[HTML][HTML] Graft-versus-host disease can be separated from graft-versus-lymphoma effects by control of lymphocyte trafficking with FTY720

YM Kim, T Sachs, W Asavaroengchai… - The Journal of …, 2003 - Am Soc Clin Investig
YM Kim, T Sachs, W Asavaroengchai, R Bronson, M Sykes
The Journal of clinical investigation, 2003Am Soc Clin Investig
Graft-versus-host disease (GvHD) mediated by donor T cells recognizing host alloantigens
is associated with beneficial graft-versus-tumor effects in recipients of allogeneic
hematopoietic cell transplants. Since leukemias and lymphomas reside largely within the
lymphohematopoietic system, we have proposed that the desired graft-versus-leukemia or
graft-versus-lymphoma effect can be separated from the complication of GvHD by
confinement of the graft-versus-host alloresponse to the lymphohematopoietic tissues. Since …
Graft-versus-host disease (GvHD) mediated by donor T cells recognizing host alloantigens is associated with beneficial graft-versus-tumor effects in recipients of allogeneic hematopoietic cell transplants. Since leukemias and lymphomas reside largely within the lymphohematopoietic system, we have proposed that the desired graft-versus-leukemia or graft-versus-lymphoma effect can be separated from the complication of GvHD by confinement of the graft-versus-host alloresponse to the lymphohematopoietic tissues. Since the new sphingosine-1-phosphate receptor agonist immunosuppressive drug FTY720 leads to trapping of T cells in secondary lymphoid tissues, we evaluated the possibility that this drug could diminish GvHD, a disease involving epithelial target tissues, while permitting a beneficial alloresponse to take place within the lymphohematopoietic system, leading to graft-versus-lymphoma effects. We demonstrate here that FTY720 markedly reduces GvHD in a clinically relevant, haploidentical strain combination, while permitting antitumor effects against a T cell lymphoma of unshared host MHC haplotype to proceed unhindered. These results establish a potential new immunotherapeutic approach to separating graft-versus-leukemia effects from GvHD.
The Journal of Clinical Investigation