[HTML][HTML] In situ activation and expansion of host tregs: a new approach to enhance donor chimerism and stable engraftment in major histocompatibility complex …

A Shatry, RB Levy - Biology of blood and marrow transplantation, 2009 - Elsevier
A Shatry, RB Levy
Biology of blood and marrow transplantation, 2009Elsevier
Host antidonor effector T cells represent a major barrier to the successful engraftment of
allogeneic donor hematopoietic progenitor and stem cells. Here, administration of a complex
of IL-2 and anti-IL 2 antibody (IAC) significantly enhanced donor chimerism early as well as
long-term engraftment following reduced-intensity conditioning (RIC) and allogeneic major
histocompatibility complex (MHC)-matched hematopoietic cell transplant (HCT). Timing of
administration of this complex was crucial: administration of IAC post-HCT more efficiently …
Host antidonor effector T cells represent a major barrier to the successful engraftment of allogeneic donor hematopoietic progenitor and stem cells. Here, administration of a complex of IL-2 and anti-IL 2 antibody (IAC) significantly enhanced donor chimerism early as well as long-term engraftment following reduced-intensity conditioning (RIC) and allogeneic major histocompatibility complex (MHC)-matched hematopoietic cell transplant (HCT). Timing of administration of this complex was crucial: administration of IAC post-HCT more efficiently facilitated marrow engraftment than pre-HCT treatment. Donor chimerism persisted to >6 months post-HCT. Importantly, this approach clearly suppressed the emergence of host antidonor CD8 T cells 2 to 3 weeks post-HCT as assessed by tetramer staining. Following in vivo reactivation of IAC-treated and control recipients at >5 months post-HCT with donor antigen, only PBS-treated control marrow allograft recipients responded with tetramer-binding CD8 cells. In total, the present findings support the notion that the transient activation and expansion of host Tregs in situ post-HCT can be explored as a new approach to regulate host alloreactivity posttransplant. Interestingly, direct stimulation of recipient Treg cells in reduced-intensity conditioned recipients obviated a requirement for exogenous Treg cell transfusion in this model and may represent a viable alternative to, and/or complement the adaptive transfer of Treg populations in clinical HCT.
Elsevier