Epithelial cytoprotection sustains ectopic expression of tissue-restricted antigens in the thymus during murine acute GVHD

S Dertschnig, G Nusspaumer, R Ivanek… - Blood, The Journal …, 2013 - ashpublications.org
S Dertschnig, G Nusspaumer, R Ivanek, MM Hauri-Hohl, GA Holländer, W Krenger
Blood, The Journal of the American Society of Hematology, 2013ashpublications.org
Abstract Development of acute graft-versus-host disease (aGVHD) predisposes to chronic
GVHD with autoimmune manifestations. A characteristic of experimental aGVHD is the de
novo generation of autoreactive T cells. Central tolerance is dependent on the intrathymic
expression of tissue-restricted peripheral self-antigens (TRA), which is in mature medullary
thymic epithelial cells (mTEChigh) partly controlled by the autoimmune regulator (Aire).
Because TECs are targets of donor T-cell alloimmunity, we tested whether murine aGVHD …
Abstract
Development of acute graft-versus-host disease (aGVHD) predisposes to chronic GVHD with autoimmune manifestations. A characteristic of experimental aGVHD is the de novo generation of autoreactive T cells. Central tolerance is dependent on the intrathymic expression of tissue-restricted peripheral self-antigens (TRA), which is in mature medullary thymic epithelial cells (mTEChigh) partly controlled by the autoimmune regulator (Aire). Because TECs are targets of donor T-cell alloimmunity, we tested whether murine aGVHD interfered with the capacity of recipient Aire+mTEChigh to sustain TRA diversity. We report that aGVHD weakens the platform for central tolerance induction because individual TRAs are purged from the total repertoire secondary to a decline in the Aire+mTEChigh cell pool. Peritransplant administration of an epithelial cytoprotective agent, fibroblast growth factor-7, maintained a stable pool of Aire+mTEChigh, with an improved TRA transcriptome despite aGVHD. Taken together, our data provide a mechanism for how autoimmunity may develop in the context of antecedent alloimmunity.
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