Modification of T cell responses by stem cell mobilization requires direct signaling of the T cell by G-CSF and IL-10

K MacDonald, L Le Texier, P Zhang… - The Journal of …, 2014 - journals.aai.org
K MacDonald, L Le Texier, P Zhang, H Morris, RD Kuns, KE Lineburg, L Leveque, AL Don…
The Journal of Immunology, 2014journals.aai.org
The majority of allogeneic stem cell transplants are currently undertaken using G-CSF
mobilized peripheral blood stem cells. G-CSF has diverse biological effects on a broad
range of cells and IL-10 is a key regulator of many of these effects. Using mixed radiation
chimeras in which the hematopoietic or nonhematopoietic compartments were wild-type, IL-
10−/−, G-CSFR−/−, or combinations thereof we demonstrated that the attenuation of
alloreactive T cell responses after G-CSF mobilization required direct signaling of the T cell …
Abstract
The majority of allogeneic stem cell transplants are currently undertaken using G-CSF mobilized peripheral blood stem cells. G-CSF has diverse biological effects on a broad range of cells and IL-10 is a key regulator of many of these effects. Using mixed radiation chimeras in which the hematopoietic or nonhematopoietic compartments were wild-type, IL-10−/−, G-CSFR−/−, or combinations thereof we demonstrated that the attenuation of alloreactive T cell responses after G-CSF mobilization required direct signaling of the T cell by both G-CSF and IL-10. IL-10 was generated principally by radio-resistant tissue, and was not required to be produced by T cells. G-CSF mobilization significantly modulated the transcription profile of CD4+ CD25+ regulatory T cells, promoted their expansion in the donor and recipient and their depletion significantly increased graft-versus-host disease (GVHD). In contrast, stem cell mobilization with the CXCR4 antagonist AMD3100 did not alter the donor T cell’s ability to induce acute GVHD. These studies provide an explanation for the effects of G-CSF on T cell function and demonstrate that IL-10 is required to license regulatory function but T cell production of IL-10 is not itself required for the attenuation GVHD. Although administration of CXCR4 antagonists is an efficient means of stem cell mobilization, this fails to evoke the immunomodulatory effects seen during G-CSF mobilization. These data provide a compelling rationale for considering the immunological benefits of G-CSF in selecting mobilization protocols for allogeneic stem cell transplantation.
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