An inflammatory checkpoint regulates recruitment of graft-versus-host reactive T cells to peripheral tissues

J Exp Med. 2006 Aug 7;203(8):2021-31. doi: 10.1084/jem.20060376. Epub 2006 Jul 31.

Abstract

Transfer of T cells to freshly irradiated allogeneic recipients leads to their rapid recruitment to nonlymphoid tissues, where they induce graft-versus-host disease (GVHD). In contrast, when donor T cells are transferred to established mixed chimeras (MCs), GVHD is not induced despite a robust graft-versus-host (GVH) reaction that eliminates normal and malignant host hematopoietic cells. We demonstrate here that donor GVH-reactive T cells transferred to MCs or freshly irradiated mice undergo similar expansion and activation, with similar up-regulation of homing molecules required for entry to nonlymphoid tissues. Using dynamic two-photon in vivo microscopy, we show that these activated T cells do not enter GVHD target tissues in established MCs, contrary to the dogma that activated T cells inevitably traffic to nonlymphoid tissues. Instead, we show that the presence of inflammation within a nonlymphoid tissue is a prerequisite for the trafficking of activated T cells to that site. Our studies help to explain the paradox whereby GVH-reactive T cells can mediate graft-versus-leukemia responses without inducing GVHD in established MCs.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • CD8-Positive T-Lymphocytes / immunology
  • Cross-Priming / immunology
  • Graft vs Host Disease / immunology
  • Graft vs Host Reaction / immunology*
  • Inflammation / immunology*
  • Mice
  • Radiation Chimera / immunology
  • Skin / cytology
  • Skin / immunology
  • T-Lymphocytes / cytology
  • T-Lymphocytes / immunology*
  • Toll-Like Receptors / metabolism

Substances

  • Toll-Like Receptors