Promoting regulation via the inhibition of DNAM-1 after transplantation

作者：Koyama Motoko^*; Kuns Rachel D; Olver Stuart D; Lineburg Katie E; Lor Mary; Teal Bianca E; Raffelt Neil C; Leveque Lucie; Chan Christopher J; Robb Renee J; Markey Kate A; Alexander Kylie A; Varelias Antiopi; Clouston Andrew D; Smyth Mark J; MacDonald Kelli P A; Hill Geoffrey R

来源：Blood, 2013, 121(17): 3511-3520.

DOI：10.1182/blood-2012-07-444026

Donor T cells play pivotal roles in graft-versus-host disease (GVHD) and graft-versus-leukemia (GVL) effects following bone marrow transplantation (BMT). DNAX accessory molecule 1 (DNAM-1) is a costimulatory and adhesion molecule, expressed mainly by natural killer cells and CD8(+) T cells at steady state to promote adhesion to ligand-expressing targets and enhance cytolysis. We have analyzed the role of this pathway in GVHD and GVL. The absence of DNAM-1 on the donor graft attenuated GVHD in major histocompatibility complex (MHC)-mismatched and MHC-matched BMT following conditioning with lethal and sublethal irradiation. In contrast, DNAM-1 was not critical for GVL effects against ligand (CD155) expressing and nonexpressing leukemia. The effects on GVHD following myeloablative conditioning were independent of CD8(+) T cells and dependent on CD4(+) T cells, and specifically donor FoxP3(+) regulatory T cells (T-reg). The absence of DNAM-1 promoted the expansion and suppressive function of T-reg after BMT. These findings provide support for therapeutic DNAM-1 inhibition to promote tolerance in relevant inflammatory-based diseases characterized by T-cell activation.

• 出版日期2013-4-25
• 单位河北医科大学