Irradiated donor leukocytes promote engraftment of allogeneic bone marrow in major histocompatibility complex mismatched recipients without causing graft-versus …

EK Waller, AM Ship, S Mittelstaedt… - Blood, The Journal …, 1999 - ashpublications.org
EK Waller, AM Ship, S Mittelstaedt, TW Murray, R Carter, I Kakhniashvili, S Lonial, JT Holden…
Blood, The Journal of the American Society of Hematology, 1999ashpublications.org
Graft rejection in allogeneic bone marrow transplantation (BMT) can occur when donor and
recipient are mismatched at one or more major histocompatibility complex (MHC) loci. Donor
T cells can prevent graft rejection, but may cause fatal graft-versus-host disease (GVHD). We
tested whether irradiation of allogeneic donor lymphocytes would preserve their graft-
facilitating activity while inhibiting their potential for GVHD. Infusions of irradiated allogeneic
T cells did not cause GVHD in MHC-mismatched SJL→(SJL× C57BL6) F1, C57BL6→ B10 …
Abstract
Graft rejection in allogeneic bone marrow transplantation (BMT) can occur when donor and recipient are mismatched at one or more major histocompatibility complex (MHC) loci. Donor T cells can prevent graft rejection, but may cause fatal graft-versus-host disease (GVHD). We tested whether irradiation of allogeneic donor lymphocytes would preserve their graft-facilitating activity while inhibiting their potential for GVHD. Infusions of irradiated allogeneic T cells did not cause GVHD in MHC-mismatched SJL → (SJL × C57BL6) F1, C57BL6 → B10.RIII, and C57BL6 → B10.BR mouse donor → recipient BMT pairs. The 60-day survival among MHC-mismatched transplant recipients increased from 2% (BM alone) to up to 75% among recipients of BM plus irradiated allogeneic splenocytes. Optimal results were obtained using 50 × 106 to 75 × 106 irradiated donor splenocytes administered in multiple injections from day −1 to day +1. Recipients of an equal number of nonirradiated MHC-mismatched donor splenocytes uniformly died of acute GVHD. The graft facilitating activity of the irradiated allogeneic splenocytes was mediated by donor T cells. Irradiation to 7.5 Gy increased nuclear NFκB in T cells and their allospecific cytotoxicity. Irradiated T cells survived up to 3 days in the BM of MHC-mismatched recipients without proliferation. Recipients of irradiated allogeneic splenocytes and allogeneic BM had stable donor-derived hematopoiesis without a significant representation of donor splenocytes in the T-cell compartment. Irradiated allogeneic T cells thus represent a form of cellular immunotherapy with time-limited biologic activity in vivo that can facilitate allogeneic BMT without causing GVHD.
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