IL-7 increases both thymic-dependent and thymic-independent T-cell regeneration after bone marrow transplantation

CL Mackall, TJ Fry, C Bare, P Morgan… - Blood, The Journal …, 2001 - ashpublications.org
CL Mackall, TJ Fry, C Bare, P Morgan, A Galbraith, RE Gress
Blood, The Journal of the American Society of Hematology, 2001ashpublications.org
Thymic-dependent differentiation of bone marrow (BM)-derived progenitors and thymic-
independent antigen-driven peripheral expansion of mature T cells represent the 2 primary
pathways for T-cell regeneration. These pathways are interregulated such that peripheral T-
cell expansion is increased in thymectomized versus thymus-bearing hosts after bone
marrow transplantation (BMT). This study shows that this interregulation is due to
competition between progeny of these 2 pathways because depletion of thymic progeny …
Thymic-dependent differentiation of bone marrow (BM)-derived progenitors and thymic-independent antigen-driven peripheral expansion of mature T cells represent the 2 primary pathways for T-cell regeneration. These pathways are interregulated such that peripheral T-cell expansion is increased in thymectomized versus thymus-bearing hosts after bone marrow transplantation (BMT). This study shows that this interregulation is due to competition between progeny of these 2 pathways because depletion of thymic progeny leads to increased peripheral expansion in thymus-bearing hosts. To test the hypothesis that competition for growth factors modulates the magnitude of antigen-driven peripheral expansion during immune reconstitution in vivo, a variety of T-cell active cytokines were administered after BMT. Of the cytokines (interleukins) tested (IL-3, IL-12, IL-6, IL-2, and IL-7), IL-2 modestly increased peripheral expansion in the face of increasing numbers of thymic emigrants, whereas IL-7 potently accomplished this. This report also demonstrates that the beneficial effect of IL-7 on immune reconstitution is related to both increases in thymopoiesis as well as a direct increase in the magnitude of antigen-driven peripheral expansion. Therefore, the administration of exogenous IL-7, and to a lesser extent IL-2, abrogates the down-regulation in antigen-driven peripheral expansion that occurs in thymus-bearing hosts after BMT. These results suggest that one mechanism by which T-cell–depleted hosts may support antigen-driven T-cell expansion in vivo is via an increased availability of T-cell–active cytokines to support clonal expansion.
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