[HTML][HTML] BATF-dependent IL-7RhiGM-CSF+ T cells control intestinal graft-versus-host disease

E Ullrich, B Abendroth, J Rothamer… - The Journal of …, 2018 - Am Soc Clin Investig
E Ullrich, B Abendroth, J Rothamer, C Huber, M Büttner-Herold, V Buchele, T Vogler…
The Journal of clinical investigation, 2018Am Soc Clin Investig
Acute graft-versus-host disease (GVHD) represents a severe, T cell–driven inflammatory
complication following allogeneic hematopoietic cell transplantation (allo-HCT). GVHD often
affects the intestine and is associated with a poor prognosis. Although frequently detectable,
proinflammatory mechanisms exerted by intestinal tissue–infiltrating Th cell subsets remain
to be fully elucidated. Here, we show that the Th17-defining transcription factor basic leucine
zipper transcription factor ATF-like (BATF) was strongly regulated across human and mouse …
Acute graft-versus-host disease (GVHD) represents a severe, T cell–driven inflammatory complication following allogeneic hematopoietic cell transplantation (allo-HCT). GVHD often affects the intestine and is associated with a poor prognosis. Although frequently detectable, proinflammatory mechanisms exerted by intestinal tissue–infiltrating Th cell subsets remain to be fully elucidated. Here, we show that the Th17-defining transcription factor basic leucine zipper transcription factor ATF-like (BATF) was strongly regulated across human and mouse intestinal GVHD tissues. Studies in complete MHC-mismatched and minor histocompatibility–mismatched (miHA-mismatched) GVHD models revealed that BATF-expressing T cells were functionally indispensable for intestinal GVHD manifestation. Mechanistically, BATF controlled the formation of colon-infiltrating, IL-7 receptor–positive (IL-7R+), granulocyte-macrophage colony-stimulating factor–positive (GM-CSF+), donor T effector memory (Tem) cells. This T cell subset was sufficient to promote intestinal GVHD, while its occurrence was largely dependent on T cell–intrinsic BATF expression, required IL-7–IL-7R interaction, and was enhanced by GM-CSF. Thus, this study identifies BATF-dependent pathogenic GM-CSF+ effector T cells as critical promoters of intestinal inflammation in GVHD and hence putatively provides mechanistic insight into inflammatory processes previously assumed to be selectively Th17 driven.
The Journal of Clinical Investigation