Graft-versus-host-disease-associated thymic damage results in the appearance of T cell clones with anti-host reactivity1

MRM van den Brink, E Moore, JLM Ferrara… - …, 2000 - journals.lww.com
MRM van den Brink, E Moore, JLM Ferrara, SJ Burakoff
Transplantation, 2000journals.lww.com
Background. We studied whether T-cell clones, which appear in the periphery as a result of
the failure of thymic negative selection during graft-versus-host disease (GVHD), have any in
vivo anti-host reactivity and can cause GVHD in an adoptive transfer model. Methods. We
performed our studies in a murine model (B10. BR into CBA/J) for allogeneic bone marrow
transplantation with major histocompatibility complex-matched and minor histocompatibility
antigen-mismatched unrelated donors and unique Vβ T-cell deletion patterns in donors and …
Abstract
Background.
We studied whether T-cell clones, which appear in the periphery as a result of the failure of thymic negative selection during graft-versus-host disease (GVHD), have any in vivo anti-host reactivity and can cause GVHD in an adoptive transfer model.
Methods.
We performed our studies in a murine model (B10. BR into CBA/J) for allogeneic bone marrow transplantation with major histocompatibility complex-matched and minor histocompatibility antigen-mismatched unrelated donors and unique Vβ T-cell deletion patterns in donors and recipients.
Results.
GVHD resulted in the appearance of Vβ6+ T cells as a result of a loss of negative selection. We found that Vβ6+ T cells from normal donors proliferated in vitro and in vivo. Depletion of Vβ6+ T cells from the donor T-cell inoculum resulted in less GVHD morbidity and a decrease in the loss of thymic cellularity. To test the anti-host reactivity of de novo generated Vβ6+ T cells in animals with GVHD, we developed an adoptive transfer model of splenic T cells from CBA/J host animals with GVHD into sublethally irradiated CBA/J recipients. Depletion of Vβ6+ T cells from the splenic T cells before adoptive transfer could significantly decrease the transient GVHD morbidity in the sublethally irradiated hosts.
Conclusions.
Our data indicate that GVHD-associated thymic damage results in a loss of thymic negative selection, which leads to the appearance of T-cell clones with anti-host reactivity in vitro and in vivo.
Lippincott Williams & Wilkins