Chronic GvHD decreases antiviral immune responses in allogeneic BMT

Blood. 2007 May 15;109(10):4548-56. doi: 10.1182/blood-2006-04-017442. Epub 2007 Feb 8.

Abstract

Chronic graft-versus-host disease (cGvHD) is associated with functional immunodeficiency and an increased risk of opportunistic infections in allogeneic bone marrow transplantation (BMT). We used a parent to F1 model of allogeneic BMT to test the hypothesis that cGvHD leads to impaired antigen-specific antiviral immunity and compared BM transplant recipients with cGvHD to control groups of allogeneic BM transplant recipients without GvHD. Mice with and without cGvHD received a nonlethal dose of murine cytomegalovirus (MCMV) +100 days after transplantation. Recipients with cGvHD had more weight loss and higher viral loads in the spleen and liver. MCMV infection led to greater than 25-fold expansion of donor spleen-derived MCMV peptide-specific tetramer-positive CD8(+) T cells in blood of transplant recipients with and without cGvHD, but mice with cGvHD had far fewer antigen-specific T cells in peripheral tissues and secondary lymphoid organs. The immunosuppression associated with cGvHD was confirmed by vaccinating transplant recipients with and without cGvHD using a recombinant Listeria expressing MCMV early protein (Lm-MCMV). Secondary adoptive transfer of lymphocytes from donor mice with or without cGvHD into lymphopenic congenic recipients showed that cGvHD impaired tissue-specific homing of antigen-specific T cells. These results indicate that cGvHD causes an intrinsic immunosuppression and explain, in part, the functional immunodeficiency in allogeneic transplant recipients.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Atrophy / immunology
  • Blood Donors
  • Bone Marrow Transplantation / adverse effects*
  • Bone Marrow Transplantation / immunology
  • CD8-Positive T-Lymphocytes / physiology
  • Cell Proliferation
  • Chronic Disease
  • Graft vs Host Disease / etiology*
  • Graft vs Host Disease / immunology*
  • Herpesviridae Infections / immunology
  • Hyaluronan Receptors / metabolism
  • Immunity, Innate*
  • Lymphoid Tissue / pathology
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Models, Biological
  • Muromegalovirus / immunology*
  • T-Lymphocytes / cytology
  • T-Lymphocytes / metabolism

Substances

  • Cd44 protein, mouse
  • Hyaluronan Receptors