Antibody to the dendritic cell surface activation antigen CD83 prevents acute graft-versus-host disease

J Exp Med. 2009 Feb 16;206(2):387-98. doi: 10.1084/jem.20070723. Epub 2009 Jan 26.

Abstract

Allogeneic (allo) hematopoietic stem cell transplantation is an effective therapy for hematological malignancies but it is limited by acute graft-versus-host disease (GVHD). Dendritic cells (DC) play a major role in the allo T cell stimulation causing GVHD. Current immunosuppressive measures to control GVHD target T cells but compromise posttransplant immunity in the patient, particularly to cytomegalovirus (CMV) and residual malignant cells. We showed that treatment of allo mixed lymphocyte cultures with activated human DC-depleting CD83 antibody suppressed alloproliferation but preserved T cell numbers, including those specific for CMV. We also tested CD83 antibody in the human T cell-dependent peripheral blood mononuclear cell transplanted SCID (hu-SCID) mouse model of GVHD. We showed that this model requires human DC and that CD83 antibody treatment prevented GVHD but, unlike conventional immunosuppressants, did not prevent engraftment of human T cells, including cytotoxic T lymphocytes (CTL) responsive to viruses and malignant cells. Immunization of CD83 antibody-treated hu-SCID mice with irradiated human leukemic cell lines induced allo antileukemic CTL effectors in vivo that lysed (51)Cr-labeled leukemic target cells in vitro without further stimulation. Antibodies that target activated DC are a promising new therapeutic approach to the control of GVHD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies / immunology*
  • Antigens, CD / immunology*
  • CD83 Antigen
  • Cell Line, Tumor
  • Cytokines / analysis
  • Dendritic Cells / immunology*
  • Dendritic Cells / metabolism
  • Flow Cytometry
  • Graft vs Host Disease / immunology*
  • Graft vs Host Disease / prevention & control*
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Immunoglobulins / immunology*
  • Leukocytes, Mononuclear
  • Membrane Glycoproteins / immunology*
  • Mice
  • Mice, SCID
  • T-Lymphocytes, Cytotoxic / immunology*

Substances

  • Antibodies
  • Antigens, CD
  • Cytokines
  • Immunoglobulins
  • Membrane Glycoproteins