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10.1182/blood-2013-10-525873

http://scihub22266oqcxt.onion/10.1182/blood-2013-10-525873
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suck abstract from ncbi


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pmid25139358
      Blood 2014 ; 124 (13 ): 2131-41
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  • Donor CD4+ Foxp3+ regulatory T cells are necessary for posttransplantation cyclophosphamide-mediated protection against GVHD in mice #MMPMID25139358
  • Ganguly S ; Ross DB ; Panoskaltsis-Mortari A ; Kanakry CG ; Blazar BR ; Levy RB ; Luznik L
  • Blood 2014[Sep]; 124 (13 ): 2131-41 PMID25139358 show ga
  • Posttransplantation cyclophosphamide (PTCy) is an effective prophylaxis against graft-versus-host disease (GVHD). However, it is unknown whether PTCy works singularly by eliminating alloreactive T cells via DNA alkylation or also by restoring the conventional (Tcon)/regulatory (Treg) T-cell balance. We studied the role of Tregs in PTCy-mediated GVHD prophylaxis in murine models of allogeneic blood or marrow transplantation (alloBMT). In 2 distinct MHC-matched alloBMT models, infusing Treg-depleted allografts abrogated the GVHD-prophylactic activity of PTCy. Using allografts in which Foxp3(+) Tregs could be selectively depleted in vivo, either pre- or post-PTCy ablation of donor thymus-derived Tregs (tTregs) abolished PTCy protection against GVHD. PTCy treatment was associated with relative preservation of donor Tregs. Experiments using combinations of Foxp3(-) Tcons and Foxp3(+) Tregs sorted from different Foxp3 reporter mice indicated that donor Treg persistence after PTCy treatment was predominantly caused by survival of functional tTregs that retained Treg-specific demethylation and also induction of peripherally derived Tregs. Finally, adoptive transfer of tTregs retrieved from PTCy-treated chimeras rescued PTCy-treated, Treg-depleted recipients from lethal GVHD. Our findings indicate that PTCy-mediated protection against GVHD is not singularly dependent on depletion of donor alloreactive T cells but also requires rapidly recovering donor Tregs to initiate and maintain alloimmune regulation.
  • |*Chemoprevention [MESH]
  • |Animals [MESH]
  • |Bone Marrow Transplantation/*adverse effects [MESH]
  • |Cyclophosphamide/administration & dosage/*pharmacology [MESH]
  • |DNA Methylation [MESH]
  • |Disease Models, Animal [MESH]
  • |Forkhead Transcription Factors/metabolism [MESH]
  • |Graft vs Host Disease/genetics/*immunology/*prevention & control [MESH]
  • |Lymphoid Tissue/drug effects/immunology [MESH]
  • |Mice [MESH]
  • |T-Lymphocytes, Regulatory/*immunology/metabolism [MESH]
  • |Tissue Donors [MESH]
  • |Transplantation Chimera [MESH]


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