NKG2D expression by CD8+ T cells contributes to GVHD and GVT effects in a murine model of allogeneic HSCT

MA Karimi, JL Bryson, LP Richman… - Blood, The Journal …, 2015 - ashpublications.org
MA Karimi, JL Bryson, LP Richman, AD Fesnak, TM Leichner, A Satake, RH Vonderheide…
Blood, The Journal of the American Society of Hematology, 2015ashpublications.org
In allogeneic hematopoietic stem cell transplantation (HSCT), controlling graft-versus-host
disease (GVHD) while maintaining graft-versus-tumor (GVT) responses is of critical
importance. Using a mouse model of allogeneic HSCT, we hereby demonstrate that NKG2D
expression by CD8+ T cells plays a major role in mediating GVHD and GVT effects by
promoting the survival and cytotoxic function of CD8+ T cells. The expression of NKG2D
ligands was not induced persistently on normal tissues of allogeneic HSCT–recipient mice …
Abstract
In allogeneic hematopoietic stem cell transplantation (HSCT), controlling graft-versus-host disease (GVHD) while maintaining graft-versus-tumor (GVT) responses is of critical importance. Using a mouse model of allogeneic HSCT, we hereby demonstrate that NKG2D expression by CD8+ T cells plays a major role in mediating GVHD and GVT effects by promoting the survival and cytotoxic function of CD8+ T cells. The expression of NKG2D ligands was not induced persistently on normal tissues of allogeneic HSCT–recipient mice treated with anti-NKG2D antibody, suggesting that transient NKG2D blockade might be sufficient to attenuate GVHD and allow CD8+ T cells to regain their GVT function. Indeed, short-term treatment with anti-NKG2D antibody restored GVT effects while maintaining an attenuated GVHD state. NKG2D expression was also detected on CD8+ T cells from allogeneic HSCT patients and trended to be higher in those with active GVHD. Together, these data support a novel role for NKG2D expression by CD8+ T cells during allogeneic HSCT, which could be potentially therapeutically exploited to separate GVHD from GVT effects.
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