Tolerance associated with cord blood transplantation may depend on the state of host dendritic cells

Br J Haematol. 2004 Aug;126(4):517-26. doi: 10.1111/j.1365-2141.2004.05061.x.

Abstract

Allogeneic cord blood (CB) transplantation is associated with less severe graft-versus-host disease (GvHD), thought to be due to the immaturity of CB T cells, but how T cells interact with host and donor-derived dendritic cells (DCs) to initiate GvHD has not been elucidated. We therefore investigated the responses of CB and adult blood CD4(+) T cells co-cultured with adult host DCs of different maturities. Primed by adult host DCs, CB and adult blood CD4(+) T cells underwent similar changes in the expression of CD45RA/45RO, CD25, CD40L and CTLA-4. However, CB CD4(+) T cells, when primed by either immature or Bacillus Calmette-Guerin mycobacteria-treated adult host DCs, produced lower interferon-gamma (IFN-gamma) and higher interleukin-10 (IL-10), which is a regulatory T cell-like cytokine profile, as compared with adult blood CD4(+) T cells. In contrast, lipopolysaccharide (LPS)-treated adult host DCs significantly up-regulated IFN-gamma and down-regulated IL-10 production levels from CB CD4(+) T cells to that from adult blood CD4(+) T cells. The sustained low IFN-gamma and high IL-10 production from CB CD4(+) T cells co-cultured with adult blood DCs might account for the less severe GvHD occurrence after CB transplantation, which could be reversed by LPS-treated adult blood DCs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aging / immunology
  • CD4-Positive T-Lymphocytes / immunology
  • CD40 Ligand / blood
  • Coculture Techniques
  • Cord Blood Stem Cell Transplantation*
  • Dendritic Cells / immunology*
  • Humans
  • Infant, Newborn
  • Interferon-gamma / biosynthesis
  • Interleukin-10 / biosynthesis
  • Leukocyte Common Antigens / blood
  • Lipopolysaccharides / immunology
  • Lymphocyte Activation / immunology
  • Receptors, Interleukin-2 / blood
  • Transplantation Tolerance / immunology*
  • Tuberculin / immunology

Substances

  • Lipopolysaccharides
  • Receptors, Interleukin-2
  • Tuberculin
  • Interleukin-10
  • CD40 Ligand
  • Interferon-gamma
  • Leukocyte Common Antigens