FTY720 enhances the activation-induced apoptosis of donor T cells and modulates graft-versus-host disease

Eur J Immunol. 2007 Jan;37(1):271-81. doi: 10.1002/eji.200636123.

Abstract

FTY720 is a novel immunosuppressant that improves the outcomes after solid organ and bone marrow transplantation (BMT) due to the sequestration of T cells into LN. We tested the hypothesis that the sequestration of donor T cells in LN by FTY720 would enhance their interaction with host APC, thus causing a greater degree of activation-induced apoptosis of alloreactive T cells, and thereby resulting in a reduction of graft-vs.-host disease (GVHD). The short-term administration of FTY720 improved the recipient survival after allogeneic BMT. FTY720 treatment facilitated a rapid contraction of the donor T cell pool in association with an increased degree of apoptosis of donor T cells. The donor T cell reactivity to host alloantigens was diminished in host's LN and adoptive transfer of donor T cells isolated from LN of FTY720-treated recipients of allogeneic BMT induced less severe GVHD in secondary recipients than the transfer from controls. Caspase-dependent apoptosis was involved in this mechanism because FTY720-induced protection was abrogated when a pan-caspase inhibitor was administered. These findings thus demonstrate the presence of a novel mechanism by which FTY720 modulates the allogeneic T cell responses: namely, by the induction of activation-induced apoptosis of alloreactive T cells in LN.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adjuvants, Immunologic / administration & dosage*
  • Administration, Oral
  • Adoptive Transfer
  • Animals
  • Apoptosis / drug effects
  • Apoptosis / immunology*
  • Bone Marrow Transplantation / immunology
  • Bone Marrow Transplantation / pathology
  • Cells, Cultured
  • Female
  • Fingolimod Hydrochloride
  • Graft vs Host Disease / immunology*
  • Graft vs Host Disease / pathology*
  • Graft vs Host Disease / prevention & control
  • Lymphocyte Activation / drug effects
  • Lymphocyte Activation / immunology*
  • Lymphocyte Depletion
  • Lymphopenia / chemically induced
  • Lymphopenia / immunology
  • Lymphopenia / pathology
  • Mice
  • Mice, Inbred C3H
  • Mice, Inbred C57BL
  • Propylene Glycols / administration & dosage
  • Propylene Glycols / pharmacology*
  • Sphingosine / administration & dosage
  • Sphingosine / analogs & derivatives*
  • Sphingosine / pharmacology
  • T-Lymphocytes / cytology*
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / transplantation

Substances

  • Adjuvants, Immunologic
  • Propylene Glycols
  • Fingolimod Hydrochloride
  • Sphingosine