Graft-versus-host disease in the absence of the spleen after allogeneic bone marrow transplantation

Transplantation. 2002 May 27;73(10):1679-81. doi: 10.1097/00007890-200205270-00027.

Abstract

Background: The spleen is considered to be an important secondary lymphoid organ where acute graft-versus-host disease (GVHD) is initiated by donor T cells that recognize host alloantigens after allogeneic bone-marrow transplantation (BMT). The influence of splenectomy on the development of GVHD prior to BMT has yet to be determined.

Methods: The mortality and severity of murine GVHD of unsplenectomized, splenectomized, and sham-operated recipients of allogeneic BMT were compared in a blinded fashion. Serum levels of interferon (IFN)-gamma were measured 7 days after BMT, as an index of systemic donor T-cell responses.

Results: Mortality and morbidity of acute GVHD were not significantly affected by splenectomy in a major histocompatibility complex (MHC)-mismatched, CD4-driven murine GVHD model and a minor histocompatibility antigen (MiHA)-mismatched, CD8-driven GVHD model. Serum levels of IFN-gamma also were not different between the groups.

Conclusion: GVHD can readily develop after allogeneic BMT, even in the absence of the spleen, in these mouse models.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Bone Marrow Transplantation / immunology*
  • Bone Marrow Transplantation / mortality
  • Graft vs Host Disease / immunology*
  • Histocompatibility Testing
  • Mice
  • Postoperative Complications / epidemiology
  • Spleen / immunology
  • Splenectomy*
  • T-Lymphocytes / immunology
  • Transplantation, Homologous / immunology