Deficient T cell granulocyte-macrophage colony stimulating factor production in allogeneic bone marrow transplant recipients

Transplantation. 1990 Apr;49(4):703-8. doi: 10.1097/00007890-199004000-00010.

Abstract

The proliferation and differentiation of donor hematopoietic progenitor cells in bone marrow transplantation (BMT) recipients is influenced by hematopoietic growth factors, which could derive from either T cells or adherent stromal bone marrow cells, or both. In this study of 20 BMT recipients, we asked whether T lymphocytes arising from donor bone marrow grafts were able to express normal levels of granulocyte-macrophage colony stimulating factor (GM-CSF) mRNA, and to secrete normal levels of soluble GM-CSF in response to the mitogen phytohemagglutinin. We have found that T cells obtained up to 18 months following BMT express little or no PHA-induced GM-CSF message. T cell GM-CSF secretion in response to PHA is also reduced or absent. This T cell GM-CSF defect was observed in all patients studied, whether or not donor bone marrows had undergone T cell depletion. This defect likely reflects a broader deficit in mitogen-induced lymphokine production. This defect likely contributes to BMT recipients' blunted responses to infections, and contributes to graft failure in T cell-depleted transplants.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Bone Marrow Transplantation / immunology*
  • Cells, Cultured
  • Child
  • Child, Preschool
  • Colony-Stimulating Factors / biosynthesis*
  • Granulocyte-Macrophage Colony-Stimulating Factor
  • Growth Substances / biosynthesis*
  • Humans
  • Interleukin-3 / biosynthesis
  • RNA, Messenger / analysis
  • T-Lymphocytes / metabolism*
  • T-Lymphocytes / transplantation

Substances

  • Colony-Stimulating Factors
  • Growth Substances
  • Interleukin-3
  • RNA, Messenger
  • Granulocyte-Macrophage Colony-Stimulating Factor