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10.1172/jci.insight.92111

http://scihub22266oqcxt.onion/10.1172/jci.insight.92111
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suck abstract from ncbi


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pmid28614794
      JCI+Insight 2017 ; 2 (12 ): ä
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  • An activated Th17-prone T cell subset involved in chronic graft-versus-host disease sensitive to pharmacological inhibition #MMPMID28614794
  • Forcade E ; Paz K ; Flynn R ; Griesenauer B ; Amet T ; Li W ; Liu L ; Bakoyannis G ; Jiang D ; Chu HW ; Lobera M ; Yang J ; Wilkes DS ; Du J ; Gartlan K ; Hill GR ; MacDonald KP ; Espada EL ; Blanco P ; Serody JS ; Koreth J ; Cutler CS ; Antin JH ; Soiffer RJ ; Ritz J ; Paczesny S ; Blazar BR
  • JCI Insight 2017[Jun]; 2 (12 ): ä PMID28614794 show ga
  • Chronic graft-versus-host disease (cGvHD) remains a major complication of allogeneic stem cell transplantation requiring novel therapies. CD146 and CCR5 are expressed by activated T cells and associated with increased T cell migration capacity and Th17 polarization. We performed a multiparametric flow cytometry analysis in a cohort of 40 HSCT patients together with a cGvHD murine model to understand the role of CD146-expressing subsets. We observed an increased frequency of CD146+ CD4 T cells in the 20 patients with active cGvHD with enhanced ROR?t expression. This Th17-prone subset was enriched for cells coexpressing CD146 and CCR5 that harbor mixed Th1/Th17 features and were more frequent in cGvHD patients. Utilizing a murine cGvHD model with bronchiolitis obliterans (BO), we observed that donor T cells from CD146-deficient mice versus those from WT mice caused significantly reduced pulmonary cGvHD. Reduced cGvHD was not the result of failed germinal center B cell or T follicular helper cell generation. Instead, CD146-deficient T cells had significantly lower pulmonary macrophage infiltration and T cell CCR5, IL-17, and IFN-? coexpression, suggesting defective pulmonary end-organ effector mechanisms. We, thus, evaluated the effect of TMP778, a small-molecule ROR?t activity inhibitor. TMP778 markedly alleviated cGvHD in murine models similarly to agents targeting the Th17 pathway, such as STAT3 inhibitor or IL-17-blocking antibody. Our data suggest CD146-expressing T cells as a cGvHD biomarker and suggest that targeting the Th17 pathway may represent a promising therapy for cGvHD.
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