Hematopoietic SCT modulates gut inflammation in experimental inflammatory bowel disease

Hematopoietic SCT (HSCT) and high-dose chemotherapy are being explored as therapy for various human refractory immune-mediated conditions, including inflammatory bowel diseases (IBD). Nevertheless, the exact immunological mechanisms by which the BM cells (BMCs) or immunosuppression provide remission...

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Veröffentlicht in:Bone marrow transplantation (Basingstoke) 2010-10, Vol.45 (10), p.1562-1571
Hauptverfasser: Godoi, D F, Cardoso, C R, Ferraz, D B, Provinciatto, P R, Cunha, F Q, Silva, J S, Voltarelli, J C
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container_issue 10
container_start_page 1562
container_title Bone marrow transplantation (Basingstoke)
container_volume 45
creator Godoi, D F
Cardoso, C R
Ferraz, D B
Provinciatto, P R
Cunha, F Q
Silva, J S
Voltarelli, J C
description Hematopoietic SCT (HSCT) and high-dose chemotherapy are being explored as therapy for various human refractory immune-mediated conditions, including inflammatory bowel diseases (IBD). Nevertheless, the exact immunological mechanisms by which the BM cells (BMCs) or immunosuppression provide remission from these diseases is not yet clear. In this work, we investigated the role of these therapies in the modulation of gut mucosal inflammation in an experimental model of IBD. Colitis was induced in mice by 2,4,6-trinitrobenzenesulfonic acid and after CY was administered (200 mg/kg) alone (CY group) or followed by BMCs infusion (HSCT group). Animals were followed for 60 days. Both HSCT and CY reduced the histopathological features of colitis significantly. Infused cells were localized in the gut, and a marked decrease of CD4 + leukocytes in the inflammatory infiltrate on days +7 and +14 and of CD8 + cells on day +7 was found in both treatments allied to impressive reduction of proinflammatory Th1 and Th17 cytokines. Although chemotherapy alone was the best treatment regarding the induction of immunosuppressive molecules, only HSCT resulted in increased survival rates compared with the control group. Our findings indicate that high-dose CY followed by HSCT is effective in the modulation of mucosal immunity and in accelerating immune reconstitution after BMT, thus providing valuable tools to support the development and understanding of novel therapeutic strategies for IBD.
doi_str_mv 10.1038/bmt.2010.6
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Nevertheless, the exact immunological mechanisms by which the BM cells (BMCs) or immunosuppression provide remission from these diseases is not yet clear. In this work, we investigated the role of these therapies in the modulation of gut mucosal inflammation in an experimental model of IBD. Colitis was induced in mice by 2,4,6-trinitrobenzenesulfonic acid and after CY was administered (200 mg/kg) alone (CY group) or followed by BMCs infusion (HSCT group). Animals were followed for 60 days. Both HSCT and CY reduced the histopathological features of colitis significantly. Infused cells were localized in the gut, and a marked decrease of CD4 + leukocytes in the inflammatory infiltrate on days +7 and +14 and of CD8 + cells on day +7 was found in both treatments allied to impressive reduction of proinflammatory Th1 and Th17 cytokines. Although chemotherapy alone was the best treatment regarding the induction of immunosuppressive molecules, only HSCT resulted in increased survival rates compared with the control group. Our findings indicate that high-dose CY followed by HSCT is effective in the modulation of mucosal immunity and in accelerating immune reconstitution after BMT, thus providing valuable tools to support the development and understanding of novel therapeutic strategies for IBD.</description><identifier>ISSN: 0268-3369</identifier><identifier>EISSN: 1476-5365</identifier><identifier>DOI: 10.1038/bmt.2010.6</identifier><identifier>PMID: 20228850</identifier><identifier>CODEN: BMTRE9</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/250/347 ; 692/699/1503/257 ; 692/700/565/1436/99 ; 692/700/565/545/576/1955 ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Animals ; Biological and medical sciences ; Bone marrow ; Bone Marrow Transplantation ; Bone marrow, stem cells transplantation. Graft versus host reaction ; Care and treatment ; CD4 antigen ; CD4-Positive T-Lymphocytes - drug effects ; CD4-Positive T-Lymphocytes - immunology ; CD4-Positive T-Lymphocytes - metabolism ; CD4-Positive T-Lymphocytes - pathology ; CD8 antigen ; CD8-Positive T-Lymphocytes - drug effects ; CD8-Positive T-Lymphocytes - immunology ; CD8-Positive T-Lymphocytes - metabolism ; CD8-Positive T-Lymphocytes - pathology ; Cell Biology ; Chemotherapy ; Colitis ; Colitis - drug therapy ; Colitis - immunology ; Colitis - pathology ; Colitis - therapy ; Combined Modality Therapy ; Cyclosporine - administration &amp; dosage ; Cyclosporine - therapeutic use ; Cytokines ; Cytokines - metabolism ; Diagnosis ; Dosage ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Health