Massive activation-induced cell death of alloreactive T cells with apoptosis of bystander postthymic T cells prevents immune reconstitution in mice with graft-versus …

S Brochu, B Rioux-Massé, J Roy… - Blood, The Journal …, 1999 - ashpublications.org
S Brochu, B Rioux-Massé, J Roy, DC Roy, C Perreault
Blood, The Journal of the American Society of Hematology, 1999ashpublications.org
After hematopoietic stem cell transplantation, the persistence and expansion of grafted
mature postthymic T cells allow both transfer of donor immunologic memory and generation
of a diverse T repertoire. This thymic-independent process, which is particularly important in
humans, because most transplant recipients present severe thymus atrophy, is impaired by
graft-versus-host disease (GVHD). The goal of this study was to decipher how GVHD
influences the fate of grafted postthymic T cells. Two major findings emerged. First, we found …
Abstract
After hematopoietic stem cell transplantation, the persistence and expansion of grafted mature postthymic T cells allow both transfer of donor immunologic memory and generation of a diverse T repertoire. This thymic-independent process, which is particularly important in humans, because most transplant recipients present severe thymus atrophy, is impaired by graft-versus-host disease (GVHD). The goal of this study was to decipher how GVHD influences the fate of grafted postthymic T cells. Two major findings emerged. First, we found that, after a brisk proliferation phase, alloreactive antihost T cells underwent a massive activation-induced cell death (AICD). For both CD4+ and CD8+ T cells, the Fas pathway was found to play a major role in this AICD: alloreactive T cells upregulated Fas and FasL, and AICD of antihost T cells was much decreased in the case of lpr (Fas-deficient) donors. Second, whereas non–host-reactive donor T cells neither upregulated Fas nor suffered apoptosis when transplanted alone, they showed increased membrane Fas expression and apoptosis when coinjected with host-reactive T cells. We conclude that GVHD-associated AICD of antihost T cells coupled with bystander lysis of grafted non–host-reactive T cells abrogate immune reconstitution by donor-derived postthymic T lymphocytes. Furthermore, we speculate that massive lymphoid apoptosis observed in the acute phase of GVHD might be responsible for the occurrence of autoimmunity in the chronic phase of GVHD.
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