Separation of graft-versus-host disease from graft-versus-leukemia responses by targeting CC-chemokine receptor 7 on donor T cells

Blood. 2010 Jun 10;115(23):4914-22. doi: 10.1182/blood-2009-08-239848. Epub 2010 Feb 25.

Abstract

CC-chemokine receptor 7 (CCR7) is expressed on the surface of naive T cells, and plays a critical role in their movement into secondary lymphoid tissue. Here, we show that murine T cells lacking CCR7 (CCR7(-/-)) generate attenuated graft-versus-host disease (GVHD) responses compared with wild-type (WT) cells, with the difference varying inversely with the degree of major histocompatibility complex (MHC) disparity between the donor and recipient. CCR7(-/-) T cells exhibited an impaired ability to traffic to recipient lymph nodes, with an increased capacity to home to the spleen. CCR7(-/-) T cells, however, demonstrated a reduced ability to undergo in vivo expansion in the spleen due to impaired interactions with splenic antigen-presenting cells. On a cellular level, CCR7(-/-) T cells were functionally competent, demonstrating a normal in vitro proliferative capacity and a preserved ability to produce inflammatory cytokines. Importantly, CCR7(-/-) T cells were capable of generating robust graft-versus-leukemia (GVL) responses in vivo, as well as complete donor T-cell reconstitution. CCR7(-/-) regulatory T cells were able to protect against lethal GVHD when administered before WT conventional T cells. Our data suggest that CCR7 inhibition in the early posttransplantation period may represent a feasible new therapeutic approach for acute GVHD attenuation without compromising GVL responses.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Cell Proliferation
  • Cytokines / immunology
  • Graft vs Host Disease / genetics
  • Graft vs Host Disease / immunology*
  • Graft vs Host Disease / prevention & control*
  • Graft vs Leukemia Effect / genetics
  • Graft vs Leukemia Effect / immunology*
  • Humans
  • Inflammation Mediators / immunology
  • Lymph Nodes / immunology
  • Mice
  • Mice, Inbred BALB C
  • Mice, Knockout
  • Receptors, CCR7 / genetics
  • Receptors, CCR7 / immunology*
  • Spleen / immunology
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / transplantation

Substances

  • Ccr7 protein, mouse
  • Cytokines
  • Inflammation Mediators
  • Receptors, CCR7