Flt3 ligand therapy for recipients of allogeneic bone marrow transplants expands host CD8 alpha(+) dendritic cells and reduces experimental acute graft-versus-host disease

Blood. 2002 Mar 1;99(5):1825-32. doi: 10.1182/blood.v99.5.1825.

Abstract

Recent evidence suggests that dendritic cells (DCs) can regulate and amplify immune responses. Flt3 ligand (FL)-derived DC function was tested as a stimulator of allogeneic lymphocytes in vitro and in vivo. Treatment of mice with FL dramatically expanded DC number, but DCs isolated from FL-treated mice (FL DCs) were poor stimulators of allogeneic T-cell responses in vitro. Further activation of FL DCs did not restore their stimulatory ability, and FL DCs did not suppress the stimulation of the allogeneic T cells by normal DCs. FL treatment significantly increased the CD8 alpha(+) DC subset, which appeared to be the reason for their poor stimulatory capacity. These observations were confirmed in vivo using a mouse model of acute graft-versus-host disease (GVHD) wherein host DCs play a critical role. FL treatment of recipients before allogeneic bone marrow transplantation dramatically suppressed donor T-cell responses to host antigens, thereby reducing GVHD mortality (P <.01). These data represent a novel strategy that alters host DCs and reduces acute GVHD.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acute Disease
  • Adjuvants, Immunologic / administration & dosage
  • Adjuvants, Immunologic / pharmacology*
  • Adjuvants, Immunologic / therapeutic use
  • Animals
  • Bone Marrow Transplantation / immunology
  • Bone Marrow Transplantation / methods*
  • CD8 Antigens / analysis
  • Cell Division / drug effects
  • Coculture Techniques
  • Dendritic Cells / cytology
  • Dendritic Cells / immunology*
  • Disease Models, Animal
  • Female
  • Graft vs Host Disease / drug therapy
  • Graft vs Host Disease / prevention & control*
  • Lymphocyte Activation / immunology
  • Membrane Proteins / pharmacology*
  • Membrane Proteins / therapeutic use
  • Mice
  • Mice, Inbred C57BL
  • Survival Rate
  • T-Lymphocytes / immunology
  • Transplantation, Homologous / immunology
  • Transplantation, Homologous / methods

Substances

  • Adjuvants, Immunologic
  • CD8 Antigens
  • CD8alpha antigen
  • Membrane Proteins
  • flt3 ligand protein