GITR Activation Induces an Opposite Effect on Alloreactive CD4+ and CD8+ T Cells in Graft-Versus-Host Disease

SJ Muriglan, T Ramirez-Montagut… - The Journal of …, 2004 - rupress.org
SJ Muriglan, T Ramirez-Montagut, O Alpdogan, TW Van Huystee, JM Eng, VM Hubbard…
The Journal of experimental medicine, 2004rupress.org
Glucocorticoid-induced tumor necrosis factor receptor family-related gene (GITR) is a
member of the tumor necrosis factor receptor (TNFR) family that is expressed at low levels
on unstimulated T cells, B cells, and macrophages. Upon activation, CD4+ and CD8+ T cells
up-regulate GITR expression, whereas immunoregulatory T cells constitutively express high
levels of GITR. Here, we show that GITR may regulate alloreactive responses during graft-
versus-host disease (GVHD) after allogeneic bone marrow transplantation (BMT). Using a …
Glucocorticoid-induced tumor necrosis factor receptor family-related gene (GITR) is a member of the tumor necrosis factor receptor (TNFR) family that is expressed at low levels on unstimulated T cells, B cells, and macrophages. Upon activation, CD4+ and CD8+ T cells up-regulate GITR expression, whereas immunoregulatory T cells constitutively express high levels of GITR. Here, we show that GITR may regulate alloreactive responses during graft-versus-host disease (GVHD) after allogeneic bone marrow transplantation (BMT). Using a BMT model with major histocompatibility complex class I and class II disparity, we demonstrate that GITR stimulation in vitro and in vivo enhances alloreactive CD8+CD25 T cell proliferation, whereas it decreases alloreactive CD4+CD25 proliferation. Allo-stimulated CD4+CD25 cells show increased apoptosis upon GITR stimulation that is dependent on the Fas–FasL pathway. Recipients of an allograft containing CD8+CD25 donor T cells had increased GVHD morbidity and mortality in the presence of GITR-activating antibody (Ab). Conversely, recipients of an allograft with CD4+CD25 T cells showed a significant decrease in GVHD when treated with a GITR-activating Ab. Our findings indicate that GITR has opposite effects on the regulation of alloreactive CD4+ and CD8+ T cells.
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