Antibody to the dendritic cell surface activation antigen CD83 prevents acute graft-versus-host disease

J Wilson, H Cullup, R Lourie, Y Sheng… - Journal of Experimental …, 2009 - rupress.org
J Wilson, H Cullup, R Lourie, Y Sheng, A Palkova, KJ Radford, AM Dickinson, AM Rice…
Journal of Experimental Medicine, 2009rupress.org
Allogeneic (allo) hematopoietic stem cell transplantation is an effective therapy for
hematological malignancies but it is limited by acute graft-versus-host disease (GVHD).
Dendritic cells (DC) play a major role in the allo T cell stimulation causing GVHD. Current
immunosuppressive measures to control GVHD target T cells but compromise posttransplant
immunity in the patient, particularly to cytomegalovirus (CMV) and residual malignant cells.
We showed that treatment of allo mixed lymphocyte cultures with activated human DC …
Allogeneic (allo) hematopoietic stem cell transplantation is an effective therapy for hematological malignancies but it is limited by acute graft-versus-host disease (GVHD). Dendritic cells (DC) play a major role in the allo T cell stimulation causing GVHD. Current immunosuppressive measures to control GVHD target T cells but compromise posttransplant immunity in the patient, particularly to cytomegalovirus (CMV) and residual malignant cells. We showed that treatment of allo mixed lymphocyte cultures with activated human DC-depleting CD83 antibody suppressed alloproliferation but preserved T cell numbers, including those specific for CMV. We also tested CD83 antibody in the human T cell–dependent peripheral blood mononuclear cell transplanted SCID (hu-SCID) mouse model of GVHD. We showed that this model requires human DC and that CD83 antibody treatment prevented GVHD but, unlike conventional immunosuppressants, did not prevent engraftment of human T cells, including cytotoxic T lymphocytes (CTL) responsive to viruses and malignant cells. Immunization of CD83 antibody-treated hu-SCID mice with irradiated human leukemic cell lines induced allo antileukemic CTL effectors in vivo that lysed 51Cr-labeled leukemic target cells in vitro without further stimulation. Antibodies that target activated DC are a promising new therapeutic approach to the control of GVHD.
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