aspects ; Helper cells ; Hematology ; Hematopoietic Stem Cell Transplantation ; Hematopoietic stem cells ; Immune reconstitution ; Immune response ; Immunity, Mucosal - drug effects ; Immunology ; Immunosuppression ; Immunosuppression - methods ; Immunosuppressive Agents - administration &amp; dosage ; Immunosuppressive Agents - therapeutic use ; Inflammatory bowel disease ; Inflammatory bowel diseases ; Inflammatory Bowel Diseases - drug therapy ; Inflammatory Bowel Diseases - immunology ; Inflammatory Bowel Diseases - pathology ; Inflammatory Bowel Diseases - therapy ; Internal Medicine ; Intestine ; Leukocytes ; Lymphocytes T ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Mice ; Mice, Inbred BALB C ; Modulation ; Mucosal immunity ; original-article ; Other diseases. Semiology ; Public Health ; Remission ; Severity of Illness Index ; Stem cell transplantation ; Stem Cells ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Survival ; Survival Analysis ; Transfusions. Complications. Transfusion reactions. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Bone marrow</topic><topic>Bone Marrow Transplantation</topic><topic>Bone marrow, stem cells transplantation. Graft versus host reaction</topic><topic>Care and treatment</topic><topic>CD4 antigen</topic><topic>CD4-Positive T-Lymphocytes - drug effects</topic><topic>CD4-Positive T-Lymphocytes - immunology</topic><topic>CD4-Positive T-Lymphocytes - metabolism</topic><topic>CD4-Positive T-Lymphocytes - pathology</topic><topic>CD8 antigen</topic><topic>CD8-Positive T-Lymphocytes - drug effects</topic><topic>CD8-Positive T-Lymphocytes - immunology</topic><topic>CD8-Positive T-Lymphocytes - metabolism</topic><topic>CD8-Positive T-Lymphocytes - pathology</topic><topic>Cell Biology</topic><topic>Chemotherapy</topic><topic>Colitis</topic><topic>Colitis - drug therapy</topic><topic>Colitis - immunology</topic><topic>Colitis - pathology</topic><topic>Colitis - therapy</topic><topic>Combined Modality Therapy</topic><topic>Cyclosporine - administration &amp; dosage</topic><topic>Cyclosporine - therapeutic use</topic><topic>Cytokines</topic><topic>Cytokines - metabolism</topic><topic>Diagnosis</topic><topic>Dosage</topic><topic>Female</topic><topic>Gastroenterology. 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Nevertheless, the exact immunological mechanisms by which the BM cells (BMCs) or immunosuppression provide remission from these diseases is not yet clear. In this work, we investigated the role of these therapies in the modulation of gut mucosal inflammation in an experimental model of IBD. Colitis was induced in mice by 2,4,6-trinitrobenzenesulfonic acid and after CY was administered (200 mg/kg) alone (CY group) or followed by BMCs infusion (HSCT group). Animals were followed for 60 days. Both HSCT and CY reduced the histopathological features of colitis significantly. Infused cells were localized in the gut, and a marked decrease of CD4 + leukocytes in the inflammatory infiltrate on days +7 and +14 and of CD8 + cells on day +7 was found in both treatments allied to impressive reduction of proinflammatory Th1 and Th17 cytokines. Although chemotherapy alone was the best treatment regarding the induction of immunosuppressive molecules, only HSCT resulted in increased survival rates compared with the control group. Our findings indicate that high-dose CY followed by HSCT is effective in the modulation of mucosal immunity and in accelerating immune reconstitution after BMT, thus providing valuable tools to support the development and understanding of novel therapeutic strategies for IBD.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>20228850</pmid><doi>10.1038/bmt.2010.6</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects 631/250/347
692/699/1503/257
692/700/565/1436/99
692/700/565/545/576/1955
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Animals
Biological and medical sciences
Bone marrow
Bone Marrow Transplantation
Bone marrow, stem cells transplantation. Graft versus host reaction
Care and treatment
CD4 antigen
CD4-Positive T-Lymphocytes - drug effects
CD4-Positive T-Lymphocytes - immunology
CD4-Positive T-Lymphocytes - metabolism
CD4-Positive T-Lymphocytes - pathology
CD8 antigen
CD8-Positive T-Lymphocytes - drug effects
CD8-Positive T-Lymphocytes - immunology
CD8-Positive T-Lymphocytes - metabolism
CD8-Positive T-Lymphocytes - pathology
Cell Biology
Chemotherapy
Colitis
Colitis - drug therapy
Colitis - immunology
Colitis - pathology
Colitis - therapy
Combined Modality Therapy
Cyclosporine - administration & dosage
Cyclosporine - therapeutic use
Cytokines
Cytokines - metabolism
Diagnosis
Dosage
Female
Gastroenterology. Liver. Pancreas. Abdomen
Health aspects
Helper cells
Hematology
Hematopoietic Stem Cell Transplantation
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original-article
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Transplantation
Trinitrobenzenesulfonic Acid - toxicity
title Hematopoietic SCT modulates gut inflammation in experimental inflammatory bowel disease
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