Abrogation of donor T-cell IL-21 signaling leads to tissue-specific modulation of immunity and separation of GVHD from GVL

AM Hanash, LW Kappel, NL Yim… - Blood, The Journal …, 2011 - ashpublications.org
AM Hanash, LW Kappel, NL Yim, RA Nejat, GL Goldberg, OM Smith, UK Rao, L Dykstra…
Blood, The Journal of the American Society of Hematology, 2011ashpublications.org
IL-21 is a proinflammatory cytokine produced by Th17 cells. Abrogation of IL-21 signaling
has recently been shown to reduce GVHD while retaining graft-versus-leukemia/lymphoma
(GVL) responses. However, the mechanisms by which IL-21 may lead to a separation of
GVHD and GVL remain incompletely understood. In a murine MHC-mismatched BM
transplantation model, we observed that IL-21 receptor knockout (IL-21R KO) donor T cells
mediate decreased systemic and gastrointestinal GVHD in recipients of a transplant. This …
Abstract
IL-21 is a proinflammatory cytokine produced by Th17 cells. Abrogation of IL-21 signaling has recently been shown to reduce GVHD while retaining graft-versus-leukemia/lymphoma (GVL) responses. However, the mechanisms by which IL-21 may lead to a separation of GVHD and GVL remain incompletely understood. In a murine MHC-mismatched BM transplantation model, we observed that IL-21 receptor knockout (IL-21R KO) donor T cells mediate decreased systemic and gastrointestinal GVHD in recipients of a transplant. This reduction in GVHD was associated with expansion of transplanted donor regulatory T cells and with tissue-specific modulation of Th-cell function. IL-21R KO and wild-type donor T cells showed equivalent alloactivation, but IL-21R KO T cells showed decreased infiltration and inflammatory cytokine production within the mesenteric lymph nodes. However, Th-cell cytokine production was maintained peripherally, and IL-21R KO T cells mediated equivalent immunity against A20 and P815 hematopoietic tumors. In summary, abrogation of IL-21 signaling in donor T cells leads to tissue-specific modulation of immunity, such that gastrointestinal GVHD is reduced, but peripheral T-cell function and GVL capacity are retained. IL-21 is thus an exciting target for therapeutic intervention and improvement of clinical transplantation outcomes.
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