IL-7 effect on immunological reconstitution after HSCT depends on MHC incompatibility

Br J Haematol. 2004 Sep;126(6):844-51. doi: 10.1111/j.1365-2141.2004.05134.x.

Abstract

Considerable progress has been recently accomplished in the management of patients who have undergone haplo-incompatible haematopoietic stem cell transplantation (HSCT) in terms of intake and prevention of graft-versus-host disease. Nevertheless haplo-incompatible HSCT is a procedure limited to a small number of patients because of the long-lasting immunodeficiency that is responsible for more than 50% of deaths within the first 3 months. Interleukin (IL)-7, which plays a unique and key role in T-cell development both in the mouse and in the human, is particularly attractive for attempting to speed up T-cell reconstitution. However, controversial results have been obtained after bone marrow graft in murine and primate models. To elucidate the impact of IL-7 treatment, we have performed HSCT in irradiated murine recombination activating gene (RAG) immunodeficient recipients, using donors that exhibited increased major histocompatibilty complex (MHC) incompatibility. Although irradiation performed prior to HSCT lead to a profound defect in the thymic stromal cells responsible for IL-7 production, IL-7 treatment had no significant effect on immune reconstitution in the MHC compatible and partially compatible settings. Interestingly, in the MHC fully incompatible setting in which only one-third of the recipients demonstrated active thymopoiesis, probably because of the rejection of donor cells by host natural killer cells, IL-7 treatment had a beneficial effect on T-cell development.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • B-Lymphocytes / immunology
  • Disease Models, Animal
  • Female
  • Hematopoietic Stem Cell Transplantation*
  • Interleukin-7 / therapeutic use*
  • Lymph Nodes / immunology
  • Major Histocompatibility Complex / immunology*
  • Male
  • Mice
  • Mice, Inbred Strains
  • Recombinant Proteins / therapeutic use
  • T-Lymphocytes / immunology
  • Thymus Gland / immunology

Substances

  • Interleukin-7
  • Recombinant Proteins