Induction of heme oxygenase-1 before conditioning results in improved survival and reduced graft-versus-host disease after experimental allogeneic bone marrow transplantation

Biol Blood Marrow Transplant. 2004 Jul;10(7):461-72. doi: 10.1016/j.bbmt.2004.04.001.

Abstract

Acute graft-versus-host disease (aGVHD) remains one of the main obstacles after allogeneic bone marrow transplantation (BMT). Using a well-established mouse BMT model in which aGVHD is induced across a haploidentical mismatch, we show that the expression of heme oxygenase-1 (HO-1) can be induced by cobalt-protoporphyrin IX (CoPP) in aGVHD target organs such as liver and bowel and that the induction of HO-1 before BMT results in improved overall survival and reduced aGVHD. Serum levels of proinflammatory cytokines were markedly reduced in CoPP-treated animals. Recipients displayed less damage to the intestinal mucosa, and this resulted in reduced serum lipopolysaccharide levels at day 6 after transplantation. Peritoneal cells and CD45(+) liver cells isolated from mice that received transplants strongly expressed HO-1 and displayed a reduction in the expression of activation markers such as CD11b, CD80, and major histocompatibility complex class I. This resulted in reduced T-cell activation ex vivo. These results demonstrate that the induction of HO-1 before high-dose conditioning protects the host in multiple ways and effectively ameliorates aGVHD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antigens, CD / immunology
  • Bone Marrow Transplantation* / immunology
  • Cobalt / administration & dosage*
  • Cytokines / blood
  • Enzyme Induction / drug effects
  • Enzyme Induction / immunology
  • Graft vs Host Disease* / blood
  • Graft vs Host Disease* / etiology
  • Graft vs Host Disease* / mortality
  • Heme Oxygenase (Decyclizing) / biosynthesis*
  • Heme Oxygenase (Decyclizing) / immunology
  • Heme Oxygenase-1
  • Intestinal Mucosa / immunology
  • Intestinal Mucosa / pathology
  • Liver / immunology
  • Liver / pathology
  • Lymphocyte Activation / immunology
  • Membrane Proteins
  • Mice
  • Protoporphyrins / administration & dosage*
  • Spleen / immunology
  • Spleen / pathology
  • Transplantation Conditioning* / methods
  • Transplantation, Homologous*

Substances

  • Antigens, CD
  • Cytokines
  • Membrane Proteins
  • Protoporphyrins
  • Cobalt
  • Heme Oxygenase (Decyclizing)
  • Heme Oxygenase-1
  • Hmox1 protein, mouse