The greater the disparity between donor and recipient significant histocompatibility complex, the greater the T cell response will be. The interaction of T cells with APCs commonly happens in secondary lymphoid organs, which includes AG-1478 the spleen and lymph nodes, AG-1478 but it can also occur in other peripheral lymphoid tissues, such as Peyers patches. In the third phase of the acute GVHD response, activated T cells migrate to target organs and release cytolytic molecules and inammatory cytokines, such as IFN ? and TNF, and undergo Fas/Fas ligand interactions. Recruitment of other eector leukocytes, including macrophages, follows T cell migration, and this process is thought to be important for the perpetuation of inammatory responses and the destruction of target organs.
Although the migration of T cells into secondary lymphoid organs during GVHD has been well characterized, the migration of leukocytes into parenchymal organs is less well understood. The latter process depends on interactions ALK Inhibitor between selectins and integrins and their ligands as well as on chemokine?chemokine receptor interactions. Animal models of GVHD have provided important insights into the three characteristic phases of aGVHD. Although there are clear dierences between human and experimental GVHD, the latter models are useful for performing mechanistic and kinetic studies and investigating changes in tissues. Most of the knowledge of the role of the immune system in the pathogenesis of experimental GVHD comes from experiments in mice.
The most relevant murine models of aGVHD involve transplantation of splenocytes and/or bone marrow cells and can vary depending on the irradiation dose used to ablate host immune cells. Models using total body irradiation, which is also referred to as myeloablative conditioning, VEGF require reconstitution of the immune system with the infusion of myeloid precursor cells. Usually, a dose of 5?10 ? 106 cells is enough to repopulate the bone marrow compartment and ensure the survival of mice. An insufcient or inadequate reconstitution of bone marrow can result in death due to severe immunosuppression. In the early days following transplantation, mice that had been subjected to TBI usually have chimerism in their peripheral blood. However, from day 7 after BMT, the donor haematopoietic cells have completely replaced the host cells.
Partial irradiation or non myeloablative conditioning does not require total bone marrow reconstitution. After transplantation, recipient mice demonstrate ALK Inhibitor mixed chimerism, and the majority of the cells come from the donor. In models in which mice are transplanted with a mix of allogeneic bone marrow cells and splenocytes, the animals usually succumb to more severe disease than if they are only transplanted with bone marrow cells. Splenocytes represent a population of mature immune cells that are prepared to react against antigens when stimulated, whereas the bone marrow contains many immature immune cells that are not able to develop an appropriate response against antigens. Therefore, the response against host antigens in recipient mice is decreased when bone marrow cells rather than splenocytes are given.
There is also a model of GVHD in which recipient mice AG-1478 are not irradiated. In this model, an infusion of 5 ? 107 allogeneic cells is necessary to induce GVHD, and the disease is not lethal. Another important consideration about the induction of GVHD in mice is the genetic origin of the donor cells. An allogeneic transplant is a transplant between MHC mismatched mice, such as C57/BL6 and Balb/c, in which there are disparities in MHCI, MHCII, and miHAs. The parental model of transplantation between C57/BL6 and B6D2F1 mice, which is a result of the crossing of C57/BL6 ? DBA/2 mice, also shows mismatches in MHCI, MHCII, and miHAs. Semiallogeneic transplantation represents the transplantation between mice that are mismatched for MHCI, such as C57/BL6 and B6.
C H2bm1 mice, or between mice that are mismatched for MHCII, such as C57/BL6 and B6. C H2bm12 mice, or between mice that are mismatched for miHAs, such as C57/BL6 and Balb. b mice. Another important consideration for the induction of GVHD is the dose and type of donor cells. The severity of disease is dependent on the number of donor cells that are ALK Inhibitor infused, and the disease becomes more severe as the number of transferred cells increases. Finally, it is possible to inject dierent T cell subsets, such as CD4, CD8, and Treg cells, and NK cells, either separately or together. This strategy may be useful to dissect the dierential role of these subsets during GVHD. Several studies have now described there is increased expression of chemokines and chemokine receptors in GVHD. The prole of chemokine and chemokine receptor expression is dierent in dierent target organs of GVHD. Table 2 and Figure 1 summarize the expression of chemokines and chemokine receptors in GVHD in various target organs and during dierent temporal phases of the disease.
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