Paradoxical effects of interleukin-18 on the severity of acute graft-versus-host disease mediated by CD4+ and CD8+ T-cell subsets after experimental allogeneic bone marrow transplantation

Administration of exogenous interleukin-18 (IL-18) regulates experimental acute graft-versus-host disease (GVHD) in a Fas-dependent manner when donor CD4+ T cells are required for mortality after experimental allogeneic bone marrow transplantation (BMT). However, CD4+ and CD8+ T cells can induce acu...

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Veröffentlicht in:Blood 2004-11, Vol.104 (10), p.3393-3399
Hauptverfasser: Min, Chang-Ki, Maeda, Yoshinobu, Lowler, Kathleen, Liu, Chen, Clouthier, Shawn, Lofthus, David, Weisiger, Elizabeth, Ferrara, James L.M., Reddy, Pavan
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container_end_page 3399
container_issue 10
container_start_page 3393
container_title Blood
container_volume 104
creator Min, Chang-Ki
Maeda, Yoshinobu
Lowler, Kathleen
Liu, Chen
Clouthier, Shawn
Lofthus, David
Weisiger, Elizabeth
Ferrara, James L.M.
Reddy, Pavan
description Administration of exogenous interleukin-18 (IL-18) regulates experimental acute graft-versus-host disease (GVHD) in a Fas-dependent manner when donor CD4+ T cells are required for mortality after experimental allogeneic bone marrow transplantation (BMT). However, CD4+ and CD8+ T cells can induce acute GVHD after clinical allogeneic BMT, and the role of IL-18 in CD8+-mediated acute GVHD is unknown. We, therefore, determined the role of IL-18 in GVHD mediated by CD4+ or CD8+ T cells across major histocompatibility complex (MHC) class II- and class I-disparate allogeneic BMT, respectively. Administering IL-18 significantly increased survival in CD4+-mediated GVHD but reduced survival in CD8+-mediated GVHD. This increase in deaths was associated with significantly greater clinical, biochemical, and histopathologic parameters of GVHD damage and was independent of Fas expression on donor T cells. Administering IL-18 significantly enhanced allospecific cytotoxic function and expansion of CD8+ cells. Endogenous IL-18 was critical to GVHD mediated by CD8+ donor T cells because IL-18 receptor-deficient donors caused significantly less GVHD but exacerbated CD4+-mediated, GVHD-related death. Furthermore, administering anti-IL-18 monoclonal antibody significantly reduced CD8+-mediated, GVHD-related death. Together these findings demonstrate that IL-18 has paradoxical effects on CD4+ and CD8+ cell-mediated GVHD. (Blood. 2004;104:3393-3399)
doi_str_mv 10.1182/blood-2004-02-0763
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However, CD4+ and CD8+ T cells can induce acute GVHD after clinical allogeneic BMT, and the role of IL-18 in CD8+-mediated acute GVHD is unknown. We, therefore, determined the role of IL-18 in GVHD mediated by CD4+ or CD8+ T cells across major histocompatibility complex (MHC) class II- and class I-disparate allogeneic BMT, respectively. Administering IL-18 significantly increased survival in CD4+-mediated GVHD but reduced survival in CD8+-mediated GVHD. This increase in deaths was associated with significantly greater clinical, biochemical, and histopathologic parameters of GVHD damage and was independent of Fas expression on donor T cells. Administering IL-18 significantly enhanced allospecific cytotoxic function and expansion of CD8+ cells. Endogenous IL-18 was critical to GVHD mediated by CD8+ donor T cells because IL-18 receptor-deficient donors caused significantly less GVHD but exacerbated CD4+-mediated, GVHD-related death. Furthermore, administering anti-IL-18 monoclonal antibody significantly reduced CD8+-mediated, GVHD-related death. Together these findings demonstrate that IL-18 has paradoxical effects on CD4+ and CD8+ cell-mediated GVHD. (Blood. 2004;104:3393-3399)</description><subject>Acute Disease</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Animals</subject><subject>Antibodies, Monoclonal - pharmacology</subject><subject>Apoptosis - immunology</subject><subject>Biological and medical sciences</subject><subject>Bone Marrow Transplantation - immunology</subject><subject>Bone marrow, stem cells transplantation. Graft versus host reaction</subject><subject>CD4-Positive T-Lymphocytes - cytology</subject><subject>CD4-Positive T-Lymphocytes - immunology</subject><subject>CD8-Positive T-Lymphocytes - cytology</subject><subject>CD8-Positive T-Lymphocytes - immunology</subject><subject>Cytokines - metabolism</subject><subject>Disease Models, Animal</subject><subject>Female</subject><subject>Graft vs Host Disease - drug therapy</subject><subject>Graft vs Host Disease - immunology</subject><subject>Graft vs Host Disease - mortality</subject><subject>Histocompatibility Antigens Class I - immunology</subject><subject>Histocompatibility Antigens Class II - immunology</subject><subject>Interleukin-18 - antagonists &amp; inhibitors</subject><subject>Interleukin-18 - immunology</subject><subject>Interleukin-18 - pharmacology</subject><subject>Interleukin-18 Receptor alpha Subunit</subject><subject>Medical sciences</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>Receptors, Interleukin - deficiency</subject><subject>Receptors, Interleukin - genetics</subject><subject>Receptors, Interleukin-18</subject><subject>Severity of Illness Index</subject><subject>T-Lymphocytes, Cytotoxic - cytology</subject><subject>T-Lymphocytes, Cytotoxic - immunology</subject><subject>T-Lymphocytes, Cytotoxic - metabolism</subject><subject>Transfusions. 