Rapamycin and IL-2 reduce lethal acute graft-versus-host disease associated with increased expansion of donor type CD4+CD25+Foxp3+ regulatory T cells

Blood. 2011 Aug 25;118(8):2342-50. doi: 10.1182/blood-2010-10-313684. Epub 2011 Jul 6.

Abstract

Previous work has demonstrated that both rapamycin (RAPA) and IL-2 enhance CD4⁺CD25⁺Foxp3⁺ regulatory T-cell (Treg) proliferation and function in vitro. We investigated whether the combination of RAPA plus IL-2 could impact acute GVHD induction after bone marrow transplantation (BMT). RAPA plus IL-2 resulted in improved survival and a reduction in acute GVHD lethality associated with an increased expansion of donor type CD4⁺Foxp3⁺ Tregs and reduced CD4⁺CD25⁻ conventional T cells (Tcons). RAPA plus IL-2, but not either drug alone, increased both expansion of donor natural Tregs and conversion of induced Tregs from donor CD25⁻ Tcons while IL-2 alone increased conversion of Tregs from CD25⁻ Tcon. RAPA plus IL-2 treatment resulted in less production of IFN-γ and TNF, cytokines known to be important in the initiation of acute GVHD. These studies indicate that the pharmacologic stimulation of T cells with IL-2 and the suppression of Tcon proliferation with RAPA result in a selective expansion of functional Tregs and suppression of acute GVHD.

MeSH terms

  • Acute Disease
  • Animals
  • Bone Marrow Transplantation / adverse effects
  • Bone Marrow Transplantation / immunology
  • Female
  • Forkhead Transcription Factors / metabolism
  • Graft vs Host Disease / immunology
  • Graft vs Host Disease / prevention & control*
  • Interferon-gamma / biosynthesis
  • Interleukin-2 / administration & dosage
  • Interleukin-2 / pharmacology*
  • Interleukin-2 Receptor alpha Subunit / metabolism
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Sirolimus / administration & dosage
  • Sirolimus / pharmacology*
  • T-Lymphocyte Subsets / classification
  • T-Lymphocyte Subsets / drug effects
  • T-Lymphocyte Subsets / immunology
  • T-Lymphocytes, Regulatory / classification
  • T-Lymphocytes, Regulatory / drug effects*
  • T-Lymphocytes, Regulatory / immunology*
  • Transplantation, Homologous
  • Tumor Necrosis Factor-alpha / biosynthesis

Substances

  • Forkhead Transcription Factors
  • Foxp3 protein, mouse
  • Il2ra protein, mouse
  • Interleukin-2
  • Interleukin-2 Receptor alpha Subunit
  • Tumor Necrosis Factor-alpha
  • Interferon-gamma
  • Sirolimus