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2017 ; 2
(12
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
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.