Stem cell mobilization with G-CSF induces type 17 differentiation and promotes scleroderma

GR Hill, SD Olver, RD Kuns, A Varelias… - Blood, The Journal …, 2010 - ashpublications.org
GR Hill, SD Olver, RD Kuns, A Varelias, NC Raffelt, AL Don, KA Markey, YA Wilson
Blood, The Journal of the American Society of Hematology, 2010ashpublications.org
The recent shift to the use of stem cells mobilized by granulocyte colony-stimulating factor (G-
CSF) for hematopoietic transplantation has increased chronic graftversus-host disease
(GVHD), although the mechanisms of this are unclear. We have found that G-CSF invokes
potent type 17 rather than type 1 or type 2 differentiation. The amplification of interleukin-17
(IL-17) production by G-CSF occurs in both CD4 and CD8 conventional T cells and is
dependent on, and downstream of, G-CSF–induced IL-21 signaling. Importantly, donor IL …
The recent shift to the use of stem cells mobilized by granulocyte colony-stimulating factor (G-CSF) for hematopoietic transplantation has increased chronic graftversus-host disease (GVHD), although the mechanisms of this are unclear. We have found that G-CSF invokes potent type 17 rather than type 1 or type 2 differentiation. The amplification of interleukin-17 (IL-17) production by G-CSF occurs in both CD4 and CD8 conventional T cells and is dependent on, and downstream of, G-CSF–induced IL-21 signaling. Importantly, donor IL-17A controls the infiltration of macrophages into skin and cutaneous fibrosis, manifesting late after transplantation as scleroderma. Interestingly, donor CD8 T cells were the predominant source of IL-17A after transplantation and could mediate scleroderma independently of CD4 T cells. This study provides a logical explanation for the propensity of allogeneic stem cell transplantation to invoke sclerodermatous GVHD and suggests a therapeutic strategy for intervention.
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