An inflammatory checkpoint regulates recruitment of graft-versus-host reactive T cells to peripheral tissues

R Chakraverty, D Côté, J Buchli, P Cotter… - The Journal of …, 2006 - rupress.org
R Chakraverty, D Côté, J Buchli, P Cotter, R Hsu, G Zhao, T Sachs, CM Pitsillides…
The Journal of experimental medicine, 2006rupress.org
Transfer of T cells to freshly irradiated allogeneic recipients leads to their rapid recruitment to
nonlymphoid tissues, where they induce graft-versus-host disease (GVHD). In contrast,
when donor T cells are transferred to established mixed chimeras (MCs), GVHD is not
induced despite a robust graft-versus-host (GVH) reaction that eliminates normal and
malignant host hematopoietic cells. We demonstrate here that donor GVH-reactive T cells
transferred to MCs or freshly irradiated mice undergo similar expansion and activation, with …
Transfer of T cells to freshly irradiated allogeneic recipients leads to their rapid recruitment to nonlymphoid tissues, where they induce graft-versus-host disease (GVHD). In contrast, when donor T cells are transferred to established mixed chimeras (MCs), GVHD is not induced despite a robust graft-versus-host (GVH) reaction that eliminates normal and malignant host hematopoietic cells. We demonstrate here that donor GVH-reactive T cells transferred to MCs or freshly irradiated mice undergo similar expansion and activation, with similar up-regulation of homing molecules required for entry to nonlymphoid tissues. Using dynamic two-photon in vivo microscopy, we show that these activated T cells do not enter GVHD target tissues in established MCs, contrary to the dogma that activated T cells inevitably traffic to nonlymphoid tissues. Instead, we show that the presence of inflammation within a nonlymphoid tissue is a prerequisite for the trafficking of activated T cells to that site. Our studies help to explain the paradox whereby GVH-reactive T cells can mediate graft-versus-leukemia responses without inducing GVHD in established MCs.
rupress.org