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Graft-versus-host disease depletes plasmacytoid dendritic cell progenitors to impair tolerance induction
Yuanyuan Tian, … , Shaoyan Hu, Yi Zhang
Yuanyuan Tian, … , Shaoyan Hu, Yi Zhang
Published October 22, 2020
Citation Information: J Clin Invest. 2021;131(1):e136774. https://doi.org/10.1172/JCI136774.
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Research Article

Graft-versus-host disease depletes plasmacytoid dendritic cell progenitors to impair tolerance induction

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Abstract

Graft-versus-host disease (GVHD) causes failed reconstitution of donor plasmacytoid dendritic cells (pDCs) that are critical for immune protection and tolerance. We used both murine and human systems to uncover the mechanisms whereby GVHD induces donor pDC defects. GVHD depleted Flt3-expressing donor multipotent progenitors (MPPs) that sustained pDCs, leading to impaired generation of pDCs. MPP loss was associated with decreased amounts of MPP-producing hematopoietic stem cells (HSCs) and oxidative stress–induced death of proliferating MPPs. Additionally, alloreactive T cells produced GM-CSF to inhibit MPP expression of Tcf4, the transcription factor essential for pDC development, subverting MPP production of pDCs. GM-CSF did not affect the maturation of pDC precursors. Notably, enhanced recovery of donor pDCs upon adoptive transfer early after allogeneic HSC transplantation repressed GVHD and restored the de novo generation of donor pDCs in recipient mice. pDCs suppressed the proliferation and expansion of activated autologous T cells via a type I IFN signaling–dependent mechanism. They also produced PD-L1 and LILRB4 to inhibit T cell production of IFN-γ. We thus demonstrate that GVHD impairs the reconstitution of tolerogenic donor pDCs by depleting DC progenitors rather than by preventing pDC maturation. MPPs are an important target to effectively bolster pDC reconstitution for controlling GVHD.

Authors

Yuanyuan Tian, Lijun Meng, Ying Wang, Bohan Li, Hongshuang Yu, Yan Zhou, Tien Bui, Ciril Abraham, Alicia Li, Yongping Zhang, Jian Wang, Chenchen Zhao, Shin Mineishi, Stefania Gallucci, David Porter, Elizabeth Hexner, Hong Zheng, Yanyun Zhang, Shaoyan Hu, Yi Zhang

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Figure 5

GVHD induces MPP loss.

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GVHD induces MPP loss.
(A–C) GVHD in BALB/c mice was induced as describe...
(A–C) GVHD in BALB/c mice was induced as described in Figure 1A. BM cells were isolated on day 15 after transplantation from these GVHD mice (n = 3–4) and activated with cytokines (i.e., Flt3L plus SCF plus GM-CSF) for 2 hours, followed by measuring p-S6K1 (A) and ROS production (B). (C) Rapamycin (1.5 mg/kg, daily, i.p.) was administered into GVHD mice from days 0 to 14, with solvent treatment as control. MPPs were examined in these mice on day 15 after transplant. (D–F) MPPs were sorted from GVHD mice on day 15 after transplantation and labeled with CellTrace and cultured with Flt3L and SCF, with normal MPPs as controls. (D) Plots show CellTrace dilution and cell death on day 3 of culture. Graphs show the recovery rates and dead cell percentage of cultured MPPs. (E and F) On day 9 of culture, cell viability and recovery rate of pDCs were examined without (E) or with (F) NAC (500 μM) for 9 days. (G) Normal c-kit+ HSPCs were cultured in the upper chamber of a Transwell plate in the presence of Flt3L plus SCF. Naive T cells and GVHD T cells from normal mice and GVHD mice, respectively, were activated with anti-CD3 Ab plus anti-CD28 Ab for 3 hours and transferred into the lower chamber. Nine days later, cells were collected for pDC measurement. (H) Neutralizing Abs specific for each cytokine were added to the plate that contained c-kit+ HSPCs and activated GVHD T cells as mentioned above in G. pDC production in culture was examined 9 days later. (I and J) GM-CSF (5.0 ng/mL) was added to MPP cultures stimulated with Flt3L plus SCF. (I) The frequencies of pDCs and mo-DCs were measured on day 9. (J) Gene expression in GM-CSF–stimulated MPPs on day 3 of culture. Results shown are representative of at least 2 independent experiments. Two-group comparisons were evaluated by unpaired t test (E, F, I, and J), and multiple comparisons by 1-way ANOVA with Turkey’s multiple-comparison test (G) or 1-way ANOVA with Dunnett’s multiple-comparison test (H). *P < 0.05; **P < 0.01; ***P < 0.001.

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