BMT model after myeloablative preparation with total body irradiation in mice. Our results indicate that the helminth-induced Th2 pathway directly promotes the survival of recipient T cells after total body irradiation. Th2 cells also directly stimulate recipient T cells to produce TGF-β, which is required to regulate donor T cell-mediated immune attack of GVHD and can thereby contribute to recipient T cell survival after BMT. Moreover, we show that recipient T cells, conditioned to produce Th2 cytokines and TGF-β after helminth infection, are fundamentally necessary for GVHD regulation. Taken together, reprogrammed or immune-conditioned recipient T cells after helminth infection are crucial elements of Th2- and TGF-β-dependent regulation of GVHD after BMT, and their survival is dependent on cell-intrinsic Th2 signaling.
受者 T 细胞在骨髓移植(BMT)后可加重或调节致命性和破坏性移植物抗宿主病(GVHD)。在此背景下,我们之前已经证明,用寄生虫进行肠道免疫调理与受者 T 细胞的存活以及 GVHD 的 Th2 通路依赖性调节有关。我们在经过全身照射的骨髓清除性准备后,在寄生虫感染和 BMT 模型中研究了受者 T 细胞存活的机制及其对 GVHD 发病机制的贡献。我们的结果表明,寄生虫诱导的 Th2 通路直接促进了全身照射后受者 T 细胞的存活。Th2 细胞还直接刺激受者 T 细胞产生 TGF-β,这是调节供者 T 细胞介导的 GVHD 免疫攻击所必需的,从而有助于 BMT 后受者 T 细胞的存活。此外,我们还表明,在寄生虫感染后产生 Th2 细胞因子和 TGF-β的受者 T 细胞对于 GVHD 的调节是根本必需的。总之,寄生虫感染后重编程或免疫调理的受者 T 细胞是 BMT 后 Th2 和 TGF-β依赖性 GVHD 调节的关键因素,其存活依赖于细胞内在的 Th2 信号。