Low doses of natural killer T cells provide protection from acute graft-versus-host disease via an IL-4–dependent mechanism

DB Leveson-Gower, JA Olson, EI Sega… - Blood, The Journal …, 2011 - ashpublications.org
DB Leveson-Gower, JA Olson, EI Sega, RH Luong, J Baker, R Zeiser, RS Negrin
Blood, The Journal of the American Society of Hematology, 2011ashpublications.org
Abstract CD4+ natural killer T (NKT) cells, along with CD4+ CD25+ regulatory T cells
(Tregs), are capable of controlling aberrant immune reactions. We explored the adoptive
transfer of highly purified (> 95%) CD4+ NKT cells in a murine model of allogeneic
hematopoietic cell transplantation (HCT). NKT cells follow a migration and proliferation
pattern similar to that of conventional T cells (Tcons), migrating initially to secondary
lymphoid organs followed by infiltration of graft-versus-host disease (GVHD) target tissues …
Abstract
CD4+ natural killer T (NKT) cells, along with CD4+CD25+ regulatory T cells (Tregs), are capable of controlling aberrant immune reactions. We explored the adoptive transfer of highly purified (> 95%) CD4+NKT cells in a murine model of allogeneic hematopoietic cell transplantation (HCT). NKT cells follow a migration and proliferation pattern similar to that of conventional T cells (Tcons), migrating initially to secondary lymphoid organs followed by infiltration of graft-versus-host disease (GVHD) target tissues. NKT cells persist for more than 100 days and do not cause significant morbidity or mortality. Doses of NKT cells as low as 1.0 × 104 cells suppress GVHD caused by 5.0 × 105 Tcons in an interleukin-4 (IL-4)–dependent mechanism. Protective doses of NKT cells minimally affect Tcon proliferation, but cause significant reductions in interferon-γ (IFN-γ) and tumor necrosis factor-α (TNF-α) production by donor Tcons and in skin, spleen, and gastrointestinal pathology. In addition, NKT cells do not impact the graft-versus-tumor (GVT) effect of Tcons against B-cell lymphoma-1 (BCL-1) tumors. These studies elucidate the biologic function of donor-type CD4+NKT cells in suppressing GVHD in an allogeneic transplantation setting, demonstrating clinical potential in reducing GVHD in HCT.
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