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Graft versus host reaction</topic><topic>CD4-Positive T-Lymphocytes - cytology</topic><topic>CD4-Positive T-Lymphocytes - immunology</topic><topic>CD8-Positive T-Lymphocytes - cytology</topic><topic>CD8-Positive T-Lymphocytes - immunology</topic><topic>Cytokines - metabolism</topic><topic>Disease Models, Animal</topic><topic>Female</topic><topic>Graft vs Host Disease - drug therapy</topic><topic>Graft vs Host Disease - immunology</topic><topic>Graft vs Host Disease - mortality</topic><topic>Histocompatibility Antigens Class I - immunology</topic><topic>Histocompatibility Antigens Class II - immunology</topic><topic>Interleukin-18 - antagonists &amp; inhibitors</topic><topic>Interleukin-18 - immunology</topic><topic>Interleukin-18 - pharmacology</topic><topic>Interleukin-18 Receptor alpha Subunit</topic><topic>Medical sciences</topic><topic>Mice</topic><topic>Mice, Inbred C57BL</topic><topic>Receptors, Interleukin - deficiency</topic><topic>Receptors, Interleukin - genetics</topic><topic>Receptors, Interleukin-18</topic><topic>Severity of Illness Index</topic><topic>T-Lymphocytes, Cytotoxic - cytology</topic><topic>T-Lymphocytes, Cytotoxic - immunology</topic><topic>T-Lymphocytes, Cytotoxic - metabolism</topic><topic>Transfusions. 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However, CD4+ and CD8+ T cells can induce acute GVHD after clinical allogeneic BMT, and the role of IL-18 in CD8+-mediated acute GVHD is unknown. We, therefore, determined the role of IL-18 in GVHD mediated by CD4+ or CD8+ T cells across major histocompatibility complex (MHC) class II- and class I-disparate allogeneic BMT, respectively. Administering IL-18 significantly increased survival in CD4+-mediated GVHD but reduced survival in CD8+-mediated GVHD. This increase in deaths was associated with significantly greater clinical, biochemical, and histopathologic parameters of GVHD damage and was independent of Fas expression on donor T cells. Administering IL-18 significantly enhanced allospecific cytotoxic function and expansion of CD8+ cells. Endogenous IL-18 was critical to GVHD mediated by CD8+ donor T cells because IL-18 receptor-deficient donors caused significantly less GVHD but exacerbated CD4+-mediated, GVHD-related death. Furthermore, administering anti-IL-18 monoclonal antibody significantly reduced CD8+-mediated, GVHD-related death. Together these findings demonstrate that IL-18 has paradoxical effects on CD4+ and CD8+ cell-mediated GVHD. (Blood. 2004;104:3393-3399)</abstract><cop>Washington, DC</cop><pub>Elsevier Inc</pub><pmid>15280194</pmid><doi>10.1182/blood-2004-02-0763</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Acute Disease
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Animals
Antibodies, Monoclonal - pharmacology
Apoptosis - immunology
Biological and medical sciences
Bone Marrow Transplantation - immunology
Bone marrow, stem cells transplantation. Graft versus host reaction
CD4-Positive T-Lymphocytes - cytology
CD4-Positive T-Lymphocytes - immunology
CD8-Positive T-Lymphocytes - cytology
CD8-Positive T-Lymphocytes - immunology
Cytokines - metabolism
Disease Models, Animal
Female
Graft vs Host Disease - drug therapy
Graft vs Host Disease - immunology
Graft vs Host Disease - mortality
Histocompatibility Antigens Class I - immunology
Histocompatibility Antigens Class II - immunology
Interleukin-18 - antagonists & inhibitors
Interleukin-18 - immunology
Interleukin-18 - pharmacology
Interleukin-18 Receptor alpha Subunit
Medical sciences
Mice
Mice, Inbred C57BL
Receptors, Interleukin - deficiency
Receptors, Interleukin - genetics
Receptors, Interleukin-18
Severity of Illness Index
T-Lymphocytes, Cytotoxic - cytology
T-Lymphocytes, Cytotoxic - immunology
T-Lymphocytes, Cytotoxic - metabolism
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
Transplantation, Homologous
title Paradoxical effects of interleukin-18 on the severity of acute graft-versus-host disease mediated by CD4+ and CD8+ T-cell subsets after experimental allogeneic bone marrow transplantation
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