Rapidly proliferating CD44hi peripheral T cells undergo apoptosis and delay posttransplantation T-cell reconstitution after allogeneic bone marrow transplantation

Blood. 2008 Dec 1;112(12):4755-64. doi: 10.1182/blood-2008-02-142737. Epub 2008 Sep 24.

Abstract

Delayed T-cell recovery is an important complication of allogeneic bone marrow transplantation (BMT). We demonstrate in murine models that donor BM-derived T cells display increased apoptosis in recipients of allogeneic BMT with or without GVHD. Although this apoptosis was associated with a loss of Bcl-2 and Bcl-X(L) expression, allogeneic recipients of donor BM deficient in Fas-, tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)- or Bax-, or BM-overexpressing Bcl-2 or Akt showed no decrease in apoptosis of peripheral donor-derived T cells. CD44 expression was associated with an increased percentage of BM-derived apoptotic CD4(+) and CD8(+) T cells. Transplantation of RAG-2-eGFP-transgenic BM revealed that proliferating eGFP(lo)CD44(hi) donor BM-derived mature T cells were more likely to undergo to apoptosis than nondivided eGFP(hi)CD44(lo) recent thymic emigrants in the periphery. Finally, experiments using carboxyfluorescein succinimidyl ester-labeled T cells adoptively transferred into irradiated syngeneic hosts revealed that rapid spontaneous proliferation (as opposed to slow homeostatic proliferation) and acquisition of a CD44(hi) phenotype was associated with increased apoptosis in T cells. We conclude that apoptosis of newly generated donor-derived peripheral T cells after an allogeneic BMT contributes to delayed T-cell reconstitution and is associated with CD44 expression and rapid spontaneous proliferation by donor BM-derived T cells.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apoptosis* / genetics
  • Apoptosis* / immunology
  • Bone Marrow Transplantation* / immunology
  • Bone Marrow Transplantation* / rehabilitation
  • Cell Differentiation* / physiology
  • Cell Proliferation*
  • Cells, Cultured
  • Female
  • Graft vs Host Disease / immunology
  • Graft vs Host Disease / pathology
  • Hyaluronan Receptors / metabolism*
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • T-Lymphocytes / cytology
  • T-Lymphocytes / metabolism
  • T-Lymphocytes / physiology*
  • TNF-Related Apoptosis-Inducing Ligand / genetics
  • TNF-Related Apoptosis-Inducing Ligand / physiology
  • Time Factors
  • Transplantation, Homologous
  • bcl-2-Associated X Protein / genetics
  • fas Receptor / genetics
  • fas Receptor / physiology

Substances

  • Hyaluronan Receptors
  • TNF-Related Apoptosis-Inducing Ligand
  • Tnfsf10 protein, mouse
  • bcl-2-Associated X Protein
  • fas Receptor